Understanding Perimenopause, Menopause & Postmenopause: Hormone Swings, Symptoms & What to Do

Hormonal changes during midlife are normal, but that doesn’t mean they should be disruptive. Whether you're in perimenopause, menopause, or postmenopause, your body is sending signals that deserve attention, not dismissal. Here’s how to recognize the stage you're in and what steps you can take to feel better.

🌸 What Is Perimenopause?

Perimenopause is the transitional stage before menopause. It typically starts in your late 30s or 40s and can last for several years. During this time, estrogen and progesterone fluctuate unpredictably, leading to a wide range of symptoms.

Common Signs of Perimenopause:

  • Irregular periods (shorter, longer, heavier, or skipped)

  • Breast tenderness

  • Mood swings or irritability

  • Sleep disturbances

  • Fatigue or brain fog

  • Hot flashes and night sweats

  • Decreased libido or vaginal dryness

What You Can Do:

  • Track symptoms and cycle changes to identify patterns

  • Use magnesium glycinate or L-theanine for sleep and mood support

  • Ask about bioidentical progesterone or herbal support like chasteberry

  • Consider lab testing for hormone levels if symptoms are persistent

💚 What Is Menopause?

Menopause is officially diagnosed after 12 consecutive months without a period. It usually occurs between ages 45 and 55. Estrogen and progesterone production declines significantly, leading to more noticeable symptoms.

Common Signs of Menopause:

  • Frequent or severe hot flashes

  • Vaginal dryness, thinning tissues

  • Weight gain or slowed metabolism

  • Mood changes or anxiety

  • Insomnia or early morning waking

  • Joint stiffness

What You Can Do:

  • Consider hormone replacement therapy (HRT) if appropriate

  • Use vaginal estradiol or DHEA for dryness and libido

  • Try black cohosh or ashwagandha for hot flashes

  • Prioritize resistance training and protein for muscle support

🌿 What Is Postmenopause?

Postmenopause is the life stage after menopause. Symptoms may ease for some women, but others continue to experience lingering or new health concerns due to low hormone levels.

Common Signs of Postmenopause:

  • Persistent vaginal dryness or painful sex

  • Urinary tract infections (UTIs) or bladder discomfort

  • Bone loss or osteopenia

  • Thinning skin and hair loss

  • Ongoing fatigue or low libido

What You Can Do:

  • Use ongoing vaginal hormone support to protect tissues

  • Ask your provider about testosterone for libido and energy

  • Incorporate calcium, vitamin D, and weight-bearing exercise

  • Maintain regular check-ins and update your wellness plan as needed

🌈 You Deserve Personalized Support

At Eternal Beauty Med Spa, we don’t believe in cookie-cutter care. Our Eternal Vitality Reset Series helps you navigate each phase of hormonal transition with smart, science-based tools — including lab testing, personalized supplements, and targeted prescriptions when appropriate.

📅 Ready to understand your hormones and feel like yourself again? Book a virtual or in-person wellness consult today online or call 925-326-6611 and get the support you need at every stage of womanhood.

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