Introduction
Hot flashes. Mood swings. Brain fog. Irregular periods.
If you’re in your late 30s or 40s, these symptoms may indicate perimenopause, the natural and often overlooked transition before menopause. At NuHealth Mumbai, we support women through this complex phase, focusing on personalised care rather than temporary fixes. This guide will help you understand the hormonal changes driving perimenopause and explore evidence-based strategies for regaining balance and well-being.
What Is Perimenopause?
Perimenopause is the transitional period leading up to menopause, defined as the end of menstrual cycles. It usually begins in the late 30s to early 40s and can last from 2 to 10 years. During this phase, ovarian function declines, causing significant hormonal fluctuations, including erratic spikes and drops in estrogen and decreases in progesterone. Cortisol and insulin resistance may also impact symptoms and overall health.
Common Signs and Symptoms
- Irregular or heavier periods
- Fatigue and energy fluctuations
- Anxiety, mood swings, or depression
- Weight gain, especially around the abdomen
- Hot flashes and night sweats
- Brain fog and memory lapses
- Decreased libido and vaginal dryness
- Sleep disturbances
- Breast tenderness
- Joint and muscle pain
- Hair thinning
Hormonal changes during perimenopause affect many aspects of physical and mental health, influencing mood, cognition, sleep, skin, and more.
How NuHealth Approaches Perimenopause
- Hormone Testing: Saliva or DUTCH urine testing to map cortisol, estrogen, progesterone, and DHEA patterns over 24 hours, capturing hormonal dynamics.
- Gut and Liver Detoxification Support: Addressing underlying digestive and detoxification pathways, which are critical for hormone metabolism.
- Adrenal and Stress Response Regulation: Supporting the HPA axis with adaptogens (e.g., ashwagandha, rhodiola), IV nutrient therapy, and nervous system repair techniques.
- Personalised Nutritional Supplementation: Including magnesium, B vitamins (B6, B12), omega-3 fatty acids, maca root, vitex, and hormone-modulating compounds like DIM.
- Bio-identical Hormone Replacement Therapy (BHRT): For suitable candidates, BHRT offers tailored hormone support after foundational systems are optimized.
- Mind-Body Therapies: Incorporating yoga, guided breathing, and emotional support for holistic well-being.
Why Taking Perimenopause Seriously Matters
Many women suffer silently due to a lack of awareness or underdiagnosis. NuHealth offers compassionate, comprehensive care and cutting-edge diagnostics to empower women with personalised solutions, not just symptom management but true rebalancing.
Take Charge of Your Transition
If symptoms are impacting your quality of life, a professional assessment is important. NuHealth’s expert team supports you with privacy, empathy, and evidence-based protocols to help you thrive through perimenopause and beyond.
