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Take the AssessmentPerimenopause Symptom Summary
Significant symptoms
Selected as having a major impact on daily life
Your symptoms
As reported in your assessment
Mild symptoms
Present but lower impact
Pattern by category
Number of symptoms reported in each area
Your treatment options, explained
What's actually proven for symptoms like yours, and what's hype
Backed by evidence and FDA-approved
- Body-identical hormone therapy: transdermal estradiol (patch or gel) with micronized progesterone. First-line for hot flashes, night sweats, and the sleep disruption they cause, per The Menopause Society's 2022 position statement.
- Fezolinetant (Veozah): an FDA-approved non-hormonal option for hot flashes and night sweats, for women who can't take or don't want hormones.
- Low-dose vaginal estrogen: the standard of care for vaginal dryness and discomfort; minimal absorption into the rest of the body.
- CBT-I and targeted non-hormonal medications: evidence-based for the sleep and mood symptoms of the transition.
Mostly hype. Spend carefully
- Compounded "bioidentical" pellets: unregulated dosing, not FDA-approved, and specifically cautioned against by The Menopause Society.
- Hormone-"balancing" test panels: perimenopause is a clinical diagnosis based on age, cycle changes, and symptom pattern; single-day hormone levels swing too much to be diagnostic.
- Untested supplement stacks: a handful of supplements have modest evidence for specific symptoms; "hormone support" blends generally don't.
Which of these fits you depends on your symptoms, history, and preferences, which is exactly what a clinician trained in perimenopause walks you through. That's the care we're building.
This summary is an educational self-assessment, not a medical diagnosis. It is intended to support, not replace, consultation with a qualified healthcare provider. Generated from answers stored privately on this device.
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