Understanding what evidence actually says—and why it matters—is the first step toward navigating this transition with clarity, confidence, and agency.

Hormones fluctuating in perimenopause can have an impact on cognition.

Perimenopause unfolds over years and impacts most systems in your body in ways that can feel disconnected. Tracking your observations enriches your self awareness and builds confidence for conversations with healthcare providers. This can have a huge impact.

Declining estrogen levels can impact the appearance and health of a woman’s skin, hair, and nails.

Perimenopause can impact a woman’s sleep with women in perimenopause waking 1.5x on average per night. There are actions which can help alleviate these sleep disturbances.

Changes in hormones can impact the body's temperature comfort zone.

Oral birth control can impact symptoms and changes experienced during perimenopause and menopause transition. Read through to get a deeper understanding of the research.  If you're considering a change here, leverage your knowledge to have a more informed conversation and better planning with your care team.

Changes in hormones impact the dental health. With the right care team and plan disease progression can be managed.  Due to lack of menopause certifications for dentists, building a care team in this area may take some extra time and consideration. 

Changes in hormones impact the urinary tract & how it functions. It may be time for a new routine to prevent UTIs.

If you’ve noticed your interest in sex shifting — feeling less present, harder to access, or just different than it used to be — you’re not alone, and you’re not broken. Changes in libido are among the most common symptoms of perimenopause, affecting 40–55% of women during the transition. They’re also among the least discussed, which means many women spend years wondering if something is wrong with them before they learn that what they’re experiencing has a name, a physiological explanation, and real options. This article is here to give you that foundation.

Hormone fluctuations during perimenopause affect serotonin which can impact your mood and sense of wellbeing. 

Shifting estrogen levels impact both the tissue and the microbiomes of the vulva, vagina, urethra and bladder, which can lead to vaginal dryness, itching, pain during intercourse, and urinary issues which can all have a significant impact on quality of life.

Nearly 50% of women experience one or some symptoms related to these systems, and concerning changes require treatment or intervention to alleviate pain or discomfort as they are likely to persist or worsen as women move into post menopause.

During perimenopause, hormonal shifts change how women’s bodies store and metabolize fat and muscle. If you’re concerned about an increase in your waistline, making changes can potentially have long term health impacts.

Changes in period or menstrual cycles are commonly associated with perimenopause. What to expect varies based on the stage of perimenopause you're in.

Theory as to why women go through menopause

There are two types of IUDs. Hormonal and Copper. Each type of IUD has it's own impacts both positive and negative on perimenopause. Understand the research and if you're looking to make a change, leverage your knowledge for a richer dialogue and better planning with your provider. 

Listing of changes associated with perimenopause.  This list is a starting point and we're constantly adding new changes.