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Is It Perimenopause or Menopause? Know the Signs & What You Can Do

July 04, 20252 min read

Intro:

If you’ve been feeling “off” lately — more tired, irritable, forgetful, or gaining weight even when nothing’s changed — it might not just be stress. It could be perimenopause or menopause. These natural hormonal transitions can start as early as your mid-30s, and for many women, the symptoms are confusing, frustrating, and often brushed off by others — even by doctors.

At Dr. Drip IV Hydration & Wellness, we believe in giving women the support, testing, and treatment they need to feel like themselves again. Let’s break down what’s really happening and what you can do to feel better.


What’s the Difference Between Perimenopause and Menopause?

  • Perimenopause is the transition leading up to menopause. It can last for 4–10 years and typically begins in your 30s or 40s.

  • Menopause is officially diagnosed when you’ve gone 12 months without a menstrual cycle — typically around age 51 in the U.S.

  • Postmenopause follows menopause, and symptoms can persist if not addressed.


Common Signs & Symptoms to Watch For:

You may be in perimenopause or menopause if you’re experiencing:

  • Irregular or heavy periods

  • Hot flashes and night sweats

  • Mood swings or anxiety

  • Difficulty sleeping or staying asleep

  • Brain fog and forgetfulness

  • Vaginal dryness or pain with intimacy

  • Low libido

  • Fatigue or joint pain

  • Weight gain (especially in the belly)

  • Hair thinning or skin dryness


Why Do These Changes Happen?

Estrogen, progesterone, and testosterone all begin to decline or fluctuate, causing your body’s systems — mood, metabolism, memory, and more — to react. Stress, poor nutrition, and lack of sleep can make symptoms worse.


How Do You Know for Sure?

We recommend a comprehensive hormone panel that may include:

  • Estradiol (E2)

  • FSH (Follicle Stimulating Hormone)

  • Progesterone

  • Testosterone (free and total)

  • DHEA

  • Cortisol

  • Thyroid labs (TSH, Free T3, Free T4, TPO antibodies)

We often pair this with symptom tracking, a review of your menstrual cycle history, and personalized wellness coaching.


Treatment Options — It’s Not One-Size-Fits-All

You have options, and we help you explore what fits your lifestyle and body best.

🌿 Natural/Holistic Approaches:

  • Hormone-balancing supplements (DIM, magnesium, flaxseed, adaptogens)

  • Menopause-friendly meal planning and juicing

  • Stress reduction techniques (IV therapy, adaptogens, acupuncture)

💉 Medical Options:

  • Bioidentical Hormone Replacement Therapy (HRT) — customized creams, troches, or injections

  • Low-dose testosterone therapy

  • Weight loss support (GLP-1s, metabolism boosters, thyroid support)

  • Vaginal estrogen creams for dryness or discomfort


You’re Not Going Crazy. You’re Changing — and That’s OK.

If no one has validated your symptoms yet, let this blog be the first to say: You are not imagining things. And there is hope. You don’t have to “just live with it.”


Ready to feel like yourself again?
Book a personalized hormone consultation with us at www.drdripsiv.com or call 951-953-2337
Let’s test, treat, and tailor a plan that helps you thrive through every stage of womanhood.

Mishael Arbuthnot, NP is a board-certified nurse practitioner, wellness educator, and founder of Dr. Drip IV Hydration & Wellness. With over two decades of experience in healthcare and a deep passion for holistic healing, she specializes in functional medicine, IV therapy, hormone health, and medical weight loss. Through her practice and educational platforms, Mishael empowers clients to take control of their health with integrative approaches that support healing from the inside out.

Follow her journey and explore wellness resources at www.drdripsiv.com or on Instagram @drdripivspa

Mishael Arbuthnot PhD, FNP-BC

Mishael Arbuthnot, NP is a board-certified nurse practitioner, wellness educator, and founder of Dr. Drip IV Hydration & Wellness. With over two decades of experience in healthcare and a deep passion for holistic healing, she specializes in functional medicine, IV therapy, hormone health, and medical weight loss. Through her practice and educational platforms, Mishael empowers clients to take control of their health with integrative approaches that support healing from the inside out. Follow her journey and explore wellness resources at www.drdripsiv.com or on Instagram @drdripivspa

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