02/18/2026
If you were only told perimenopause meant hot flashes and missed periods, you were under-informed.
For many women, it shows up first as sleep problems, anxiety, heart palpitations, blood sugar crashes, migraines that suddenly change, skin and eye issues, gut chaos, libido shifts, and a body that just doesn’t feel familiar anymore.
This stage is driven by hormone fluctuation, not just hormone decline. Estrogen and progesterone stop behaving predictably, cortisol and insulin get louder, and systems that used to self-regulate suddenly struggle.
That’s why the symptoms feel random.
And why so many women are told “everything looks normal.”
Perimenopause isn’t imagined and you’re not broken.
With the right labs, support, and strategies, these patterns can be addressed.
If this list felt a little too familiar, message us!