Perimenopause can start a decade before your period actually stops — and the symptoms are often dismissed as stress or aging.
Perimenopause is the transition leading up to menopause, when estrogen and progesterone start fluctuating unpredictably — sometimes years before periods become irregular or stop. It's not a single event; it's a gradual hormonal shift that can start in your late 30s or 40s.
Because levels swing rather than simply decline, perimenopause symptoms can feel inconsistent — better one week, worse the next — which is part of why it's so often misread as stress, thyroid issues, or "just getting older."
We run a full hormone panel to see where you actually are in the transition, then build a plan — which may include bio-identical hormone therapy — around your specific pattern rather than a generic protocol.
Hormone support tailored to your labs and symptoms as your body transitions.
Explore Hormone TherapyA full picture of your hormones, metabolism, and lifestyle — not just one hormone in isolation.
Explore Functional Medicine"Perimenopause gets dismissed constantly — patients are told it's stress, or they're too young to worry about hormones yet. The labs usually tell a different story. Catching it early makes the whole transition easier."
“Dr. Abbott and staff are amazing! Such a caring and knowledgeable doctor. Danielle and Shaylee, everyone is wonderful. I’d leave ten stars if I could.”
— S. Zobell, Google review
Often connected to perimenopause: menopause, low libido, and sleep issues. Signs your hormones are off →
What patients ask most before their first appointment.
A full hormone panel, and a real conversation with Dr. Abbott about what's next.