During perimenopause, where menstrual cycles start to change, hormone levels can fluctuate more than usual and become imbalanced. This can bring new or worsening symptoms, which can begin as early as 8 to 10 years before your last menstrual cycle, often in your late 30s or early 40s. As you approach menopause (defined as 1 year after your last period) and within the first year or couple of years following menopause, symptoms can intensify or shift as your hormones continue to decline.

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Common symptoms include:

• Hot flashes and/or night sweats

• New or worsening PMS, such as bloating and breast tenderness

• Irregular or heavier periods

• Hormonal headaches

• Dizziness

• Increased or prolonged anxiety

• Irritability

• Brain fog

• Trouble sleeping

• Weight gain or difficulty losing weight

• Low libido

• Vaginal dryness or discomfort

• Urinary symptoms, including increased urgency or frequency

• Acne

• Dry skin, reduced elasticity of the skin, or more wrinkles

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Dr. Wang specializes in therapies that ease perimenopausal and menopausal symptoms. She uses a range of approaches, including bioidentical hormone therapy, herbal treatments, and targeted nutrients to support hormone balance and relieve symptoms.

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