Online perimenopause care
Care before your periods stop.
Changing periods, restless nights and hot flashes can start during perimenopause. A licensed clinician can review what you have noticed and discuss treatment while you are still having periods.
Begin with a few questions about your symptoms and health. You can start without an account.
What brings people to care
Start with the changes you can describe.
Perimenopause is the transition leading up to menopause. Hormone levels fluctuate, and symptoms can come and go. You can ask for a review even if you are unsure what is causing them.
Read about perimenopause- Your periods have changed
- Cycles may become less predictable, with changes in timing or flow. Tell the clinician about new bleeding between periods or after sex.
- Heat interrupts your day or night
- Hot flashes and night sweats can begin while you still have periods. Waking repeatedly can also affect how you feel the next day.
- Sleep, mood or focus feel different
- You might notice broken sleep, irritability or difficulty concentrating. The review considers other possible causes alongside perimenopause.
- Sex or vaginal comfort has changed
- Dryness, irritation and pain during sex are worth discussing. Local treatment may be an option when vaginal symptoms are the main concern.
A review of your symptoms and your health.
Your menstrual history, current medicines and the symptoms affecting you most help the clinician decide what to investigate and which treatment options to discuss.
Treatment follows your symptoms
Options may include hormone therapy for hot flashes and night sweats, nonhormonal prescriptions, or local treatment for vaginal dryness. Your clinician explains the expected benefits, possible side effects and whether each option fits your health history.
Explore hormone therapyPeriods and contraception matter
Bring the dates of recent periods, any bleeding changes and details of your contraception. Pregnancy remains possible during perimenopause. HRT does not prevent pregnancy, so contraception needs to be discussed separately.
Unusual bleeding or a complex medical history may need an examination or testing. Online care begins with a review of whether it is suitable for you.
Before you get started.
Can I seek care if I still have regular periods?
Yes. Describe your symptoms and cycle in the assessment. Symptoms can begin before cycles become clearly irregular. The clinician considers your history and other possible causes.
Do I need a hormone test first?
You can begin the assessment without arranging a hormone test. Levels change during perimenopause, so a single result may be difficult to interpret. The clinician decides whether testing would help, based on your age, symptoms and menstrual history.
What if I already take HRT or use birth control?
List the product, dose and schedule, along with any problems you have noticed. This helps the clinician assess the current treatment and discuss suitable next steps. Follow your existing prescription until you have discussed a change.
What happens after the assessment?
The assessment helps identify the appropriate next step. If you choose to continue, you complete a clinical intake for a licensed clinician to review. Prescription treatment depends on that review.
Tell us what has changed.
Start the perimenopause and menopause assessment, or ask us a question before you begin.
Medical information: Office on Women's Health and ACOG.