Perimenopause, also known as the menopausal transition, is a significant phase of a woman’s life. It marks the gradual transition toward menopause, characterized by a host of physical, emotional, and hormonal changes. At Evolvewell Integrative Medical Centre, we believe in empowering women by providing comprehensive, evidence-based care to navigate this important life stage. Below, we’ll explore what perimenopause is, common symptoms, and treatments that Evolvewell offers to address these challenges holistically.
What is Perimenopause?
Perimenopause is the time leading up to menopause, the point when a woman has gone 12 consecutive months without a menstrual period. This transitional phase can begin as early as a woman’s 30s or as late as her 50s, with a median duration of four years. During this period, fluctuating hormone levels trigger a range of symptoms, many of which can significantly impact a woman’s quality of life.
Physiologically, perimenopause begins with irregularities in the menstrual cycle caused by declining ovarian function and hormonal shifts. This phase has two stages:
Early Stage – Characterized by occasional skipped periods or changes in cycle pattern.
Late Stage – Marked by more extended periods of missed periods (amenorrhea) and increased irregularity,
What is Perimenopause?
Perimenopause is the time leading up to menopause, the point when a woman has gone 12 consecutive months without a menstrual period. This transitional phase can begin as early as a woman’s 30s or as late as her 50s, with a median duration of four years. During this period, fluctuating hormone levels trigger a range of symptoms, many of which can significantly impact a woman’s quality of life.
Physiologically, perimenopause begins with irregularities in the menstrual cycle caused by declining ovarian function and hormonal shifts. This phase has two stages:
Early Stage – Characterized by occasional skipped periods or changes in cycle pattern.
Late Stage – Marked by more extended periods of missed periods (amenorrhea) and increased irregularity,

Symptoms of Perimenopause
Perimenopause is unique for every individual, though common symptoms include:
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Hot Flashes and Night Sweats
Commonly referred to as vasomotor symptoms (VMS), these involve sudden waves of heat followed by chills. Up to 80% of women experience VMS during this transition.
Irregular Menstrual Cycles
Irregular cycles are often the first noticeable sign. These fluctuations stem from hormonal changes and may include heavier or lighter bleeding and skipped cycles.
Sleep Disturbances
Difficulty staying asleep, waking too early, or interrupted sleep cycles are prevalent, often exacerbated by night sweats or stress.
Mood Changes
Increased levels of anxiety, irritability, or depression may arise. Hormonal shifts combined with life stressors are contributors.
Vaginal and Sexual Changes
Declining estrogen levels can lead to vaginal dryness, pain during intercourse, and reduced libido. Collectively, these issues are known as genitourinary syndrome of menopause.
Other Symptoms
Weight gain, memory fog, and joint pain are also associated with the menopausal transition.
Holistic and Personalized Treatments at Evolvewell
At Evolvewell Integrative Medical Centre, our mission is to help women “Get Well,” “Stay Well,” and “Live Well.” We provide a range of tailored treatments to address perimenopausal symptoms while enhancing overall health and well-being.
FUNCTIONAL MEDICINE
Functional medicine looks deeper into the root causes of health issues. For perimenopause, our approach involves a comprehensive assessment of hormone changes, nutrient deficiencies, and lifestyle factors that may exacerbate symptoms. Treatment plans are customized for the individual, ensuring holistic care.
BIOIDENTICAL HORMONE REPLACEMENT THERAPY (BHRT)
BHRT is a cornerstone of our treatment for perimenopause. These natural, plant-derived hormones are carefully matched to your body’s chemistry to alleviate symptoms such as hot flashes, night sweats, poor sleep, low libido and sexual function, fatigue, weight changes, loss of muscle, hair loss, mood changes, weight gain, loss of memory and brain function, loss of energy and menstrual cycle changes. They also help protect bone health and support cardiovascular health.
LIFESTYLE AND NUTRITIONAL COUNSELING
Integrative care at Evolvewell encompasses personalized nutritional plans and lifestyle strategies designed to manage weight, improve energy, and stabilize hormones. We prioritize teaching women how to eat and live in harmony with their changing bodies.
TREATMENTS FOR SEXUAL WELLNESS
Our services extend to addressing sexual health challenges. For example, genitourinary syndrome of menopause is managed with vaginal estrogen therapies and innovative treatments like BTL Emsella™, designed to improve pelvic floor strength and boost confidence in daily life.
STRESS AND MOOD MANAGEMENT
We assist women in coping with mood swings, anxiety, and depression by providing non-pharmacological solutions such as mindfulness practices, personalized supplements, and counseling. This approach ensures a focus on mind, body, and spirit.
THE EVOLVEWELL EXPERIENCE
What sets Evolvewell apart is our integrative and patient-centered approach to care. We don’t just treat symptoms; we address the underlying causes to achieve lasting health and vitality. When you partner with us, you gain access to:
- A dedicated team of health experts who understand perimenopause.
- A customized roadmap for correcting imbalances, preventing future health concerns, and optimizing wellness.
- Amenities like stress-free consultations and 90-minute parking to make your journey toward better health seamless.
Our goal is to enhance every woman’s confidence and quality of life during perimenopause and beyond.
WHY TAKE ACTION?
Perimenopause often represents a challenging season of life, but it doesn’t have to diminish your well-being. Armed with the right knowledge and expert care, you can regain control over your health journey. With Evolvewell’s Integrative Medical Centre solutions, you can increase energy, restore mental and emotional balance, and enjoy your best life – today.
If you’re experiencing symptoms of perimenopause, reach out to us at Evolvewell and take the first step toward living confidently and vibrantly. Start your journey now and get your health – and your life – back on track.
Let us guide you through perimenopause with personalized, integrative solutions designed for YOU.
Contact us to book your consultation and begin your transformation today.

WHY TAKE ACTION?
Perimenopause often represents a challenging season of life, but it doesn’t have to diminish your well-being. Armed with the right knowledge and expert care, you can regain control over your health journey. With Evolvewell’s Integrative Medical Centre solutions, you can increase energy, restore mental and emotional balance, and enjoy your best life – today.
If you’re experiencing symptoms of perimenopause, reach out to us at Evolvewell and take the first step toward living confidently and vibrantly. Start your journey now and get your health – and your life – back on track.
Let us guide you through perimenopause with personalized, integrative solutions designed for YOU.
Contact us to book your consultation and begin your transformation today.