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Perimenopause Treatment | Expert Care & Symptom Relief

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You could be in perimenopause. Fueled by fluctuating hormones, this phase can start in your 40s and last up to a decade, and can cause a variety of symptoms. But it's totally normal, natural ... and treatable.

Can't sleep? Irregular periods? Feeling off?

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Menopause-Expert Doctors - Light - MD

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HSA and FSA Eligible

Ongoing Care and Education

Peri Symptoms

They’re more than symptoms, they are a sign

We offer a wide range of FDA-approved options for symptom relief, as well as solutions for skin, hair, weight, and sexual health

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Hormone Support

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Skincare

Weight Care

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Sexual Health

How Alloy can help

Perimenopause Is Personal. Your Care Should Be Too

Work with a board-certified, perimenopause-expert physician to create a customized treatment plan just for you

Perimenopause is personal, your care should be too.

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### - Anne Fulenwider

Co-Founder & Co-CEO of Alloy

"Each of us experiences a unique cocktail of symptoms, so it’s hard to recognize perimenopause. And it occurs at a time of life that’s often busy and stressful, and because we manage everyone else’s lives, we only tune into our own bodies sporadically."

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We make it easy to connect directly with a menopause-expert physician

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More to know about perimenopause

Why do my breasts hurt during perimenopause?

The Ultimate Guide to Perimenopause & Periods

The Ultimate Guide to Perimenopause Periods

What Is Perimenopause Fatigue & How to Treat It

Perimenopause headaches vs regular headaches

Perimenopause headaches vs regular headaches.

Perimenopause FAQ

Perimenopause is the transitional time between your reproductive years and menopause, typically occurring in a woman’s 40s. This period can last up to a decade, during which fluctuating estrogen and progesterone levels can cause various physical and emotional symptoms. The most common symptoms are hot flashes, changes to your menstrual cycle, mood swings, anxiety and depression, weight changes and sleep disruptions.

What is perimenopause?

During perimenopause, your estrogen levels start to experience significant ups and downs. This can cause irregular periods, hot flashes and more. Progesterone also declines, which can lead to heavier periods and vaginal dryness.

What’s happening with my hormones?

Every woman is different, but common symptoms include hot flashes, mood swings, periods that are heavy, painful or irregular, a disturbance in your sleeping patterns, weight and libido changes, and anxiety or depression. Since these symptoms vary from person to person, your symptoms won’t look exactly like your mom’s, sister’s, or friend’s. It may even be hard to pinpoint your exact symptoms—sometimes it’s just a feeling that something is off, or you’re not quite yourself. Talking to a menopause-expert physician is a great first step in figuring out what’s going on.

What are the main symptoms of perimenopause?

Recognizing that your body is changing is the first step—and knowing you’re not alone. Calling in experts like the Alloy’s menopause-expert physicians can give you the options and support you need to get through this confusing time. Together, you can put together a treatment plan that’s specific to your body’s needs.

What can I do about it?

For many women, a low-dose birth control pill is the best treatment for perimenopause. Birth control pills contain estrogen and progesterone, which help even out your hormone levels and alleviate symptoms. They also regulate your cycle, help with painful, heavy periods, and provide contraception (since it’s still possible to get pregnant in perimenopause!). Alloy offers other options including Menopausal Hormone Therapy (MHT) and progesterone. Your menopause-expert physician will help you find the solution that’s right for you.

How do I treat perimenopause?

Frequently Asked Questions

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Perimenopause

Perimenopause is the transitional phase before menopause fueled by fluctuating hormones. It commonly begins in your 40s, can last up to a decade, and can cause a wide range of symptoms including sleep disruption, irregular periods, hot flashes, mood changes, and more. Treatments and symptom-specific care are available.

FDA‑approved hormone therapy options to rebalance estrogen and address vasomotor and other systemic symptoms.

Menopausal hormone therapy (MHT)

Dermatologic and prescription skincare options for skin changes during perimenopause.

Skincare & prescription topical treatments

Comprehensive weight care including clinical programs and medications when indicated.

Weight care programs (including GLP-1 when appropriate)

Local and systemic options to treat vaginal dryness, low libido, and sexual dysfunction.

Sexual health treatments (including local vaginal estrogen)

Can't sleep? Irregular periods? Feeling off? Learn about perimenopause symptoms, how Alloy can help with board‑certified physicians and personalized treatment plans, and get started with intake and care delivered to your door.