5. Common Hormonal Patterns in Perimenopause

Every woman has their own pattern of transition with different symptomatology.

Common patterns include:

• Excess estrogen & low progesterone

  • Driven by anovulatory cycles.

• Low estrogen & low progesterone

  • Driven by more ovarian failure & lack of ovulation.

• Fluctuating estrogen & low progesterone

  • Dependent on how much estrogen is being produced by the ovaries and adrenal glands.

  • Fluctuations can be caused by anovulatory cycles, excess estrogen in general or just low estrogen in relation to progesterone.

• Excess estrogen.

• Low progesterone.

• The amount of testosterone being converted into estrogen.