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What is Perimenopause?

Perimenopause is the time leading up to menopause. It can last 7-10 years before your final menstrual period.

How do you know if you are in perimenopause?

Ask yourself:

1. Is your period erratic and unpredictable?

2. Are you on an emotional rollercoaster before every period?

3. Has your libido tanked?

4. Are you tossing and turning every night because of hormonal fluctuations and hot flashes?

5. Are you having trouble losing weight? 

6.  Are you 30-50 years old?

If you answered “yes” to all these questions, welcome to perimenopause! 

Women begin to run out of good quality eggs starting in the late 30s (a natural consequence of aging). The body wants to maintain homeostasis (balance). Having rhythm and balance between estrogen and progesterone (the two major sex hormones)

is crucial. But during perimenopause, progesterone levels take a dive. This makes estrogen levels high, in comparison, shifting the body out of balance.

With “estrogen dominance” comes symptoms of mood swings, headaches, bloating, breast tenderness, brain fog, depression, difficulty losing weight, decreased libido, and insomnia.

What can I do?

♀️ Focus on a healthy, well-balanced diet.

Adding more fiber into your diet and upping your water intake helps with detox pathways. As we age, our livers become a bit sluggish. A good detox is essential to maintain estrogen balance. 

♀️Look at your ability to inactivate estrogen through DUTCH (Dried Urine Test for Comprehensive Hormones)

This test gives the most in-depth look at sex hormone metabolism (estrone, estriol, testosterone, progesterone), cortisol rhythm fluctuation (cortisol, cortisone), and adrenal stress concerns (Vitamin B markers, melatonin, oxidative stress markers). Based on the results, we can use targeted treatments to help reduce symptoms and rebalance hormones. We would focus on improving any cofactors missing from the liver detoxification pathways and check for genetic errors in this area (MTHFR/COMT). 

♀️You may be a candidate for herbal supplements or body identical hormones

Many patients use herbal supplements to naturally raise progesterone levels or body-identical progesterone (bioidentical progesterone).  (either FDA approved or compounded)

Are you tired of struggling with perimenopause by yourself?

It’s time to start feeling better! Complete your free 15-minute strategy call with Dr. Del Negro. Stay tuned for a masterclass on everything perimenopause!

Start your journey to REDISCOVER WELLNESS.

Robyn C. Del Negro, MD
-Board-certified PM & R and Integrative Medicine physician since 1993
-Fellowship at Andrew Weil Center for Integrative Medicine
-Specialized training with Institute of Functional Medicine