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Perimenopause is the often-overlooked phase before menopause where your hormones start to fluctuateβand your body starts talking back. If youβve noticed mood swings, sleep issues, or your periodβs gone rogue, youβre not imagining things. This is real. And itβs happening earlier than most women expect.
Perimenopause is the transitional phase leading up to menopause, when your ovaries start slowing down estrogen production. It can begin as early as your mid-30s and typically lasts 4 to 10 years before your periods stop completely.
The symptoms? Sometimes subtle. Sometimes loud.
Your cycle becomes shorter, longer, or completely unpredictable.
Anxiety, irritability, or sadness that shows up without warning.
Trouble falling asleep, staying asleep, or waking up too early.
Aching or swollen breasts, especially around your cycle.
PMS symptoms feel more intense and linger longer than usual.
Most women spend years in perimenopause without realizing itβand during that time, hormones like estrogen, progesterone, and even testosterone fluctuate wildly. Catching these changes early means you can feel better sooner and protect long-term health, including:
𦴠Bone density
β€οΈ Heart health
π‘ Cognitive function
β¨ Sexual wellness
We donβt just offer hormone therapyβwe offer personalized hormone optimization built around you.
At Xena Health, your journey starts with a 1-hour deep-dive consultation. We listen, test thoroughly, and create a plan that works with your lifestyle and goalsβnot a one-size-fits-all protocol.
Your plan may include:
Bioidentical hormone therapy to ease symptoms and rebalance your system
Emsella pelvic floor therapy for bladder control and core support
EMFemme 360 treatments for vaginal health and improved intimacy
Non-hormonal options for mood, sleep, and discomfort relief
Lifestyle and supplement strategies tailored to your lab work and symptoms
We believe women deserve to feel heard, understood, and supported during this life phase. Whether you’re trying to hold it together at work, raise kids, or figure out why your libido packed up and leftβweβve got you.
Letβs get your energy, clarity, and confidence back.
Office Hours are by Appointment Only (M – F 9:00 – 5:00 pm)