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Hormonal Changes During Perimenopause: What to Expect

Menopausal mature woman wearing green dress sitting at the desk in the office, having hot flashes and using hand fan.

Hormonal Changes During Perimenopause: What to Expect

While menopause is a topic that’s heavily discussed in women’s health, perimenopause often flies under the radar despite being a significant and sometimes tumultuous phase of a woman’s life. This transitional period, marked by hormonal fluctuations and a myriad of symptoms, can catch many women off guard. 

At Copperstate Ob/Gyn, we believe that understanding the nuances of perimenopause is crucial for every woman’s well-being. In this blog, we’ll delve deep into the hormonal changes during perimenopause, shedding light on what to expect and how to navigate this transformative journey with grace and confidence.

What Is Perimenopause and How Does it Affect Hormones

As women enter their late 30s or early 40s, they may begin to experience a phase known as perimenopause. Perimenopause, often referred to as the menopausal transition, is the period leading up to menopause when a woman’s body undergoes significant hormonal changes. These changes primarily involve fluctuations in estrogen and progesterone levels, which regulate the menstrual cycle and impact various bodily functions.

During perimenopause, ovarian function gradually declines, leading to irregular menstrual cycles and unpredictable hormone levels. Estrogen levels may fluctuate widely, causing symptoms such as hot flashes, night sweats, mood swings, and vaginal dryness. Progesterone levels also decrease, affecting the uterine lining and contributing to changes in menstrual flow.

Common Perimenopausal Symptoms

The hormonal fluctuations characteristic of perimenopause can manifest in a variety of physical and emotional symptoms, including:

  • Irregular menstrual periods: Women may experience shorter or longer cycles, heavier or lighter bleeding, and unpredictable periods.
  • Hot flashes and night sweats: Sudden feelings of intense heat accompanied by sweating, often disrupting sleep and daily activities.
  • Mood swings and irritability: Fluctuating hormone levels can affect neurotransmitters in the brain, leading to mood changes, irritability, anxiety, or depression.
  • Vaginal dryness and discomfort: Declining estrogen levels can result in vaginal dryness, itching, and discomfort during intercourse.
  • Sleep disturbances: Hormonal imbalances may contribute to insomnia or disrupted sleep patterns.

Perimenopausal Symptom Treatment and Management 

While perimenopause is a natural phase of life, its symptoms can significantly impact a woman’s quality of life. Fortunately, several strategies can help manage these changes effectively:

  • Hormone replacement therapy (HRT): HRT involves the use of estrogen or a combination of estrogen and progesterone to alleviate perimenopausal symptoms. It can help regulate hormone levels and reduce hot flashes, vaginal dryness, and mood swings. However, it’s essential to discuss the potential risks and benefits of HRT with a healthcare provider.
  • Lifestyle modifications: Adopting a healthy lifestyle can mitigate perimenopausal symptoms. This includes regular exercise, a balanced diet rich in fruits, vegetables, and whole grains, adequate sleep, stress management techniques such as yoga or meditation, and avoiding triggers like caffeine and alcohol.
  • Alternative therapies: Some women find relief from perimenopausal symptoms through alternative therapies such as acupuncture, herbal supplements like black cohosh or evening primrose oil, or mind-body practices like tai chi or mindfulness meditation. It’s essential to consult with a qualified healthcare provider before trying any alternative treatments.
  • Medications: In addition to HRT, certain medications may be prescribed to alleviate specific symptoms. For example, selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) can help manage mood swings and hot flashes, while vaginal estrogen therapy can relieve vaginal dryness and discomfort.
  • Regular healthcare visits: Women experiencing perimenopausal symptoms should maintain regular check-ups with their healthcare provider to monitor hormone levels, discuss symptom management strategies, and address any concerns or changes in health.

Perimenopause is a natural and inevitable phase of a woman’s life, characterized by hormonal fluctuations and various physical and emotional changes. By understanding what to expect during perimenopause and practicing management strategies, women can navigate this transition with awareness and confidence.

