Perimenopause can start years before menopause, often in your late 30s or 40s, and the symptoms can catch you off guard. If you’re dealing with hot flashes, mood swings, disrupted sleep, or irregular cycles and feeling dismissed, you’re not imagining it, and you don’t have to just push through it. At Thrive Medical, we help women across the greater Austin area understand what’s happening in their bodies and build a personalized plan to feel like themselves again.
Prefer to talk from home? We offer virtual appointments, so you can start care without taking time off work or arranging childcare.
What is perimenopause?
Perimenopause is the transition leading up to menopause, when your hormone levels — especially estrogen and progesterone — begin to fluctuate. This stage can last anywhere from a few months to several years, and every woman experiences it differently. The good news: the symptoms are treatable, and the right support can make a real difference in your quality of life.
Common perimenopause symptoms we treat
- Hot flashes and night sweats
- Irregular or unpredictable periods
- Mood swings, irritability, anxiety, or low mood
- Trouble sleeping or fatigue
- Brain fog and difficulty concentrating
- Weight gain, especially around the midsection
- Vaginal dryness or discomfort
- Reduced libido
Thrive Medical treatment of perimenopause
There’s no one-size-fits-all approach. Your visit starts with a real conversation about your symptoms, health history, and goals, followed by lab work to understand your hormone levels. From there, your provider builds a plan tailored to you, which may include:
- Hormone Replacement Therapy (HRT) — estrogen and/or progesterone therapy to relieve symptoms and protect long-term health
- Lifestyle and nutrition guidance to support energy, weight, and mood
- Ongoing monitoring with follow-up labs to keep your treatment safe and effective
- Management of related concerns such as sleep, mood, or metabolic changes
Is hormone replacement therapy right for me?
HRT is one of the most effective treatments for perimenopause and menopause symptoms, but it isn’t the right fit for everyone. During your appointment, your Thrive Medical provider will review your personal and family health history, discuss the benefits and risks, and help you decide whether HRT — or another approach — makes sense for you. Our goal is informed, individualized care, not a rushed prescription.
Virtual appointments available
Many perimenopause visits, including follow-ups and treatment adjustments, can be handled through a secure virtual appointment. It’s a convenient way to get expert care on your schedule — no waiting room required. We serve patients throughout Austin, Round Rock, Leander, and Pflugerville, in person and online.
Frequently asked questions
At what age does perimenopause start?
Most women begin perimenopause in their 40s, but it can start in the late 30s. If you’re noticing changes in your cycle, sleep, or mood, it’s worth getting evaluated regardless of your age.
Can I be treated for perimenopause with a virtual appointment?
Yes. Many perimenopause consultations and follow-ups can be done virtually. If lab work is needed, we’ll arrange convenient testing and review your results together online.
Is hormone replacement therapy safe?
For many women, HRT is a safe and highly effective option when prescribed and monitored by a qualified provider. Your Thrive Medical clinician will review your health history and tailor treatment to minimize risk — and monitor you over time.
Do you accept insurance for perimenopause care?
We accept many insurance plans and also offer options for patients paying out of pocket. Visit our Insurances page or contact us to confirm your coverage.
Start feeling like yourself again
You don’t have to navigate perimenopause alone or settle for “this is just part of getting older.” The team at Thrive Medical is here to listen and help you feel better.