PERIMENOPAUSE
Typical Age: 35-50 years old
Understanding Perimenopause: The Transition Starts Here
“Am I too young for this?”
If you’ve noticed your periods are becoming unpredictable, your moods are shifting, or you’re experiencing new physical discomforts, you aren’t “going crazy”—you are likely entering perimenopause.
At PUSH Markham, we specialize in helping women navigate this 4-to-10-year transition with clinical expertise and boutique wellness support.
Frequently Asked Questions about the Transition
What is the typical age for perimenopause?
While the average age of perimenopause begins in the mid-40s, it is very common for the first hormonal shifts to begin in your mid-30s. Perimenopause is the window of time leading up to menopause, characterized by the gradual decline in estrogen and progesterone.
When does perimenopause start and how do I know?
It starts when your ovaries begin to produce different levels of hormones. You may notice:
Changes in your periods: Shorter cycles, heavier flow, or skipped months.
Breast tenderness: Cyclical or random soreness that feels different than your usual PMS.
Sleep & Mood: Increased anxiety or waking up at 3:00 AM for no apparent reason.
Is there a perimenopause test?
This is one of the most common questions we hear. While blood tests for FSH (Follicle-Stimulating Hormone) can be done, they are often ambiguous because hormone levels fluctuate wildly from day to day during this phase. At PUSH, our practitioners look at the “whole picture”—your symptoms, your cycle history, and your lifestyle—rather than relying on a single snapshot test.
Managing Perimenopause Symptoms
The goal of perimenopause care is to stabilize the “rollercoaster.” We address the most common symptoms through an integrated, evidence-based approach:
Hormonal Supplements: Our Naturopathic team guides you through perimenopause supplements (like Magnesium, Vitamin D, or herbal support) and Bio-identical Hormone Replacement Therapy (BHRT) to find what actually works for your body.
Breast Tenderness & Inflammation: Addressing hormonal fluctuations through nutrition and lymphatic support to ease physical discomfort.
Cycle Regulation: Using Acupuncture and specialized nutrition to manage heavy or irregular periods.
Strength & Resilience: Utilizing Red Light Therapy and targeted movement to protect your bone density and muscle mass as estrogen begins to dip.
Take the Guesswork Out of Your Hormones
You don’t have to wait until your symptoms are “severe” to seek support.
Early intervention in your 30s or 40s can make the entire transition significantly smoother.
Ready for Clarity?
Meet with our team in Markham to discuss your symptoms and build a personalized roadmap.
Perimenopause Care Team at PUSH
Acupuncture
Perimenopause often keeps the body in a “fight or flight” state, leading to perimenopause insomnia, heart palpitations, and lightheadedness. Acupuncture works to down-regulate the nervous system, effectively reducing perimenopause headaches and nausea while improving the deep, restorative sleep needed to combat perimenopause exhaustion and extreme fatigue. It is a powerful natural remedy for the “wired but tired” feeling.
Naturopathic Care
Our Naturopathic Doctors dive deep into the “why” behind your symptoms through comprehensive panels, including FSH levels and progesterone testing. Whether you are navigating perimenopause on the pill or with a Mirena IUD, we help you understand the perimenopause meaning for your specific body. We create clinical roadmaps for perimenopause treatment that may include magnesium, targeted vitamins, and bio-identical hormones to address perimenopause hair loss, itchy skin, and night sweats.
Chiropractic Care
As estrogen dips, joints lose lubrication, leading to stiffness and pain. Our Chiropractors focus on spinal alignment and nervous system health, often pairing adjustments with Dolphin VNS to reduce the “system overload” causing headaches and lightheadedness.
Nutrition & Metabolic Health
As estrogen fluctuates, your metabolism and insulin sensitivity change, often leading to perimenopause weight gain, bloating, and gas. Our Dietitian provides a perimenopause diet strategy that moves beyond simple weight loss, focusing on anti-inflammatory foods to ease perimenopause and joint pain, GERD, and digestive issues. We help you use nutrition to stabilize your energy and banish the afternoon brain fog.
Pelvic Health Physiotherapy
The transition can bring unexpected physical changes, from perimenopause spotting and irregular periods to ovulation pain and intense cramps. Our specialized Physiotherapists help you manage the structural side of hormone shifts, addressing nipple pain, yeast infections, and dry mouth through a whole-body lens. We provide a safe space to discuss changes in libido and ensure you stay comfortable and confident through every cycle.
Yoga & Strength Training: Mental Clarity & Resilience
Maintaining muscle mass is your best defense against the metabolic changes of the transition. Our specialized classes combine functional movement with Red Light Therapy to help manage perimenopause depression, anxiety, and the infamous perimenopause rage. This “active recovery” approach is essential for clearing perimenopause tiredness and keeping you grounded when moods feel unpredictable.
Massage Therapy
When you’re dealing with perimenopause exhaustion and perimenopause rage, your body carries that stress as physical tension—usually in the neck, shoulders, and jaw. Massage therapy is a clinical tool to lower cortisol (the stress hormone) and boost oxytocin. This is essential for managing perimenopause insomnia, easing cramps, and soothing the “crawling” sensation of itchy skin.
is it actually Menopause? Learn about the Menopause milestone and the post-menopause journey here.