{"id":85560,"date":"2025-09-15T11:54:01","date_gmt":"2025-09-15T17:54:01","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=85560"},"modified":"2025-10-16T14:20:43","modified_gmt":"2025-10-16T20:20:43","slug":"passing-through-perimenopause-navigating-symptoms-hormones-and-health","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/passing-through-perimenopause-navigating-symptoms-hormones-and-health\/","title":{"rendered":"Passing through perimenopause: Navigating symptoms, hormones and health"},"content":{"rendered":"
<\/div>
\"Women
Women in their 40s may begin experiencing perimenopause, a transitional phase marked by shifting hormones, varied symptoms and evolving treatment options. Photo: Getty Images.<\/figcaption><\/figure>\n

From celebrity talk shows to social feeds, it may feel like everyone is talking about perimenopause and menopause these days.<\/p>\n

\u201cIt\u2019s the hot topic. There are a lot of changes occurring with treatment,\u201d said Dr. Laurie LeBleu Vaszily<\/a>, an obstetrician and gynecologist with UCHealth Women\u2019s Care Clinics in Steamboat Springs<\/a> and Craig<\/a>.<\/p>\n

Some of those changes relate to menopause hormone therapy (MHT), also known as hormone replacement therapy. While hormones have been prescribed since the early 1900s to address symptoms in menopause<\/a>, a large study in 2002 by the Women\u2019s Health Initiative connected MHT with increased risk of breast cancer, stroke and dementia. As a result, \u201ceveryone stopped cold turkey within that year,\u201d LeBleu Vaszily said.<\/p>\n

But flaws with the study have since been revealed.<\/p>\n

\u201cThey reanalyzed the data and found the big blanket statement that hormones cause cancer is not true,\u201d LeBleu Vaszily said. \u201cNow, we\u2019re trying to re-educate people and let them know hormones are safe, but that everybody needs to have an individual plan based<\/a> on their medical history, family history and goals.\u201d<\/p>\n

What is perimenopause<\/strong><\/h2>\n

Perimenopause takes place in the last five to ten years before menopause, often starting in the mid-40s. It can result in a wide range of symptoms, such as hot flashes, night sweats, mood changes, sleep disturbances<\/a>, anxiety, changes in attentiveness and short-term memory, decreased libido and even heart palpitations.<\/p>\n

\u201cIt\u2019s going to happen. It\u2019s just a matter of when,\u201d LeBleu Vaszily said.<\/p>\n

Levels of hormones such as estrogen, follicle-stimulating hormone (FSH), testosterone and progesterone shift during this time, until menstruation stops altogether: after one year without a period, a woman has entered menopause.<\/p>\n

While hormone levels can be tested, they fluctuate greatly, so treatment is often based on symptoms.<\/p>\n

Menopause hormone therapy<\/strong><\/h2>\n

Estrogen replacement therapy has been shown to help with hot flashes, night sweats, sleep issues, and hair, skin and nail dryness. For women who have a uterus, it\u2019s important to also take progesterone to help protect against endometrial cancer; bioidentical progesterone may help with sleep and may decrease anxiety.<\/p>\n

Some patients also find benefits from testosterone therapy, such as improved libido, decreased fatigue and an increase in lean muscle mass.<\/p>\n

When trying MHT, LeBleu Vaszily takes a calculated approach, introducing one thing at a time. \u201cIt often involves a little trial and error,\u201d LeBleu Vaszily said.<\/p>\n

Don\u2019t be surprised if your treatment needs to change over time.<\/p>\n

\u201cHormone levels are constantly changing during perimenopause, which means that what helps for six months may not be as successful after that,\u201d LeBleu Vaszily said. \u201cI always encourage patients to keep an open dialogue with us.\u201d<\/p>\n

LeBleu Vaszily also encourages patients to log symptoms in a journal and to remember that since symptoms can be so varied, there\u2019s a chance something else is at play.<\/p>\n

\u201cThese symptoms are not all isolated to hormone issues,\u201d LeBleu Vaszily said. \u201cIf you start hormones and no symptoms improve, you need to look outside of that. This isn\u2019t the magic pill that fixes everything.\u201d<\/p>\n

Keep in mind that the mid-forties to early-fifties is often a challenging time of life for women as they manage careers, growing children, aging parents and financial strains.<\/p>\n

\u201cSometimes it\u2019s life and sometimes it\u2019s hormones and sometimes it\u2019s a little of both,\u201d LeBleu Vaszily said.<\/p>\n

