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February 15, 2025 18 mins

More periods, more PMS, more pain?! I thought perimenopause was supposed to be about less…

If you’ve been told that perimenopause means fewer periods, lower estrogen, and less of everything… think again. In the early and mid-stages of perimenopause, many women experience more - heavier periods, more PMS, more breast tenderness, more anxiety, more migraines, more bloating. And it’s all because of one thing: estrogen excess.

Doctors often focus on hormone loss in perimenopause and menopause, but before hormones decline, they fluctuate wildly - sometimes reaching higher levels than ever before. 

If you’re wondering why your symptoms feel worse, not better, this episode will help you understand exactly what’s happening in your body.

What you’ll learn:

  • Why early perimenopause is often about too much estrogen, not too little. You’ll understand why your periods may be getting heavier and your PMS more intense, even if you’ve been told perimenopause is all about hormone decline.
  • How progesterone is dropping faster than estrogen - leading to estrogen excess. We break down why this imbalance causes mood swings, anxiety, and why you might feel like a completely different person some days.
  • Why waiting for hot flushes and skipped periods to “confirm” perimenopause is a mistake. Your body is already giving you signs - learn what they are and how to support yourself now.

Sneak peek:

“We’re told that perimenopause or menopause is all about the decline of hormones. But actually, very early, early, and mid-perimenopause are all about more. More symptoms, more irritation, more PMS, more period pain, more allergies, migraines, headaches - all of that sort of thing. It’s about more hormones, not less.”

Your symptoms are real - and you don’t have to wait for your period to get irregular to do something about them.

If you’ve been dismissed because you’re not having hot flushes, still getting your period regularly, told you’re too young for perimenopause, or feel like your body is working against you - this episode is for you.

The sooner you understand what’s happening, the sooner you ca

Send us a question for the FAQs segment or your feedback, we’d love to hear from you.

Find out more about Sarah, her services and the Freebies mentioned in this episode at https://www.ThePerimenopauseNaturopath.com.au

  • The Perimenopause Decoder is the ultimate guide to understanding if perimenopause hormone fluctuations are behind your changing mood, metabolism and energy after 40, what phase of perimenopause you're in, and how much longer you may be on this roller coaster for.
  • For more, follow on Instagram at @theperimenopausenaturopath.

WORK WITH SARAH THE PERIMENOPAUSE NATUROPATH:

  • PerimenoGO (because who wants to pause anyway?!) A self-guided program to help you reverse weight gain, boost energy, and reclaim your mood — without extreme diets or cutting carbs. Perfect for women who want a realistic plan that fits around kids, work, and actual life.
  • The Chaos to Calm Method: A 1:1 personalised program for women who want a more personalised plan and support — especially if you’ve got 10kg+ to lose, other health issues, or feel like your body’s just stuck. Includes comprehensive blood testing and analysis, Metabolic Balance ...
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