Hormones

A Perimenopause Primer

The years before menopause are hormonally louder than the event itself.

Dr. Amara OkaforJune 23, 202610 min read
Middle-aged women in soft natural light

Perimenopause is not a slow fade. It is a hormonal weather system with real symptoms and real interventions.

What actually shifts

Estrogen swings before it declines. Progesterone drops first and fastest. Sleep, mood, and cycle regularity all track the volatility, not the absolute levels.