Hormone Therapy Options for Perimenopause


We've all heard of menopause, but not everyone is aware of the changes your body goes through during the time leading up to it. This transitional period before menopause is known as perimenopause. Perimenopause isn't usually as severe as menopause, but you experience many of the same symptoms and problems.

While hormone therapy is one of the best ways to deal with menopause, there are also hormone therapy options for perimenopause. This can help ease the symptoms of full-blown menopause by adding estrogen to your system pre-emptively.

Why is hormone therapy during perimenopause important?

Perimenopause is usually a gradual transition that takes two to ten years. During that time, symptoms will get progressively more severe as you approach menopause. However, by starting hormone therapy during perimenopause, you can reduce the severity of menopause.

Symptoms of perimenopause

Perimenopause is a perfectly normal part of every woman's life. Because of how gradual the process is, there are plenty of warning signs and symptoms to let you know what's happening.

  • You'll still have periods, but they become more erratic and irregular
  • Some vaginal dryness and itching
  • Mood changes, typically in the form of depression
  • Inability to think clearly
  • Physical symptoms such as hot flashes, night sweats, joint and muscle aches, and excessive urination
  • You'll also have trouble sleeping, changes in appetite, and changes in sexual desires.

These are many of the same symptoms as with menopause. However, they will happen less frequently and be less severe.

Hormone therapy treatment options for perimenopause

Luckily, you can stay ahead of the curve and treat perimenopause which will have a domino effect and help with your future menopause. Hormone therapy is one of the top treatment options for perimenopause, and here's how it works.

Topical applications
There are several topical applications, including estrogen creams, sprays, gels, and patches, that can boost your estrogen levels. Estrogen is absorbed through the skin and into the bloodstream with these methods.

Pills are also a common way of getting estrogen into your system quickly and effectively.

Combination hormone therapy is where estrogen, as well as progestins, are added to your system as a way to level out your hormones. Most of your symptoms are caused by low estrogen levels, but progestins also play a significant role.

Vaginal estrogen
Vaginal estrogen is when estrogen is administered directly to the vagina in the form of a vaginal tablet, ring, or cream. This form of hormone therapy is used exclusively to relieve pain, itchiness, dryness, and discomfort in the vagina during perimenopause.

Risks of hormone therapy during perimenopause

Hormone therapy is a great way to help you get through perimenopause, but it's essential to understand that there are some risks involved.

  • Higher risk for endometrial cancer
  • Increased risk of strokes, blood clots, and high blood pressure
  • You may experience gallbladder or gallstone problems
  • Long-term hormone therapy can increase the risk of breast cancer

While these risks may look harrowing, they're also rare. For the majority of women, the benefits of hormone therapy during perimenopause outweigh the risks by a long shot.

Our Locations

Find us on the map

Serving Patients in and around Palm Beach County

Palm Beach Dermatology has been serving patients in and around Palm Beach County for over twenty years, we are a full-service dermatology and dermatological surgery practice with special emphasis on the diagnosis and treatment of skin cancer. All physicians in our group are Board Certified by The American Board of Dermatology and are Fellows of the American Academy of Dermatology. We invite you to visit us at Palm Beach Dermatology to find out why you can trust our skin care team.

  • "To My Wonderful Doctor! I just couldn’t wait 6 months to tell you what I think of you! You are friendly, kind, gentle, soft spoken and you don’t want to hurt me! You’re Special and …. YOU REALLY CARE!! Thank You For You!"
    Marilyn T.
  • "Dr. Muhart is truly a very caring and professional doctor. I have referred many friends, family members and co-workers to her office knowing they will get great care."
    Karen C.
  • "Dr. Lifshitz has an incredibly gentle bedside manner. He diagnoses issues with ease and offers possible ways to address them so the patient can make the best decision for him or herself. I know I am in great hands with Dr. Lifshitz."
    Ami S.
  • "The office team is very personable and friendly. When you walk in you feel like family. Brian is the best. I have been going to Brian for over 5 years and would never change. It is great to see him again and the staff. Absolutely wonderful!!"
  • "Dr. Kowalczyk and his staff are awesome! The office staff is both efficient and friendly. His exam is thorough. I will definitely be back!"
    Jenna J.
  • "As a longtime skin cancer patient I’m impressed with Dr. Kelley’s professionalism and follow-ups. She and her staff are all about results and patient satisfaction. Quite different from the other “Mohs Mills”!"
    Woody B.
  • "Dr. Fayne saw my daughter for her acne. He was great with her and explained everything so she could understand. We love the office staff too!"
    Kristen B.
  • "I have been seeing Dr. DiBacco going on 10 years. Truly, a great dermatologist. He cares and is very personable. He is detailed with his assessments and treatments. What more could you ask for except a great personality? Oh, and he has that too!"
    Alex M.
  • "Dr. Cohen makes you feel like part of his family. He is very thorough in his exams and keeps you informed during your dermatological office visits and any telephone follow-ups."
    Steven D.