Topic
Perimenopause & menopause: what happens in your body when nobody explains it
Your cycle is changing, your sleep is restless, your mood tips more quickly. And the lab says everything is normal. Perimenopause is exactly the phase in which this happens.
Signs women often describe to me
- A cycle that gets shorter, longer or irregular
- Sleep that no longer lasts the night
- Hot flushes or night sweats
- A mood that tips faster than it used to
These are signs, not a diagnosis. Please always have new or severe symptoms checked by a doctor.
Why a single hormone test tells you little here
In perimenopause, hormones fluctuate widely, so a single blood test is only a snapshot. For women over 45, the UK’s NICE guideline recommends recognising perimenopause from symptoms rather than from a blood test. Values such as oestradiol or AMH are explicitly not meant for this.1
So a “normal” result does not mean nothing is changing. It means the blood test is answering the wrong question. The right question is: what are you experiencing, since when, and which of it can be supported in a targeted way?
Whether hormone therapy is an option for you is a decision you make together with your doctor. I help you go into that conversation well prepared.
The book
I wrote a whole book about this.
“The Invisible Decade” explains what really happens in perimenopause. It helps you, and it helps you in conversations with your doctor.
How we work
Not twenty things at once.
We talk about the cost in the clarity call, openly and clearly. No games. Whether we go ahead is your decision, in your own time.
- Clarity call20–30 minutes on Zoom, free of charge. I look at where your system is stuck right now, and I tell you honestly what I see and whether we should work together.
- Your personal live 1:1 supportThe heart of it: personal live sessions with me. We find the one place that moves everything else, and you get a plan that fits your real life. With work, children and stress.
- Alongside the sessionsMaterials to read back on, and WhatsApp support for everyday questions.
1 NICE Guideline NG23 “Menopause: identification and management” / Quality Standard QS143
Not ready for a call yet?
Then get some clarity for yourself first: the free self-check has 16 questions and takes about 3 minutes. You will see whether your thyroid, perimenopause or your stress axis is in the foreground, and receive the matching starter guide.
You don’t have to work through this on your own.
In the free clarity call, we look together at where your system is stuck right now. I tell you honestly what I see and whether we should work together.
20–30 minutes on Zoom · camera on · free of charge