Progesterone Therapy
Addresses the earliest perimenopausal shift — improving sleep and mood.
Menopause Transition
Perimenopause — Symptoms & Treatment in Maryland
Perimenopause begins years before the final period as hormones fluctuate erratically. Progesterone falls first — causing symptoms often dismissed or misdiagnosed.
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- !Irregular cycles
- !New or worsening PMS
- !Sleep disruption
- !Mood swings and anxiety
- !New hot flashes
- !Breast tenderness
- !Heavier periods
What Causes This?
- •Progesterone declines first in late 30s–early 40s
- •Erratic estrogen fluctuation
- •Average 4–10 years before complete menopause
Treatment Approaches
Low-Dose Contraceptives
Smooth hormonal fluctuations and regulate cycles.
Lifestyle Support
Sleep hygiene, stress management, and exercise significantly improve symptoms.
Frequently Asked Questions
How do I know if I'm perimenopausal?▾
Irregular cycles with mood changes, sleep disruption, or hot flashes in women 38–52 is highly suggestive.
Related Topics
Think This Could Be Your Issue?
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