Empowering Midlife Wellness with Dr. Susan

Hormone Fluctuations in Perimenopause | How I Walk Patients Through the Changes


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Your hormones don’t all “vanish” at the same time when you reach menopause — and in this video, I’m walking you through exactly what I see happen for most women, starting in their 30s or 40s.
I’ll explain:
🔹 Estradiol – how it rises and falls during the menstrual cycle, from its lowest levels (50–100 pg/ml) to its peak during ovulation (300+ pg/ml).
🔹 Progesterone – why it’s only produced after ovulation and why it’s usually the first hormone to drop.
🔹 Testosterone – the small but meaningful increase around ovulation and how it changes over time.
We’ll look at what these fluctuations mean in perimenopause and the usual order in which they fade — so you can better understand your body and your symptoms. These shifts can start earlier than many women realize, and they don’t happen all at once. By understanding the timing and pattern, you can make more informed choices about your health — whether that’s tracking your cycles, supporting hormone balance, or preparing for the changes ahead.
If you’re in perimenopause, menopause, or simply want to be proactive about your midlife health, I invite you to subscribe and join me for more conversations about women’s hormones, wellness, and aging well.
💻 Interested in booking an appointment? Click here: https://completemidlifewellnesscenter.com
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Empowering Midlife Wellness with Dr. SusanBy Dr. Susan Hardwick-Smith

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