03/06/2026
Are you experiencing heavy irregular cycles? You are not alone.
Many women are being led to believe that the hormonal shifts of perimenopause are something that needs to be fixed with procedures or surgery. But the truth is, perimenopause is a normal biological transition, not a disease process that needs to be removed.
During perimenopause, it is very common to experience heavy, irregular, or unpredictable cycles. This happens because hormones are no longer following the smooth rhythm they once did.
One of the biggest shifts is the gradual decline of progesterone, while estrogen often becomes erratic — sometimes high, sometimes low. When progesterone drops and estrogen fluctuates, the uterine lining can build up more than usual, leading to heavier or irregular bleeding.
For some women, symptoms can become even more intense if the body has difficulty processing and clearing estrogen effectively. This can occur when there is:
• Sluggish liver detoxification
• Estrogen dominance
• Gut microbiome imbalance affecting estrogen recycling
• Chronic stress affecting hormonal signaling
In these situations, the body isn’t necessarily “broken.” It may simply need support for the systems that regulate hormones.
Yet increasingly, I am seeing women being offered partial hysterectomies as a first-line solution for perimenopausal bleeding.
While surgery can absolutely be necessary in certain cases, it raises an important question:
Have we explored supporting the body's physiology before removing an organ?
What if instead we focused on:
✔ Optimizing liver detoxification
✔ Improving gut health and estrogen clearance
✔ Restoring progesterone balance
✔ Supporting hormone signaling with targeted hormone replacement when appropriate
✔ Reducing inflammation and stress on the endocrine system
When we support the body’s systems, many women experience significant improvement without drastic intervention. Our organs are not isolated parts. They are part of a deeply integrated biological network.
The body keeps score. Removing an organ may stop a symptom, but it does not always address why the symptom developed in the first place.
Perimenopause deserves education, support, and thoughtful care — not reflexive removal of organs that are part of our physiology.
Women deserve to understand their bodies and their options. Because sometimes the answer isn’t removal. Sometimes the answer is restoration. I use the A.R.T. of Healing to restore your BIG systems to achieve and restore your health.
I recommend you start with a DUTCH hormone test to determine your hormone status. https://udemandhealth.com/dutch-hormone-testing-1
IN HEALTH
Dr Anita DNP, APRN, IFMCP