Perimenopause & What Your Doctor Isn’t Telling You

Let’s Be Honest—Are You Prepared for Perimenopause?

Let me ask you something—how prepared are you for perimenopause?

And no, I don’t mean the group text with your girlfriends laughing about hot flashes. I mean really prepared. Do you understand what’s happening in your body? Has anyone truly explained it?

Years ago, when I went through perimenopause myself, I didn’t have that kind of support. It was confusing, frustrating, and emotional—and unfortunately, not much has changed.

Today, I see so many women walk into my office, completely in the dark about what’s happening to their hormones. That ends now.

What Is Perimenopause?

Perimenopause is the phase leading up to menopause. It’s your body’s warm-up act—but it doesn’t feel very warm and fuzzy.

It can begin in your mid-to-late 30s or 40s, depending on the person. During this time, your estrogen levels (the primary female hormone) rise and fall unpredictably. One day you’re fine. The next day you’re wondering why you burst into tears because someone parked too close to your car.

You’re not losing it. You’re just experiencing hormone fluctuations—and yes, it’s a very real thing.

Real Symptoms of Perimenopause (That You May Already Be Feeling)

If you’ve been chalking your symptoms up to “just stress,” take a closer look:

  • Irregular periods: shorter, longer, spotting, disappearing then returning with force
  • Memory lapses and brain fog
  • Sleep problems: trouble falling or staying asleep
  • Mood swings, anxiety, irritability, depression
  • Low libido or painful intercourse
  • Vaginal dryness, infections, and urinary incontinence
  • Fertility shifts—your cycle may be unpredictable, but you can still get pregnant
  • Rising cholesterol and lipid levels due to declining estrogen

It’s not “just part of aging.” It’s your body’s way of signaling that something’s shifting—and it needs support.

The Bigger Problem? Misinformation.

There’s no shortage of bad advice online—or even from trusted medical professionals. I’ve seen too many women get prescribed:

  • Antidepressants for mood changes
  • Birth control pills to “regulate” hormones
  • Gabapentin for hot flashes
  • Vaginal creams as a one-size-fits-all fix
  • Even referrals to therapists for sexual discomfort

It’s maddening—because none of that addresses the root cause.

The Truth About Hormone Therapy

When done correctly, hormone therapy is not only safe—it’s effective and life-changing. But here’s the key: It needs to be personalized and prescribed by someone trained in hormone health.

  • Bioidentical progesterone: calms the nervous system, improves sleep, and balances mood
  • Testosterone therapy: supports libido, energy, tissue repair, and cognition
  • Progesterone + testosterone combo: protects against risks like uterine and breast cancer—unlike synthetic hormone options

Forget the outdated studies that lump birth control pills and real hormone therapy together. We now know better—and we’re doing better here at Rejuvenate Hormones and Weight Loss Center in Scottsdale, AZ.

There Is Help—And It Starts with the Right Provider

If you’re feeling lost in the fog of perimenopause, I promise you: there’s a path forward. You don’t have to suffer in silence, and you don’t need another prescription to “numb” your symptoms.

You need clarity. You deserve support. And most of all—you need someone who not only gets it, but get YOU.

For more insights and resources, schedule your complimentary consultation with me, Colleen Power Kupka. Explore my hormone expertise and hormone replacement therapy in Scottsdale, AZ and beyond through telehealth.

Schedule A Consultation Today