midlife rebalanced®
Understanding Perimenopause
Perimenopause marks the beginning of hormonal shifts that can lead to symptoms like hot flushes, irregular cycles, and mood swings. While this transitional phase is natural, its symptoms can be managed effectively through a personalised approach. I work with you to balance hormones naturally, reduce discomfort, and prepare your body for the menopause transition.
Perimenopause is the natural transition leading up to menopause, typically beginning in your 40s, although it can start earlier for some women. During this phase, hormone levels fluctuate unpredictably - particularly oestrogen and progesterone, often leading to symptoms such as irregular periods, anxiety, hot flushes, mood swings, and sleep disturbances. Unlike menopause, where hormone production ceases, perimenopause is marked by erratic hormonal shifts that can significantly impact daily life.
One of the earliest signs of perimenopause is a change in menstrual cycle regularity, alongside symptoms like heightened PMS, anxiety, and fatigue. These shifts are driven by inconsistent ovarian function and declining progesterone levels, which can disrupt the balance with oestrogen, leading to symptoms of oestrogen dominance. Unfortunately, many women are misdiagnosed during this phase, often prescribed antidepressants or told to simply "get on with it" without proper evaluation of hormonal imbalances. Introduction of Bioidentical Hormone Replacement Therapy (BHRT) can be highly effective in managing symptoms and restoring hormonal balance.
We can work together to restore balance, manage symptoms effectively, and support you in thriving during this transformative phase.
Explore Perimenopause & Menopause Resources by Dr Nirusha Kumaran
e-book by dr Nirusha Kumaran out now
Midlife Rebalanced®: Your Perimenopause Healing Guide
Reclaim your energy, hormones, metabolism, and confidence — without extreme diets or burnout.
The E-Book by Dr Nirusha Kumaran, out now on Amazon.
free guide by dr Nirusha Kumaran
Understanding Perimenopause: A Functional Medicine Approach
A practical, doctor-led guide explaining symptoms, testing options, treatment strategies and lifestyle adjustments to support hormone balance during perimenopause.
Speaking Engagements
Are you searching for a speaker who offers unique perspectives on Functional and Longevity Medicine, hormone health, and the benefits of root-cause healing? Whether it’s a podcast, health summit, medical conference, or wellness panel, Dr Nirusha provides insightful, science-based talks that both inspire and educate.
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