Dr. Kenton Bruice MD

Women's Hormonal Health

Perimenopause Symptoms & Hormone Treatment in Denver

Perimenopause begins years before the last menstrual period as ovarian production becomes erratic. Progesterone drops first, followed by estrogen — often unrecognized for years.

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Common Signs & Symptoms

  • !Irregular periods
  • !Mood swings and anxiety
  • !Sleep disruption
  • !New hot flashes
  • !Breast tenderness
  • !Weight gain around the abdomen
  • !Reduced sex drive
  • !Brain fog

What Causes This?

  • Progesterone decline (typically late 30s–early 40s)
  • Erratic estrogen fluctuation
  • Average duration: 4–10 years

Treatment Approaches

Progesterone Therapy

First-line — addresses sleep, anxiety, and cycle irregularity.

Low-Dose Estrogen

Smooths erratic symptoms without over-suppressing natural production.

Lifestyle Support

Stress reduction, sleep hygiene, and resistance training help alongside hormonal treatment.

Frequently Asked Questions

How do I know if I'm in perimenopause?

Irregular cycles with mood changes, sleep disruption, or new hot flashes in women 38–52 strongly suggest perimenopause.

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Think This Could Be Your Issue?

A proper diagnosis is the first step. Schedule your consultation today.

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