Introduction

Hot flashes. Mood swings. Brain fog. Irregular periods.

If you're in your late 30s or 40s and noticing physical or emotional changes, you could be entering perimenopause — the natural (but often ignored) transition before menopause.

At NuHealth Mumbai, we help women understand what’s happening inside their bodies, offering real support — not just band-aid fixes.

This guide will help you identify the signs of perimenopause, explain what’s going on hormonally, and explore science-backed strategies to rebalance and restore your health.

🌀 What is Perimenopause?

Perimenopause is the transition phase leading up to menopause — when your ovaries begin producing less estrogen and progesterone. It can begin as early as 35 and last anywhere from 2 to 10 years.

During this time, hormone levels fluctuate wildly, and that’s what creates the rollercoaster of symptoms many women experience.

📋Signs & Symptoms of Perimenopause

You don’t have to be in your 50s to feel the effects of hormonal changes. Common symptoms include:

1. Irregular or heavier periods
2. Fatigue or energy crashes
3. Anxiety or mood swings
4. Weight gain (especially belly fat)
5. Hot flashes or night sweats
6. Brain fog, forgetfulness
7. Low libido or vaginal dryness
8. Sleep disturbances
9. Breast tenderness
10. Joint pain or stiffness
11. Hair thinning

🔬 What’s Happening in Your Body

In perimenopause, your ovaries begin to slow down. Hormones go up and down erratically:

• Estrogen may spike then crash
• Progesterone (the calming hormone) declines first
• Cortisol often rises due to stress
• Insulin resistance may increase

This hormonal chaos affects everything — from your skin to your sleep to your self-esteem.

🧑‍⚕️ How We Approach Perimenopause at NuHealth

Unlike conventional clinics that may offer antidepressants or birth control as a first line of action, we look deeper:

• 1. Functional Hormone Testing
  Saliva or DUTCH testing to map cortisol, estrogen, progesterone, and DHEA patterns — day and night.
• 2. Gut & Liver Detox Support
  Because your hormones are processed through your gut and liver, we treat those systems first.
• 3. Adrenal & Stress Response
  We support the HPA axis with adaptogens, IV therapy, and deep nervous system repair.
• 4. Nutritional & Supplement Strategy
  
  • Magnesium
  • B6 and B12
  • Omega-3s
  • Zinc
  • Maca root
  • Vitex
  • DIM or calcium-D-glucarate (if needed)
• 5. Bio-Identical Hormone Support (if appropriate)
  In some cases, we consider BHRT — but only after your body has foundational support.
• 6. Mind-Body Therapy
  Yoga therapy, guided breathing, and emotional support are integrated when needed.

🧘‍♀️ It’s Not Menopause — But It’s Just As Important

Most doctors still ignore perimenopause, leaving women to suffer in silence.

At NuHealth, we treat you with the respect, precision, and empathy you deserve.