Perimenopause — the years leading up to menopause — can bring subtle yet disruptive changes. Fluctuating estrogen, progesterone, and testosterone levels can affect nearly every system in the body.

Common symptoms include:

• Irregular or heavy periods

• Hot flashes, night sweats

• Mood changes, anxiety, or irritability

• Brain fog and memory lapses

• Weight gain, especially around the midsection

• Sleep disruption and fatigue

• Low libido or vaginal dryness

At HealthSpan, Dr. Knape addresses perimenopause using bioidentical hormone replacement therapy (BHRT), precision lab testing, and lifestyle optimization. Each plan considers your metabolism, genetics, and environmental influences to restore balance naturally. The goal isn’t just symptom relief — it’s whole-body restoration, helping you move into menopause with stability, clarity, and renewed energy.