Question 1

What is perimenopause?

Accepted Answer

Perimenopause is the transition leading up to menopause, usually beginning in a woman's 40s (though sometimes earlier). It is marked by changing hormone levels (especially estrogen and progesterone) and symptoms like irregular periods, hot flashes, night sweats, mood changes, brain fog, sleep disturbance, and changes in libido. Perimenopause can last anywhere from a few years to a decade before periods stop entirely.

Question 2

What are the most common perimenopause and menopause symptoms?

Accepted Answer

Common symptoms include hot flashes, night sweats, sleep disturbance, brain fog, mood changes (anxiety and irritability), low libido, vaginal dryness (GSM), weight changes (especially around the midsection), joint pain, fatigue, and irregular or heavy periods (in perimenopause).

Question 3

Is hormone replacement therapy (HRT) safe?

Accepted Answer

For most healthy women under 60 (or within 10 years of menopause) without specific contraindications, HRT is considered safe and effective. The Menopause Society and other major medical organizations support HRT as the most effective treatment for vasomotor symptoms and prevention of osteoporosis. Individual decisions should be made with a clinician who knows your history.

Question 4

What does Ovella Health offer?

Accepted Answer

Ovella Health is an online (telehealth) practice for women in perimenopause and menopause, offering Hormone Essentials (focused HRT and hormone care) and Total Health Reset (a six-month comprehensive hormone optimization and prevention program). We currently serve patients in Colorado, Idaho, Montana, and Wyoming.

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