What Are the Signs You’re in Perimenopause — and When to Consider Bioidentical Hormone Replacement Therapy (BHRT)

As women enter their 40s (sometimes even late 30s), subtle hormonal changes can begin long before menopause officially starts. This transition period is called perimenopause, and it can last anywhere from a few years to over a decade. During this time, fluctuating hormone levels — particularly estrogen and progesterone — can lead to a wide range of physical and emotional symptoms that may impact your quality of life.



Understanding the signs of perimenopause and knowing when to consider Bioidentical Hormone Replacement Therapy (BHRT) can help you navigate this stage feeling balanced, confident, and in control.

Common Signs of Perimenopause

Perimenopause looks different for every woman, but some of the most common symptoms include:

  • Irregular periods – Cycles may become shorter, longer, heavier, or lighter than usual.
  • Hot flashes & night sweats – Sudden feelings of warmth, flushing, and sweating are hallmark symptoms.
  • Sleep disturbances – Many women experience difficulty falling or staying asleep.
  • Mood changes – Irritability, anxiety, or low mood can be linked to shifting hormone levels.
  • Decreased libido – A decline in sexual desire is common as estrogen and testosterone fluctuate.
  • Brain fog – Difficulty concentrating or memory lapses can be signs of hormonal imbalance.
  • Weight gain or bloating – Changes in metabolism can make maintaining weight more challenging.
  • Skin and hair changes – Thinning hair, dryness, and loss of elasticity in the skin are common as estrogen levels drop.


While these symptoms are a natural part of aging, they don’t have to be something you simply “live with.”

When to Consider Bioidentical Hormone Replacement Therapy (BHRT)

BHRT is designed to restore hormonal balance using compounds that are chemically identical to the hormones your body naturally produces. This personalized approach can significantly reduce symptoms and support your overall well-being.

You may want to consider BHRT if you experience:

  • Persistent fatigue, mood swings, or sleep issues disrupting your daily life
  • Noticeable decline in libido or sexual wellness
  • Difficulty maintaining weight or muscle tone
  • Vaginal dryness or discomfort
  • Hot flashes or night sweats that affect your quality of life
  • Early signs of bone density loss or muscle weakness


BHRT can help regulate hormonal fluctuations, support cognitive clarity, improve mood, and promote

healthy skin, hair, and metabolism.

What to Expect During Treatment

At REJUV Medical, we begin with a comprehensive hormone evaluation to understand your unique profile. This includes a detailed consultation, lab testing, and a personalized treatment plan tailored to your specific needs.

Your initial visit typically includes:

  • Hormone testing and lab review
  • A 60-minute consultation to discuss your symptoms and medical history
  • A customized BHRT plan designed to bring your hormones back into balance


Follow-up visits help us fine-tune your dosage to ensure optimal results. Most patients notice improvements within weeks, with continued benefits over time.



Take the First Step Toward Balance

If you’ve been feeling “off” and suspect hormones could be the cause, it’s worth having a professional evaluation. With the right approach, you can feel like yourself again — energized, focused, and confident through every stage of life.

Contact Rejuv Medical today to schedule your hormone consultation and discover whether BHRT is right for you.

Feeling “off” lately? It could be perimenopause — the transition before menopause when your hormones start to shift.

Common signs include:

  • Hot flashes & night sweats
  • Trouble sleeping
  • Mood swings or brain fog
  • Vaginal dryness
  • Weight changes

If these symptoms sound familiar, it might be time to explore Bioidentical Hormone Replacement Therapy (BHRT) — a personalized, natural way to restore balance and help you feel like yourself again.

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