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Conditions We Treat  ·  Winter Garden, FL

Perimenopause,
finally explained.

The years before menopause can bring changes that are confusing and easy to dismiss. Dr. Megan Luciano helps you understand what's happening and what can actually help.

Understanding
perimenopause.

Perimenopause is the transition leading up to menopause, when your hormone levels begin to fluctuate. It can start in your forties, and sometimes earlier, often years before your periods stop for good. Because the changes come and go, they're frequently mistaken for stress, aging, or just life.

Symptoms can be wide-ranging: irregular periods, hot flashes, night sweats, sleep problems, mood changes, brain fog, joint aches, weight gain (especially around the midsection), shifts in libido, and a general sense of not feeling like yourself. Many women are surprised by how much perimenopause can affect them, and how little it's talked about.

This stage doesn't have to be something you simply white-knuckle through. With the right evaluation and a plan tailored to you, perimenopause is very manageable, and it's exactly the kind of care Sparrow is built for.

Symptoms that
often get missed.

Perimenopause symptoms come and go, which is part of why they're so often overlooked. These are the changes Dr. Luciano helps connect to what's really happening.

How Dr. Luciano
approaches it.

Perimenopause care is personal. It starts with understanding your symptoms and history, then building a plan that fits your life.

01
Understand your hormones and symptoms
A thorough conversation and evaluation to connect what you're feeling to what's happening hormonally.
02
A personalized plan
Options may include hormone therapy where appropriate, non-hormonal treatments, and targeted lifestyle support, chosen around your symptoms and health history.
03
Care that evolves
Perimenopause changes over time, and your plan changes with it, all the way through menopause.

Common
questions.

How do I know if I'm in perimenopause?+
Common signs include irregular or changing periods, hot flashes, night sweats, sleep disturbances, and mood changes, often starting in your forties. If you're noticing these shifts, it may be perimenopause, and an evaluation can help confirm it and rule out other causes.
What are the most common perimenopause symptoms?+
Irregular periods, hot flashes and night sweats, sleep problems, mood changes, brain fog, joint aches, vaginal dryness, decreased libido, weight gain (especially around the midsection), and a general sense of not feeling like yourself are among the most common. Symptoms vary from mild to disruptive and can change over time.
How long does perimenopause last?+
It varies widely, from a few years to a decade. Perimenopause ends when you've gone twelve months without a period, which marks menopause. The goal of care is to keep you feeling well throughout, however long your transition lasts.
Can I still get pregnant during perimenopause?+
Yes. As long as you're still having periods, even irregular ones, pregnancy is possible. If you're not trying to conceive, contraception is still important during perimenopause, and Dr. Luciano can help you choose an option that fits this stage.
What can help with perimenopause symptoms?+
A lot can help. Depending on your symptoms and history, options include hormone therapy, non-hormonal medications, and lifestyle approaches for sleep, mood, and hot flashes. Dr. Luciano tailors the plan to you rather than applying a single approach.
Is hormone therapy safe during perimenopause?+
For many women, hormone therapy is a safe and effective option, but it depends on your symptoms, health history, and goals. Dr. Luciano will walk you through the benefits and risks so you can decide together whether it's right for you.

Ready for healthcare
that's actually for you?

Start with a meet & greet, an honest conversation about whether Sparrow is the right fit for you. No pressure, no commitment required.

Spots are limited. We intentionally keep our patient panel small so every patient gets the attention they deserve.

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