Perimenopause &
Menopause
flourish naturopathic
Clarity, Support, and Empowerment Through Change
The menopause transition is a major milestone in a woman’s life, often beginning long before the final period. While the average age of menopause is 51, perimenopause can begin up to 10 years earlier. During this time, shifting hormone levels can affect mood, sleep, energy, menstrual cycles, and many other aspects of health and well-being.
This stage can be confusing and, at times, overwhelming. Understanding this transition can help you feel more in control of your health.
Changing Hormones
Perimenopause is the transitional phase leading up to menopause. As estrogen and progesterone begin to fluctuate, cycles may change — becoming shorter, longer, heavier, lighter, or more unpredictable. This hormonal variability can lead to a wide range of symptoms, including:
Irregular/changing menstrual cycles
Hot flashes and night sweats
Mood changes or increased irritability
Fatigue and sleep disturbances
Brain fog or difficulty concentrating
Vaginal dryness or discomfort
New or intensified PMS symptoms
Menopause is defined as 12 consecutive months without a menstrual period. Menopause is a natural life transition, not a disease, but it can influence many aspects of health — including bone health, cardiovascular and metabolic health, cognition, sexual well-being, and mood.
Each of these areas deserves thoughtful attention and care as you move into the next phase of your life.
Our Approach to Menopause Care
We take a comprehensive and personalized approach to supporting women during this stage of life. Because symptoms often begin in perimenopause, we can offer early, proactive support that may positively shape your health for years to come.
Our toolkit includes:
Laboratory testing to assess current status and future health risks
Nutritional guidance for metabolism, mood, and energy
Lifestyle strategies to help sleep, reduce stress, and enhance overall well-being
Herbs and supplements backed by evidence and clinical experience
Menopausal Hormone Therapy (also called HRT) or other medications as appropriate
Every woman’s experience of menopause is unique — and your care should reflect that.
Guiding Women in Midlife for Wellness and Prevention
Cardiovascular and metabolic health
Bone density and strength
Brain and cognitive function
Sexual health and vaginal comfort
Mood, mental health, and emotional well-being
GUIDANCE & SUPPORT FOR HORMONE HEALTH
Menopausal Hormone Therapy
Navigating menopause and hormone changes can feel overwhelming—but you don’t have to do it alone. At Flourish Naturopathic, we help you understand what’s happening in your body and explore whether Menopausal Hormone Therapy is right for you. Our holistic approach addresses your unique experience, allowing you to manage symptoms like hot flashes, brain fog, sleep changes, and mood shifts, so you can feel like yourself again.
Your Next Step
You don’t have to navigate this transition alone. Let’s work together to address symptoms in the moment while also supporting your long-term health, resilience, and quality of life.

