For many women, the transition into perimenopause and menopause brings more than just the end of menstrual cycles—it brings changes that can affect nearly every part of daily life. Understanding what’s happening to your body during this time can help you prepare, manage symptoms, and embrace this new phase of life with confidence and support.

At White House Family Care, we’re committed to helping women navigate these hormonal shifts with knowledge and compassion. As Andie Lundquist, FNP-BC says, “Perimenopause and menopause are natural, but that doesn’t mean you have to suffer through the symptoms. There are ways to feel better.”

What Is Perimenopause?

Perimenopause is the transitional phase leading up to menopause. It typically begins in a woman’s 40s but can start earlier or later. During this time, estrogen and progesterone levels fluctuate, and menstrual cycles may become irregular.

Perimenopause can last for several years and ends when you’ve gone 12 months without a menstrual period—marking the official start of menopause.

Common Symptoms of Perimenopause

Hormonal changes during perimenopause can trigger a wide range of physical and emotional symptoms, including:

  • Irregular periods (heavier, lighter, more or less frequent)
  • Hot flashes and night sweats
  • Sleep disturbances or insomnia
  • Mood swings, irritability, or anxiety
  • Brain fog or difficulty concentrating
  • Breast tenderness
  • Vaginal dryness or discomfort during intimacy
  • Decreased libido
  • Weight gain or body composition changes
  • Thinning hair or dry skin

What Is Menopause?

Menopause marks the end of menstrual cycles and fertility, usually around age 51, though the age can vary. Once you’ve gone 12 consecutive months without a period, you are considered postmenopausal.

During and after menopause, hormone levels drop significantly. Some symptoms—like hot flashes or vaginal dryness—may continue, while others may lessen over time.

Managing Perimenopause and Menopause Symptoms

The good news is that there are many ways to manage these symptoms and support your body during this transition:

1. Lifestyle Changes

  • Stay active: Exercise boosts mood, maintains bone density, and supports weight management.
  • Eat a hormone-supportive diet: Include whole foods, healthy fats, lean protein, and calcium-rich foods.
  • Reduce stress: Practice mindfulness, yoga, or deep breathing.
  • Prioritize sleep: Create a consistent nighttime routine to support hormone balance.

2. Hormone Therapy

For women with moderate to severe symptoms, hormone replacement therapy (HRT) or bioidentical hormones can help balance estrogen and progesterone levels. Options include pills, patches, creams, or hormone pellet therapy.

Andie Lundquist, FNP-BC helps patients evaluate whether hormone therapy is right for them based on their individual health history and goals.

3. Non-Hormonal Treatments

Non-hormonal medications, supplements, and natural therapies may also ease symptoms. Options include:

  • Herbal supplements like black cohosh or evening primrose
  • Antidepressants for mood or hot flashes
  • Vaginal moisturizers and lubricants
  • Acupuncture or alternative therapies

When to Seek Support

If perimenopause or menopause symptoms are interfering with your quality of life, it’s time to seek help. You don’t have to go through this alone—or guess your way through it.

At White House Family Care, we offer hormone evaluations, personalized treatment plans, and emotional support every step of the way. Schedule a visit with Andie Lundquist, FNP-BC to talk openly about your symptoms and explore solutions tailored just for you.