women’s health
naturopathic Doctor | perimenopause, menopause + hormone imbalance
Perimenopause + Menopause Support
Dr. Heather Iverson, ND
What is perimenopause?
Perimenopause is the transition phase before menopause, when your ovaries begin shifting how they produce estrogen and progesterone. It often starts in your 40s (sometimes 30s) and can last several years.
Because hormone levels fluctuate (not decline smoothly) this stage can affect your cycle, sleep, mood, energy, and stress tolerance. Clinically, perimenopause is usually identified by changes in menstrual patterns plus symptoms; a single hormone test isn’t always reliable because levels vary day to day.
what is menopause?
Menopause is the point when you’ve gone 12 consecutive months without a menstrual period. It marks the end of ovulation and a sustained shift to lower ovarian estrogen and progesterone production.
The average age is around 51, but timing varies. In the years after menopause, care often focuses on symptom support and long-term health—especially bone density, cardiovascular risk, and metabolic health—because these can change as hormone levels stabilize at a new baseline.
Perimenopause + Menopause common symptoms
Menstrual cycle changes
Irregular timing, heavier or lighter flow, missed periods
Sleep, mood, and stress tolerance
Waking overnight, anxiety, irritability, lower resilience
Energy and cognition
Fatigue, brain fog, reduced focus
Skin Changes
Dryness, thinning skin, acne, increased sensitivity, loss of elasticity
Hot flashes and body changes
Night sweats, temperature shifts, weight redistribution
Libido and vaginal health
Lower libido, vaginal dryness, discomfort with intimacy
Musculoskeletal changes
Joint pain, muscle aches, stiffness, reduced strength, slower recovery, increased instances of frozen shoulder
JOIN THE WAITLIST
I’ve opened a small number of spaces to support women through perimenopause and beyond, using a deep, evidence-based, lab-driven approach. To keep care personal and thoughtful, I’ll only be accepting a few new patients each month. To join the waitlist, please fill out the form below.
Learn More
What happens to our skin during menopause?
Hormonal shifts impact collagen, hydration, and elasticity—here’s what’s really going on beneath the surface. Perimenopause isn’t just about hot flashes—your skin feels it first. As estrogen retreats, cell turnover slows, barrier lipids thin, and natural...
Holistic Aesthetics: Longevity Supplements
Why integrating these three longevity supplements will change the way you age. As a Naturopathic Doctor specializing in cosmetic injections and fillers, my philosophy extends beyond the surface to nurture beauty from the inside out. While external treatments have...
Why you May Need a Liver Detox
Whether you want to lose a bit of weight, start eating healthier, improve your digestion, clear that foggy brain, improve your skin, increase your energy, optimize sleep, or balance your hormones; a liver detox can be foundational for your health. There are so many...
