Perimenopause is the time before menopause when your body starts changing, often bringing a range of physical and emotional symptoms that can disrupt daily life. From hot flashes to mood swings, these changes can be challenging, but effective treatments are available to restore balance and vitality.
At MD Total Wellness in Brea, CA, we specialize in personalized hormone therapy to help women thrive during this phase of life. Led by Allison Mollet, PA-C, a certified menopause provider (MSCP), our team is dedicated to guiding you through perimenopause with expert care.
Perimenopause is the period when a woman’s body transitions toward menopause, typically beginning in the mid-30s to late 40s and lasting 4–8 years (Santoro, 2016). It is characterized by fluctuating hormone levels, including estrogen, progesterone, and testosterone, as ovarian function declines. The first symptom is often irregular menstrual cycles, which may become shorter, longer, or unpredictable (Harlow et al., 2012). Other symptoms include:
Subtle symptoms, such as joint pain or mild mood shifts, may go unnoticed but can significantly impact quality of life (Avis et al., 2015). These symptoms, even mild ones, can affect your daily life, but they don’t have to.
Bioidentical hormone therapy (BHT) is the most effective treatment for managing perimenopause symptoms. BHT uses hormones identical to those produced by the body, including estrogen, progesterone, and testosterone, to restore balance and alleviate discomfort (Files et al., 2011). Treatment is tailored to each woman’s needs, addressing specific symptoms and optimizing overall health.
Hormone therapy offers transformative benefits for women in perimenopause, addressing both immediate symptoms and long-term health:
BHRT is delivered in various forms, customized to individual needs:
Hormone therapy faced scrutiny after the 2002 Women’s Health Initiative (WHI) study linked synthetic hormones, particularly progestins, to a small increased risk of breast cancer (Rossouw et al., 2002). However, the absolute risk was low, and subsequent research clarified that bioidentical hormones, such as estradiol and micronized progesterone, do not carry the same risks (Fournier et al., 2008). The WHI’s findings led to a sharp decline in hormone therapy use, but recent evidence supports BHT’s safety and benefits, especially when initiated within 10 years of menopause (Manson et al., 2013). Studies also suggest that continuing BHT beyond the traditional “shortest time possible” recommendation can provide ongoing benefits, challenging outdated guidelines (Lobo et al., 2018). Unfortunately, the healthcare system often prioritizes patented medications over bioidentical hormones, which cannot be patented, limiting their mainstream adoption (Santen et al., 2010).
Women’s hormone biology is complex, and effective treatment requires a personalized approach. Finding the optimal combination and dosage of estrogen, progesterone, and testosterone—often called the “hormone footprint”—takes time and expertise (Files et al., 2011). Successful therapy depends on a provider’s ability to listen, adjust, and fine-tune treatment to address individual symptoms and health goals. This process demands patience and collaboration between patient and provider.
At MD Total Wellness in Brea, CA, we provide personalized hormone therapy tailored to each woman’s unique needs. Our board-certified providers, led by Allison Mollet, PA-C, MSCP, a certified menopause provider through the Menopause Society, offer specialized expertise in managing perimenopause. Allison’s training and experience ensures high-quality, evidence-based care to help you feel your best. Our services include:
Don’t let perimenopause symptoms hold you back. Schedule a comprehensive consultation and evaluation with Allison Mollet, PA-C, MSCP, at MD Total Wellness in Brea, CA. Take the first step toward symptom relief and long-term health.
Contact us at (714) 671-2005 or visit our website to book your free consultation.
Work with a board-certified clinician to build a personalized plan.
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