Menopause & Perimenopause Hormone Health
Perimenopause is the years of hormonal fluctuation before your final period; menopause is confirmed after 12 consecutive months without one. Estrogen and progesterone shifts affect the brain, sleep, metabolism and bone — often years before periods stop.
Recognise the symptoms
Hot flushes and night sweats are the famous ones, but the full picture includes sleep disruption, mood swings, anxiety, brain fog, joint pain, palpitations, vaginal dryness and urinary changes. Many women are told these are "just stress" or "just ageing". They are not — they are measurable, and they are treatable.
What Vitalis Her gives you
- Validated screening: Menopause Rating Scale (MRS), PHQ-9 and GAD-7 with severity interpretation
- A daily symptom and mood tracker that reveals patterns over weeks
- Birth control and HRT compatibility matrix with contraindication flags
- HRT protocols, progestogen dose-scaling and supplement evidence grading
- Doctor conversation scripts and a printable clinical report
Why track before your appointment
Doctors respond to data. Three months of tracked symptoms, severity and cycle timing turns a vague "I don't feel right" into a pattern a clinician can act on. It also protects you from being dismissed — the record is yours.
Common questions
When does perimenopause start?
Typically mid-40s, but it can begin in the late 30s. The average perimenopause lasts around four years but can be shorter or much longer.
Can I still get pregnant during perimenopause?
Yes, until menopause is confirmed. If pregnancy is not desired, continue contraception through perimenopause.
Is HRT safe?
For most symptomatic women under 60 and within ten years of menopause, benefits outweigh risks — but individual risk factors matter. This is exactly what to discuss with a clinician using your own data.