Perimenopause
The transition years before menopause — real, treatable, and often ignored by systems that treat labs instead of symptoms.
Overview
Perimenopause can start a decade before periods stop. Symptoms — sleep, mood, cycle, heat regulation — deserve a real workup.
What we look at
Signals, not guesses.
- Estradiol, FSH, LH
- Progesterone
- Thyroid
- Testosterone
How we approach it
The workflow.
- 01First visit to map symptoms and cycle status.
- 02Labs to confirm.
- 03HRT discussion when appropriate — routes, dosing, monitoring.
Your clinician
Your clinician actually knows you.
Kevin Watson, FNP-C — American Association of Nurse Practitioners (AANP) board-certified Family Nurse Practitioner. Based in Twin Falls, Idaho.
Measured, evidence-led care. Every plan is built from your labs, your symptoms, and your goals — not from a template.
Keep reading
Related in the Learn library.
Related program · Symptoms
Trouble focusing, word-finding trouble, or foggy afternoons. Often a hormonal or metabolic signal — not a personality change.
Related program · Symptoms
Perimenopause can start years before periods stop. Sleep, mood, cycle, and heat regulation all shift.
Related program · Labs
Estradiol, progesterone, FSH, LH, testosterone, thyroid. Timing matters — we tell you when to draw.
Related program · Treatments
Estradiol + progesterone (+/- testosterone) for peri/menopausal symptoms, when appropriate.
Also in this cluster · Conditions
Under-active thyroid. Common, treatable, and frequently under-diagnosed when only TSH is checked.
Also in this cluster · Conditions
Persistently low testosterone with symptoms. Diagnosed by labs + symptoms, not by one number.
Answer a few questions and we’ll point you at the right care.
Two minutes. No login and no sensitive medical history — just enough context to show you a useful place to start.
Program
Women's hormones, with a clinician who knows your context.
$95 first visit. Same clinician every time. HSA/FSA eligible.