The Truth About Perimenopause: Symptoms, Diagnosis, and What You Can Do
- Richard Lorenzo
- 2 days ago
- 3 min read

Perimenopause is a transitional phase in every woman’s life, but for many, it arrives with confusion, discomfort, and unexpected changes. You might notice shifts in your mood, sleep, menstrual cycle, or energy levels and wonder if these changes are normal.
At Complete Healthcare in Richland, WA, Dr. Richard Lorenzo and Kortney Jones, ARNP, specialize in helping women recognize the signs of perimenopause and manage this life stage with clarity and confidence. Whether you're in your late 30s or early 50s, this guide can help you understand what to expect and when to seek help.
What Is Perimenopause?
Perimenopause is the time leading up to menopause when hormone levels, especially estrogen and progesterone, begin to fluctuate. This transition can last anywhere from 4 to 10 years. Menopause is officially diagnosed after 12 consecutive months without a menstrual period. While the average age of menopause in the United States is 51, many women begin experiencing perimenopausal symptoms years earlier.
Some women experience only mild symptoms. Others have more disruptive changes that impact daily life, work, and relationships.
Common Symptoms of Perimenopause
At Complete Healthcare, we often hear women describe a wide range of symptoms they did not initially associate with perimenopause. These may include:
Irregular periods (shorter, longer, heavier, or lighter cycles)
Hot flashes and night sweats
Mood swings or increased anxiety
Sleep disturbances or insomnia
Brain fog or poor concentration
Vaginal dryness or discomfort during intercourse
Weight gain, especially around the abdomen
Breast tenderness
Fatigue or low energy
Decreased libido
If you are noticing symptoms that feel new or unusual, it may be time for a hormone evaluation.
What Causes These Changes?
The hormonal shifts of perimenopause are driven by declining and fluctuating levels of estrogen and progesterone. These changes impact not only the menstrual cycle but also sleep, mood, metabolism, and sexual function.
Additional hormonal systems, such as the thyroid and adrenal glands, may also be affected during this transition, especially in women under high levels of stress or those with autoimmune conditions.
How We Diagnose Perimenopause
There is no single test to confirm perimenopause. Instead, diagnosis is made based on a combination of symptoms, cycle history, age, and when needed, lab testing.
At Complete Healthcare in Richland, WA, your evaluation may include:
A detailed menstrual and symptom history
Blood testing for estrogen, progesterone, FSH, thyroid function, and other relevant labs
Pelvic ultrasound, if there is abnormal bleeding or concern for fibroids or polyps
A thorough review of sleep, mood, and lifestyle factors
Our team takes the time to listen and work with you to find the best solution for your individual needs.
Treatment Options We Offer
Perimenopause is natural, but that doesn’t mean you have to suffer through it. At Complete Healthcare, Dr. Richard Lorenzo and Kortney Jones, ARNP, offer evidence-based treatments tailored to your goals and preferences.
Common treatment options include:
Lifestyle modifications such as optimizing sleep, reducing stress, and regular physical activity
Bioidentical or conventional hormone therapy, including low-dose estrogen and progesterone
Non-hormonal options such as antidepressants or natural supplements for hot flashes and mood swings
Vaginal estrogen or moisturizers for dryness and painful intercourse
Thyroid support or adrenal balancing, if applicable
Our focus is on safe, personalized care that helps you feel like yourself again.
Why You Should Not Ignore Symptoms
Many women think their symptoms are “just part of getting older” and wait years to seek help. But untreated hormone changes can:
Disrupt sleep and energy
Affect mood and relationships
Lead to avoidable weight gain
Reduce quality of life
Increase long-term risks like osteoporosis and heart disease.
At Complete Healthcare, we want women to know that effective treatments are available, and you do not need to suffer in silence.
When to See a Provider
You should consider an appointment with Dr. Richard Lorenzo or Kortney Jones, ARNP, if you are:
Between ages 35 and 55 and noticing cycle changes
Experiencing hot flashes, brain fog, or emotional shifts
Having trouble sleeping, concentrating, or managing daily stress
Feeling “off” or unlike yourself
Interested in natural or medical solutions to manage symptoms
Comprehensive Women’s Care in Richland, WA
At Complete Healthcare in Richland, WA, we are here to support you through every phase of your life. We understand the physical and emotional impact of hormonal changes and are committed to providing care that is informed, compassionate, and tailored to you.
With in-office and telehealth appointments available, our team makes it easy to get the support you need from providers you trust.
Schedule Your Appointment Today
If you believe you may be entering perimenopause or are experiencing symptoms of hormonal imbalance, call Complete Healthcare at 509-392-6700 or book online.
Let Dr. Richard Lorenzo, Kortney Jones, ARNP, and the experienced team at Complete Healthcare help you feel confident, comfortable, and in control of your health.