Perimenopause: What’s Really Going On (and How to Support Your Body)
Understanding the Shift
Perimenopause is the transitional phase leading up to menopause that most women begin to experience hormone fluctuations in their late 20’s, 30’s or 40s. During this time, you make less testosterone, while estrogen and progesterone fluctuate, and that creates ripple effects across your entire system. You may even suffer an issue called estrogen dominance. Periods may become unpredictable—lighter, heavier, shorter, longer, or sometimes skip entirely.
Common Symptoms You Might Experience
Perimenopause doesn’t look the same for everyone, but these are the most frequent physical and emotional symptoms:
- Hot flashes, night sweats, insomnia: Hormonal fluctuations disrupt your body’s temperature control and sleep rhythm. Don’t forget that your adrenals may be the cause of some of these issues.
- Mood swings, irritability, low mood, anxiety: Nearly 40% of women report mood shifts similar to PMS, but now they’re unpredictable.
- Brain fog and memory lapses: Struggling to find words, losing focus, or forgetting simple things? Up to two-thirds of women notice this during the transition.
- Vaginal dryness, urinary urgency, recurrent UTIs: Declining estrogen affects tissue quality and microbiome balance in subtle—but impactful—ways.
- Weight gain, slowed metabolism, heart health changes: Less estrogen shifts fat distribution, metabolism, and cardiovascular risk.
- Loss of muscle mass, low sex drive, fatigue. And more as your testosterone begins to diminish.
On top of that, perimenopause often flies under the radar. Many women are misdiagnosed or dismissed and too often, symptoms like mood shifts or insomnia get treated with inappropriate prescriptions; especially when issues such as Estrogen Dominance appear.
How Can You Support Your Changing Body?
- Rebuild with Nourishment, Sleep & Stress Support
- Prioritize sleep—not just quantity, but consistency and rhythm.
- Ground your meals in protein, healthy fats, and real foods to stabilize mood and blood sugar.
- Engage in nervous-system-safe rituals: breathwork, movement that honors your body, grounding moments.
- Use Personalized Lab Data, Not Guesswork
All of our plans include lab insights that go beyond guesswork; identifying hormone imbalances, inflammation, thyroid dysregulation, or nutrient gaps so we can guide your healing with clarity.
- Explore Safe, Individualized Symptom Relief
- Hormone therapy (HRT/MHT) is often the most effective option for hot flashes, night sweats, and vaginal dryness—particularly when tailored to your situation. Our philosophy at NuBloom is to use only natural sources which are well studied since the 1930’s and very safe.
- Non-hormonal alternatives in supplements such as black cohosh or evening primrose. Prescription therapies such as low-dose antidepressant’s and gabapentin, can be used if indicated—especially if hormone therapy isn’t right for you such as history of breast cancer.
- Vaginal estrogen therapy is a safe and effective way to support urogenital health and reduce UTIs. Use of natural resources is very safe.
- Mind-body tools, such as cognitive-behavioral therapy, can help regulate mood and sleep when layering support alongside physiological approaches.
- Adrenal work- stress reduction and adrenal supplements
Please discuss supplement and medication therapies with your trusted provider.
A NuBloom Reminder:
Perimenopause isn’t a breakdown; it’s a signal. Your symptoms aren’t random. They’re real invitations to start caring for your body in more nourishing, informed ways.
With compassion and clarity, you can:
- Understand the why behind fatigue, cravings, or fog
- Choose whole-body nourishment over quick fixes
- Feel supported rather than dismissed
- Build a healing path rooted in your unique biology
You don’t have to do this alone; you just need the right maps, and that’s what we do best. Let’s talk! Schedule a free bloom session by contacting us here.
This content is for informational and educational purposes only and is not intended to diagnose, treat, or replace professional medical advice. Always consult your healthcare provider before starting any new supplement, medication, or wellness program. NuBloom provides access to licensed medical professionals through individualized programs, but blog content does not establish a provider-patient relationship. Bloom wisely.
References
- Cleveland Clinic. (n.d.). Perimenopause. Cleveland Clinic. Retrieved August 7, 2025, from https://my.clevelandclinic.org/health/diseases/21608-perimenopause
- VCU Health. (2023, October 17). A hot take on how to survive perimenopause. VCU Health. Retrieved August 7, 2025, from https://www.vcuhealth.org/news/a-hot-take-on-how-to-survive-perimenopause
- Harvard Health Publishing. (2022, October). Menopause symptoms that may surprise you: What to watch for during perimenopause. Harvard Health. Retrieved August 7, 2025, from https://www.health.harvard.edu/womens-health/menopause-symptoms-that-may-surprise-you-what-to-watch-for-during-perimenopause
- SELF. (2023, August 9). Perimenopause could be behind your recurring UTIs—here’s what to know. SELF Magazine. Retrieved August 7, 2025, from https://www.self.com/story/utis-perimenopause-causes-solutions
- Institute for Functional Medicine (IFM). (2022, August 29). Perimenopause: Lifestyle approaches for maintaining optimal health and wellness. IFM. Retrieved August 7, 2025, from https://www.ifm.org/articles/perimenopause-lifestyle-approaches-for-maintaining-optimal-health-and-wellness
- University of Utah Health. (n.d.). Perimenopause. University of Utah Health. Retrieved August 7, 2025, from https://healthcare.utah.edu/womens-health/gynecology/menopause/perimenopause
- The Guardian. (2025, January 17). Perimenopause symptoms are real—and often misdiagnosed. The Guardian Wellness. Retrieved August 7, 2025, from https://www.theguardian.com/wellness/2025/jan/17/perimenopause-symptoms
- Mayo Clinic. (n.d.). Perimenopause: Diagnosis & treatment. Mayo Clinic. Retrieved August 7, 2025, from https://www.mayoclinic.org/diseases-conditions/perimenopause/diagnosis-treatment/drc-20354671