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  • Writer's pictureDr. Cassandra Paiano, ND

Navigating Perimenopause - Understanding the Transition & Essential Health Assessments

Perimenopause represents a pivotal phase in a woman's life, characterized by irregular menstrual cycles and diminished hormone production. It signifies the transitional period between the fertile years and menopause, during which ovarian activity declines gradually.


As ovarian hormone production slows down, the adrenal glands assume some responsibility for sex hormone production, however not to the same extent as the ovaries.


The onset of perimenopause is not dictated by a specific age, but rather spans a broad range from the mid-30s to mid-50s. Similarly, the duration of perimenopause varies individually, though typically averaging around four years.


While symptoms may vary, irregular periods are a hallmark indication of perimenopause. Hormonal fluctuations lead to shorter menstrual cycles early in perimenopause, accompanied by symptoms like hot flashes, sleep disturbances, altered sexual function, weight fluctuations, and mood changes.


Conducting laboratory tests during perimenopause is crucial.  It allows for the assessment of various health markers affected by these shifting hormones. 


Ovarian and Adrenal Hormones 🌸A comprehensive hormone assessment, including Estradiol, Progesterone, FSH, LH, DHEA-S, and Cortisol AM, provides insight into hormonal dynamics and aids in devising supportive strategies during this transition.


Micronutrient Assessment 🧪Perimenopausal women face increased risk of osteoporosis due to estrogen's role in bone health. Evaluating micronutrient levels such as vitamin D, calcium, magnesium, ferritin, and vitamin B12 can identify deficiencies that are crucial for managing health during this phase.


Cholesterol Panel 🫀Estrogen, which exerts protective effects on the cardiovascular system during reproductive years, diminishes in perimenopause, leading to alterations in cholesterol levels. Monitoring LDL and HDL cholesterol helps assess cardiovascular risk during this transition.


Thyroid & Metabolism 🦋Perimenopausal women are prone to thyroid dysfunction. A comprehensive thyroid panel including TSH, Free T3, Free T4 and thyroid antibodies (Anti-TPO & Anti-TG) is essential to evaluate thyroid health and support metabolic function.  If you're interested in learning more about treatment options, including bio-identical hormones, herbs, and nutritional support during perimenopause, 


Join me for my free webinar, "Navigating Perimenopause" on March 27th at 7pm. Email admin@kingswaywellnessclinic.com to reserve your spot!




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