Perimenopause at Evoke
Changes in your 30s and 40s
It’s not you, it's your hormones!
• Estrogen becomes erratic — sometimes high, sometimes low, often unpredictable.
• Progesterone steadily declines — due to fewer ovulations.
• Testosterone may also decline — contributing to changes in mood, energy, & libido
Common symptoms that are often hormone related:
Cycle & Period Changes
• Irregular periods (shorter or longer cycles)
• Heavier or lighter bleeding
• Skipped periods
• Shortened luteal phase (fewer days from ovulation to your period)
Temperature Regulation
• Hot flashes
• Night sweats
• Feeling flushed or chilled randomly
Mood & Cognitive Changes
• Increased anxiety or irritability
• Mood swings
• Depression or emotional sensitivity
• Brain fog or memory lapses
Sleep Disruptions
• Difficulty falling or staying asleep
• Waking up at 2–4 a.m.
• Restless or poor-quality sleep
Metabolic Changes
• Weight gain, especially around the abdomen
• Increased insulin resistance
• Slower metabolism
• Changes in cholesterol or blood sugar levels
Emotional & Psychological Shifts
• Feeling more sensitive or overwhelmed
• Less tolerance for stress
• Grief-like feelings over life transitions
Skin, Hair & Tissue Changes
• Vaginal dryness or discomfort
• Decreased libido
• Thinning skin or hair
• Joint aches or stiffness
If these symptoms sound like you, your hormones may be the culprit.
At EVOKE, we offer more than just treatment—we provide attentive and personalized care to help uncover the root cause of your symptoms and support you through every stage of hormonal change. Contact us to learn more!