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The Hormonal Rollercoaster of Perimenopause

Author
Mary Rothwell
Published
Mon 07 Jul 2025
Episode Link
None

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The mysterious journey of perimenopause remains largely undiscussed, despite affecting every woman transitioning toward menopause. We dive deep into this critical phase that typically begins in a woman's early 40s, exploring how hormonal fluctuations create a cascade of changes long before menopause officially arrives.

Discover the surprising truth about perimenopause's complex hormonal orchestra. While many women expect estrogen to simply decline, what actually happens is far more intricate. Progesterone typically drops first, affecting sleep and mood, while follicle-stimulating hormone increases, creating periods of estrogen dominance. This hormonal volatility explains the sleep disruptions, hot flashes, emotional changes, and energy fluctuations that characterize this transition. Understanding these normal physiological processes helps reframe symptoms not as malfunctions but as expected shifts that can be managed with the right approach.

The good news? Small, targeted lifestyle changes can significantly improve your perimenopause experience. Modifications to diet—particularly around sugar, caffeine, and alcohol—can reduce symptom severity, while sleep-supporting practices create a foundation for overall wellbeing. Rather than viewing perimenopause as simply an ending, we explore how this transition can become a "second spring"—a new beginning filled with wisdom and vibrance. Whether you're currently navigating perimenopause or preparing for what's ahead, this episode offers practical insights and hope for this important life transition. Ready to transform your relationship with this misunderstood phase of life? Let us know what resonated most by sharing your thoughts or questions!

Sign up for my FREE sleep workshop for women in midlife HERE.

Check out my virtual sleep program, RESTored, for women in perimenopause through post-menopause. It is over 4 hours of content and 16 resources that you get LIFETIME ACCESS to. It could literally change your life like it changed mine.

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