04/03/2026
Are you confused about whether you're in perimenopause or menopause?
I get this question constantly from my Columbia patients, and it's so important to understand the difference because the approaches to support can vary.
Here's the key distinction: perimenopause is the rollercoaster ride, menopause is the destination.
During perimenopause, your hormones are all over the place - one month your estrogen might be sky-high, the next month it crashes. This is why symptoms can feel so unpredictable and intense.
Once you reach menopause (no period for 12 months), your hormones settle into a new, lower baseline. Symptoms may continue, but they're often more consistent.
The most important thing to know? You have options during BOTH phases.
Whether you're dealing with irregular periods and mood swings in perimenopause, or hot flashes and sleep issues in menopause, there are effective ways to support your body through these natural transitions.
Which phase do you think you're in? If you're unsure or struggling with symptoms, let's figure it out together.
Reach out anytime to find the support you need: https://drrachelhall.com/contact/