Perimenopause can begin in your late 30s or 40s, often years before periods stop. Fluctuating estrogen and progesterone can bring hot flashes, night sweats, sleep disruption, mood changes, brain fog, heavier or unpredictable periods, and changes in libido and vaginal comfort. Too many women are told these symptoms are "just stress" or something to push through.
JennWell offers individualized menopause care, including bioidentical hormone replacement therapy (BHRT) and Biote® hormone pellet therapy when it is a safe and appropriate fit. Jennifer reviews your symptoms, personal and family history, and risk factors, then discusses options such as Biote pellets, transdermal estradiol, micronized progesterone, vaginal estrogen for genitourinary syndrome of menopause (GSM), and non-hormonal therapies. Follow-up visits fine-tune dosing so you get relief at the lowest effective dose, while monitoring bone density and cardiovascular health over time.
Concerns we help with
- Hot flashes & night sweats
- Sleep disruption
- Brain fog & mood changes
- Vaginal dryness & painful sex (GSM)
- Low libido
- Bone & cardiovascular health
Detailed guides
Bioidentical Hormone Replacement Therapy (BHRT)
What bioidentical hormones are, who is a candidate, how therapy is started and monitored, and how risks and benefits are weighed.
Perimenopause Symptom Relief: Sleep, Brain Fog & Hot Flashes
Recognizing the often-confusing early stage of the menopause transition and treatment options for sleep, mood, cognition and vasomotor symptoms.
Vaginal Dryness & Genitourinary Syndrome of Menopause (GSM)
The vaginal, vulvar and urinary changes that come with low estrogen, and safe, effective treatments that restore comfort.
Bone & Cardiovascular Health After Menopause
How estrogen loss affects bones and the heart, and the screening and prevention strategies that protect your long-term health.
Always Exhausted? Fatigue vs. Perimenopause and Other Causes
How to tell whether constant tiredness is related to perimenopause, poor sleep, low iron, thyroid problems, mood or something else — and which evaluations help sort it out.
Brain Fog in Perimenopause and Menopause: What Helps
Why forgetfulness, word-finding trouble and poor concentration are common during the menopause transition, when to look for other causes, and practical, evidence-informed ways to clear the fog.