I’ve been talking a lot lately about menopause, but the years immediately before menopause are probably the most difficult ones to manage for both patient and provider, since they are characterized by highly fluctuating hormone levels, and frequently associated with lots of nasty side effects. Today I’ll be focusing on those years before menopause that we call “perimenopause” when we are still producing ovarian hormones, but in levels that are fluctuating and unpredictable, and sometimes make us feel like we are on a roller coaster of highs and lows that feel impossible to control.

The good news is that once you understand what’s happening, we can create a treatment plan with effective options to alleviate these symptoms and put life back into balance, getting you through those really difficult years.

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