what I treat/perimenopause

Perimenopause support that starts when it actually starts

Perimenopause can begin almost a decade before anyone warns you, and it rarely opens with hot flushes. It looks like sleep that breaks at 3am, cycles that shorten or turn heavy, a mood with new edges, and a body that stops responding to what always worked. None of that is something you just put up with.

If I don’t think naturopathy is your best next step, I’ll tell you on the call and point you somewhere better.

Signs this is your picture

  • Waking in the small hours, wired
  • Cycles getting shorter, heavier or unpredictable
  • New anxiety, irritability or flat mood
  • Heat surges, night sweats or new migraines
  • Brain fog in the middle of sentences
  • Changes from your late thirties onward that nobody explains
Sounds like you? Book a free 15-minute call →
what I look for

Where you are in the transition

Perimenopause is a progesterone story before it’s an oestrogen one, which is why the early years look like sleep, mood and cycle change rather than flushes. I map where you are in the transition using your cycle pattern and symptoms, check the thyroid and iron picture that so often tangles into it, and treat the years you’re actually in rather than the menopause you haven’t reached.

how I treat it

Support for the years you’re in

Support may include herbal medicine with genuine evidence in this transition, nutrients for sleep and nervous system resilience, and practical work on the blood sugar and stress load that amplify every perimenopausal symptom. If MHT is part of your picture or something you’re considering, naturopathic care sits comfortably alongside it and alongside your GP.

Frequently asked questions

How do I know if it’s perimenopause?

From your late thirties, changes in cycle length and flow, sleep, mood and temperature regulation are the most reliable early signs, often years before flushes. Hormone blood tests fluctuate too much in this phase to rule perimenopause in or out on their own, which is why your pattern over time is the better diagnostic story.

Can I do naturopathy and MHT together?

Yes. Naturopathic care supports sleep, stress physiology, gut and liver clearance and general resilience alongside menopausal hormone therapy, and I’ll coordinate with your prescribing GP with your consent.

Is it too early to get support in my late 30s?

No, and early is genuinely the best time. The women who navigate this transition most comfortably are usually the ones who started supporting sleep, cycles and stress physiology in the early years rather than the late ones.

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Ready when you are

We talk through what’s going on and you get a straight answer about whether your situation is something I can help with. If it isn’t, I’ll tell you and point you somewhere better.

Book an initial consult or start with the free 15-minute call → or send me a message →

You don’t need to prepare anything. Bring your story, and any results you have lying around.