Remember, each woman’s experience with perimenopause is unique, so it’s essential to work closely with a healthcare provider to tailor a management plan that meets individual needs and preferences.

At Copperstate Ob/Gyn, we specialize in women’s healthcare and provide comprehensive support and guidance for women experiencing perimenopause and other reproductive health transitions. If you have any questions or concerns about perimenopausal symptoms or hormonal changes, please don’t hesitate to reach out and schedule an appointment with one of our experienced healthcare professionals. 

Are you a patient of Copperstate OB/Gyn? Access your patient portal here, or share your experience with us on Google.

Information in this blog post is for educational purposes only and should not be considered medical advice. Always consult a medical professional to discuss your individual medical situation.

Relieving Menopause Symptoms


Many women who go through menopause experience adverse symptoms. Sometimes, they can become overbearing and interfere with daily life. In those cases, it’s necessary to find relief for menopause symptoms. 

One way you can seek relief is by contacting your primary care physician or gynecologist. Before you visit your provider, they’ll likely ask you some questions to provide you with the best care. Be prepared by keeping track of your symptoms, keeping a list of medications and supplements you take, and bringing a list of your own questions.

Continue reading “Relieving Menopause Symptoms”

Hormonal Contraceptives: What They Are & How They Work

birth control

Hormonal Contraceptives: What They Are & How They Work

In the world of women’s health, hormonal contraceptives have revolutionized the landscape of family planning. From preventing unwanted pregnancies to managing various gynecological conditions, these medications play a crucial role in the lives of millions of individuals worldwide.

But what exactly are hormonal contraceptives, and how do they work? 

Continue reading “Hormonal Contraceptives: What They Are & How They Work”

Copperstate OB/GYN + TMC Health

copperstate obgyn and tmcone

Copperstate OB/GYN is excited to announce that we will become part of TMC Health in April 2024

Like Copperstate, TMC has a long history of providing excellent care for the women of Tucson and surrounding communities. We are excited by TMC’s focus on women’s health and their commitment to our community, and are looking forward to an enduring partnership.


We will continue delivering babies and performing surgery at St. Joseph’s Hospital until March 31, 2024, after which time we will start providing services exclusively at TMC facilities. 


We will continue to care for patients at our new office complex at 5550 E. Hampton and are excited by the close proximity to the TMC campus. 


We will continue to update you with important information as it becomes available.


We look forward to joining the TMC Health team!

FAQs: Copperstate + TMC Health

If my baby is due on or after April 1, 2024, will my baby be delivered at TMC?

Yes, the Copperstate physicians will deliver exclusively at TMC facilities after April 1st.

If my baby is due before April 1, 2024, where will I deliver?

Copperstate physicians will continue to deliver at St. Joseph’s Hospital through March 31, 2024.

What if I’m scheduled to deliver at TMC after April 1, but go into labor early?

Pregnancies can be unpredictable! If your plan has been to deliver at TMC, we will do our best to accommodate your delivery there.

I understand TMC is building a Rincon Hospital in the Vail area. Will I be able to deliver my baby at Rincon Hospital?

Yes, after the Rincon Hospital opens for deliveries, Copperstate patients will be able to deliver at Rincon, assuming the conditions of the mother and baby meet requirements. Some of our physicians will deliver exclusively at Rincon, and some will deliver at the main TMC facility at 5301 E. Grant Rd.

I’ve never delivered at TMC. How can I get more information about the hospital and surgeries provided?

We’re excited about the change! TMC offers an experienced staff committed to providing a great experience. They offer childbirth and parenting classes, breastfeeding support, and a special class designed for big brothers and sisters! If your baby needs specialized care, TMC has the highest level of NICU services available in Tucson. You can get more information and register for classes at tmcaz.com.

Does TMC take my insurance?

TMC contracts with all health plans currently accepted by Copperstate.

Will there be changes to my experience at Copperstate?

We want to make the transition to TMC Health as smooth as possible! We will continue seeing patients at our newly remodeled office complex at 5550 E. Hampton. Our staff will continue to offer the high-quality, attentive care you’ve come to expect at Copperstate.