women’s health

naturopathic Doctor | perimenopause, menopause + hormone imbalance

Perimenopause + Menopause Support

Dr. Heather Iverson, ND

Perimenopause can feel confusing, frustrating, and at times overwhelming. Dr. Heather Iverson, ND offers evidence-based, personalized care for women experiencing hormonal shifts, irregular cycles, mood changes, sleep disruption, weight fluctuations, and low energy. With a root-cause approach, she combines comprehensive lab testing, targeted nutrition, lifestyle strategies, individualized supplementation, and hormone replacement therapy (HRT) to help restore balance and support long-term health.

perimenopause support bc doctor - Protected: Women’s Health - 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.

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