Lifestyle changes can support you during <\/strong>perimenopause<\/strong><\/h2>\n

Aging results in lean muscle wasting, which contributes to a decrease in metabolism. LeBleu Vaszily recommends increasing protein consumption to 80 to 100 grams a day and incorporating both weightlifting and cardiovascular exercise into your exercise routine.<\/p>\n

Supplements such as vitamin D<\/a> and iron may be beneficial, as aging can make it harder to process and absorb nutrients. Since high-fat foods and alcohol aren\u2019t metabolized as easily, it may be helpful to limit those.<\/p>\n

\u201cPeople often notice worse symptoms from very small amounts of alcohol,\u201d LeBleu Vaszily said. \u201cLots of women find that if they abstain from drinking, they feel better.\u201d<\/p>\n

Advocate for your own health and seek advice from trusted medical sources<\/strong><\/h2>\n

Keep in mind that since perimenopause is such a hot topic, it\u2019s easy to stumble on misinformation. \u201cThis is a very evolving field, and there\u2019s a lot out there, especially with social media,\u201d LeBleu Vaszily said.<\/p>\n

Being an advocate for your own health is important: ask informed questions and seek individualized care. With so much information circulating online, it’s important to rely on trusted medical sources and consult with providers who understand the evolving science behind hormone therapy.<\/p>\n

\u201cWe\u2019re here to help, so reach out to voice your concerns. Hormones are safe, but because everyone responds differently, it\u2019s important to keep checking in.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

From celebrity talk shows to social feeds, it may feel like everyone is talking about perimenopause and menopause these days. \u201cIt\u2019s the hot topic. There are a lot of changes occurring with treatment,\u201d said Dr. Laurie LeBleu Vaszily, an obstetrician and gynecologist with UCHealth Women\u2019s Care Clinics in Steamboat Springs and Craig. Some of those […]<\/p>\n","protected":false},"author":2163,"featured_media":86333,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[32,212,23],"class_list":["post-85560","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-living","tag-gynecology","tag-womens-care","tag-womens-health"],"acf":[],"yoast_head":"\nPassing through perimenopause: Navigating symptoms, hormones and health - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Learn when perimenopause starts, what symptoms to expect and how hormone therapy and lifestyle changes can help ease the transition.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/passing-through-perimenopause-navigating-symptoms-hormones-and-health\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Passing through perimenopause: Navigating symptoms, hormones and health\" \/>\n<meta property=\"og:description\" content=\"Learn when perimenopause starts, what symptoms to expect and how hormone therapy and lifestyle changes can help ease the transition.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.uchealth.org\/today\/passing-through-perimenopause-navigating-symptoms-hormones-and-health\/\" \/>\n<meta property=\"og:site_name\" content=\"UCHealth Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uchealthorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-09-15T17:54:01+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-16T20:20:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2025\/09\/16142027\/UCHealth-Today-Passing-through-perimenopause-1500x500-1.jpg\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Susan Cunningham, for UCHealth\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uchealth\" \/>\n<meta name=\"twitter:site\" content=\"@uchealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Susan Cunningham, for UCHealth\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/passing-through-perimenopause-navigating-symptoms-hormones-and-health\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/passing-through-perimenopause-navigating-symptoms-hormones-and-health\\\/\"},\"author\":{\"name\":\"Susan Cunningham, for UCHealth\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#\\\/schema\\\/person\\\/f2737182b44781de4109fdd5dd464270\"},\"headline\":\"Passing through perimenopause: Navigating symptoms, hormones and health\",\"datePublished\":\"2025-09-15T17:54:01+00:00\",\"dateModified\":\"2025-10-16T20:20:43+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/passing-through-perimenopause-navigating-symptoms-hormones-and-health\\\/\"},\"wordCount\":822,\"publisher\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/passing-through-perimenopause-navigating-symptoms-hormones-and-health\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/uchealth-wp-uploads.s3.amazonaws.com\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2025\\\/09\\\/16142027\\\/UCHealth-Today-Passing-through-perimenopause-1500x500-1.webp\",\"keywords\":[\"Gynecology\",\"Women's care\",\"Women's health\"],\"articleSection\":[\"Healthy living\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/passing-through-perimenopause-navigating-symptoms-hormones-and-health\\\/\",\"url\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/passing-through-perimenopause-navigating-symptoms-hormones-and-health\\\/\",\"name\":\"Passing through perimenopause: Navigating symptoms, hormones and health - 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