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Perimenopause Symptoms: Exhausted, Gaining Weight, Irritable? How Hormone Therapy Can Help

Perimenopause Symptoms and Hormone Replacement Therapy


It Might Not Be “You're Just Getting Older.” It Might Be Perimenopause.


Are you over 35 years old and experiencing any of these symptoms, such as......You’re tired—but not just tired. The kind of tired that a good night's sleep doesn’t fix. Your clothes fit differently. The scale keeps creeping up despite not changing your daily intake or decreasing your activity. How is that sex drive? Nearly gone, yep! Headaches, almost daily. Sleeping, nope! Intermittently feeling like you are being baked from the inside out and sweating for no reason? Your cycles are unpredictable—or disappearing altogether. And let's not forget random spurts of anxiety or depression...You just don’t feel like you anymore.


If this situation sounds familiar, you're not alone—and you're not broken. You are likely experiencing the life transition known as perimenopause. As a woman-owned business, I can closely relate to having personally gone through it myself. I understand and can empathize with what you may be experiencing. I have had the lab tests done, only to be told "they are all normal." Very frustrating, I have to say myself. Yes, these symptoms are related to hormonal fluctuations and can be considered "normal," but is it ok to live this way?


To help put this into perspective, I compare the replacement of reproductive hormones to the replacement of a thyroid hormone. This would be an automatic replacement if a thyroid deficiency were detected in lab work, so why wouldn't reproductive hormones be replaced? They are responsible for much more than just reproduction. Any deficiency found, whether it be hormones, vitamins, or nutrients, should receive the same level of attention. I can assure you that if a man visits his primary provider reporting low sex drive, fatigue, weight gain, erectile dysfunction, etc.—some of the same symptoms women experience around the same age—he would be promptly evaluated and treated to address it!



Hormonal changes during perimenopause cause fatigue, brain fog, and anxiety.
Perimenopause causes excessive fatigue, anxiety, and brain fog for women.

Welcome to perimenopause and menopause—a powerful transition that far too many women are told to “just push through.”



At Phoenix Medical Group of Florida, we’re here to tell you:

You don’t have to suffer to be strong.

You don’t have to lose yourself to age.

You can feel energized, confident, and alive again.

This is not just a "normal" part of aging that you have to accept.

Your labs can be "normal," and you can still experience perimenopausal symptoms.



Common Perimenopause Symptoms Women Experience In Their 30s and 40s


Perimenopause and symptoms as the process progresses.  Starts around 35 years old
Hormonal changes as a woman ages will directly impact her health and well-being.

Why Hormones Cause Fatigue, Weight Gain, and Low Sex Drive


Perimenopause can begin as early as your late 30s—years before periods stop. During this time, hormones like estrogen, progesterone, and testosterone fluctuate wildly.


That imbalance can cause:


  • Persistent fatigue and brain fog

  • Low libido or painful sex

  • Weight gain (especially belly fat)

  • Cardiovascular risk factors increase

  • Digestion problems

  • Carbohydrate cravings

  • Mood swings, anxiety, or irritability

  • Irregular or heavy cycles

  • Headaches

  • Increased risk for recurrent UTI's

  • Sleep disruption and night sweats

  • Loss of motivation, confidence, and joy

  • Hair loss or excessive body hair growth

  • Skin changes-itchy or very dry


How Hormone Replacement Therapy Helps Perimenopause and Menopause: Reigniting Life From the Inside Out


Hormone Replacement Therapy (HRT) isn’t about vanity—it’s about vitality, health, and quality of life. Perimenopause does not define you.


When thoughtfully prescribed and closely monitored, HRT can:

Restore energy and mental clarity

Improve sex drive, arousal, and comfort

Support healthy weight and metabolism

Stabilize mood and reduce anxiety

Improve sleep and overall resilience

Protect bone, heart, and brain health


This isn’t about turning back the clock. It’s about feeling powerful in the body you’re in now.


Woman-Owned. Woman-Focused. Judgment-Free.


Phoenix Medical Group of Florida provides personalized hormone replacement therapy for women experiencing perimenopause and menopause in Pensacola, Pace, Milton, and throughout Florida via Telehealth. Phoenix Medical Group is a woman-owned medical practice, built by a provider who understands these changes personally and professionally.


We don’t rush and throw random hormones at you.

We don’t dismiss your symptoms.

We don’t offer one-size-fits-all care.


Instead, we:

Listen to your story

Review labs and symptoms

Customize hormone therapy to your body

Use evidence-based, safe protocols

Support you through every stage of transition


Whether you’re in early perimenopause, deep in the transition, or post-menopausal, you deserve care that sees you.



Perimenopause for women can be treated for a healthier, happier, fulfilling life.
Reignite your internal fire and live your life to the fullest.

Rise From the Ashes—This Is Your Phoenix Moment


You are not fading.

You are not weak.

You are not “past your prime.”


You are evolving—and with the right support, this can be one of the strongest, most confident chapters of your life. Schedule your appointment today to discuss your options. We are here for you!

More energy

Better sleep

A revived sex drive

A body that responds again

A mind that feels clear and motivated


That’s not too much to ask. That’s health.


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