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." Skin changes are common too, and often overlooked.
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 MedicinePerimenopause 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.
Reviewed for accuracy by McKell Johnson, FNP-BC, Clinical Director, and the Abbott Health & Wellness care team.
Often connected to perimenopause: menopause, PMS, estrogen dominance, hot flashes, low libido, and sleep issues. Signs your hormones are off → Menopause vs. perimenopause: what's the difference? → Five reasons women can't lose weight after 40 →
Coming from Richfield? We're about 20 minutes north on US-89. See our Richfield patient guide for directions, hours and what to expect.
What patients ask most before their first appointment.
Clinical Director and board-certified nurse practitioner with full prescriptive authority — she builds and manages every treatment plan personally.
Your LocationIn Salina, with patients driving in from Richfield, Manti, Gunnison, Ephraim, Mount Pleasant, and beyond.
A full hormone panel, and a real conversation with McKell Johnson, FNP-BC about what's next.