When Should You Start Treatment for Perimenopause?
The best time to address perimenopause symptoms is when they begin affecting your quality of life. The North American Menopause Society (NAMS) supports initiating hormone therapy during the perimenopausal transition, often called the "window of opportunity" for maximum benefit.
Starting bioidentical hormone therapy during perimenopause, rather than waiting for full menopause, may provide earlier symptom relief, better bone protection, and potential cardiovascular benefits. A 2017 JAMA follow-up of the WHI study (Manson et al., DOI: 10.1001/jama.2017.11217) confirmed that HRT initiated closer to menopause onset was associated with reduced risk.
At Thrive RX, Dr. Kiswani-Barley provides personalized perimenopause care via telehealth throughout Florida. Treatment includes comprehensive hormone testing, bioidentical prescriptions, and ongoing monitoring. Initial evaluation starts at $250.