The Menopause Transition: From Perimenopause to Menopause

Perimenopause vs Menopause – What’s the Difference?

Perimenopause is the lead-up to menopause, when hormones like estrogen and progesterone begin to fluctuate. Menopause is officially marked by going 12 consecutive months without a menstrual period. But the symptoms? They often overlap—and sometimes hit harder during perimenopause than you’d expect.

5 Signs of Perimenopause

Irregular Periods

Your cycle becomes shorter, longer, or completely unpredictable.

Mood Swings

Anxiety, irritability, or sadness that shows up without warning.

Sleep Disturbances

Trouble falling asleep, staying asleep, or waking up too early.

Breast Tenderness

Aching or swollen breasts, especially around your cycle.

Worsening PMS

PMS symptoms feel more intense and linger longer than usual.

5 Signs of Menopause

Hot Flashes and Night Sweats

Sudden heat surges with sweating and flushed skin.

Vaginal Dryness

Less lubrication, discomfort with intimacy, or itching.

Brain Fog

Memory lapses, difficulty focusing, or feeling mentally "off."

Loss of Libido

Decreased sexual desire due to hormonal, emotional, and physical shifts.

Weight Gain and Body Changes

Shifting fat storage, especially around the belly.

Feeling like yourself is possible again.

If you’re experiencing these signs, you’re not alone—and you don’t have to tough it out. At Xena Health, we specialize in guiding women through perimenopause and menopause with personalized hormone therapy, lifestyle support, and real-talk care.

This Isn’t a 10-Minute Fix—It’s Personal Optimization That Works

At Xena Health, we don’t just treat symptoms—we treat you. Your story, your symptoms, and your goals all matter, which is why every new client begins with a thorough, one-hour consultation. Because let’s be honest: you can’t untangle years of hormonal chaos in a rushed 10-minute visit.

We specialize in personalized hormone optimization, but hormone therapy is just one piece of the puzzle. Our approach is rooted in deep listening, individualized care, and doing what it takes to get you feeling better—for real.

We build customized plans that may include:

  • Bioidentical hormone therapy for those seeking hormonal balance.
  • Lifestyle modification techniques to enhance daily well-being.
  • Non-hormonal solutions like lubricants, moisturizers, and pelvic support tools.
  • FDA-approved non-hormonal medications for menopause treatment, if desired.
  • Emsella + EMFemme 360 for restoring pelvic health, intimacy, and confidence

Whether you’re ready to explore hormones or not quite there yet, our mission is to help you feel like yourself again—maybe even better.

You don’t have to figure this out alone. We’ll walk with you, step by step.

What you can expect from with your Xena Health experience.

Follow Us on Instagram to Learn More