Perimenopause is the time of change leading up to actual menopause — the normal biological event that marks the end of a woman’s reproductive years. It usually occurs between the ages of 45 and 55, lasts about 4 to 5 years, and is commonly associated with a shift from regular to irregular menstrual cycles prior to stopping completely. Symptoms associated with menopause may occur during this transitional period.

Signs and Symptoms

  • Irregular periods that can be heavy, light, shorter, or longer
  • Occasional hot flashes and/or night sweats
  • Unpredictable mood swings, depression, anxiety, or irritability
  • Difficulty getting to sleep or staying asleep
  • Memory loss
  • Variations in breast tenderness or fullness
  • Loss of or decreased sexual desire
  • Vaginal dryness
  • Alterations in body fat composition
  • Heart palpitations
  • Decreased bone density
  • Dry skin
  • Hair loss
  • Headaches
  • Incontinence


Both perimenopause and menopause are caused by a gradual reduction in the amount of estrogen and progesterone produced by the ovaries. Estrogen and progesterone are essential for the reproductive process and influence menstrual cycles, pregnancy, some aspects of mood, and the aging process. In the years leading up to perimenopause, the ovaries become less functional and produce lower amounts of estrogen and progesterone.

Integrative Medicine Treatment Options

We combine the best of conventional medicine with the best of complementary and alternative therapies to give you optimal results.

Here are some options we use at Alliance Integrative Medicine LOCATED IN Cincinnati, Ohio

  • Acupuncture
  • Nutritional Counseling
  • Lifestyle Counseling

Our periomenopause patients come to us from Loveland, Westchester/Liberty Township, Mason, Indian Hill and Hyde Park as well as Reading, Springdale, Terrace Park, Blue Ash, Finneytown and from all over the United States.