Around age 40, women’s bodies begin perimenopause, the transition leading to menopause (the point in time when you stop menstruating permanently). The hallmark of this transition is a change in the levels of the hormones estrogen, progesterone, and the androgens. Yet this is not solely a physical event—it is also the biggest opportunity for personal growth and empowerment since adolescence.
The conventional view of what happens at perimenopause is that estrogen levels plummet. This is a gross oversimplification and too often leads to treatment that can make mildly uncomfortable symptoms worse.
Too many women see the hormone therapy decision as an either/or, yes/no decision. It is important for you to know that you don’t necessarily have to choose between traditional HT and alternatives. Think of your perimenopausal support as a smorgasbord. You get to choose what appeals to you at the moment and leave what doesn’t.