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.
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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