Please be advised that this blog is a purely informational public platform and in no way constitutes medical advice from the physicians and nurses at Infinity Medical Clinic.


If you’re in your late 40s or early 50s, you may begin experiencing symptoms of perimenopause, the lead up to menopause. Menopause is marked by the absence of menstrual periods for a full year. Perimenopause can last for months or years as hormones change. The process of menopause typically takes place from age 40 to age 60, although the average age of menopause is 51, according to The Mayo Clinic. Premature menopause can occur before age 40.

Our previous blog post provided an overview of perimenopause. Now, we would like to share more detail about the symptoms of perimenopause and talk about why you shouldn’t ignore these issues. Many of these symptoms can be treated or addressed so the symptoms don’t get in the way of your lifestyle.

Symptoms Vary from Woman to Woman

Perimenopause symptoms range from the expected changes in your menstrual cycle to increased anxiety and depression. The medical community has learned a lot about menopause over the years since your mother or grandmother went through it, however, symptoms can vary drastically from one woman to another. Some women have severe symptoms, while others seem to have none.

During perimenopause, the body is gradually adjusting to reduced estrogen levels. Your ovaries release eggs less regularly as you become less fertile. Eventually ovulation stops, but for 2 to 10 years, your periods can become irregular, and you can experience other changes.

What we’d like you to know is that many of these symptoms can be treated with bioidentical hormonal therapy. Patients of Infinity Medical Clinic have found that the creams that are produced specifically for their body chemistry can provide great relief when struggling with weight gain, anxiety, depression, sleep disruptions, loss of libido and more.

Learn more about perimenopause treatment

Symptoms of Perimenopause

Irregular periods

The common path for all women experiencing perimenopause is the gradual loss of their menstrual cycle as the ovaries shut down. Eventually, periods will stop completely. Until then, your periods can be closer together or further apart, extra heavy or extra light, or longer or shorter. You may skip a period and think you are in menopause, but you may still be able to get pregnant. You are not officially in menopause until you have skipped 12 months of periods.

Vaginal Dryness

A very common issue during perimenopause and menopause is vaginal dryness. As the vaginal tissues become thinner and have less natural moisture, sex can become uncomfortable. The urinary tract may also be affected, which can lead to more urinary tract infections.

Loss of Libido

Some women have a loss of libido when in perimenopause. This could be related to hormonal changes that change the sensation and natural lubrication of the vaginal tissue.

Sleep Disruptions

Research continues to show the importance of sleep to our health and wellbeing. Unfortunately, the hormonal shifts that take place in perimenopause often cause insomnia. This can create a vicious cycle of not sleeping at night and feeling tired during the day.

Too Hot or Too Cold

Most people associate menopause with hot flashes, but those are usually reserved for the late stages of perimenopause. More often, women feel warm or get chills during this stage of life. Night sweats are among the symptoms everyone should pay attention to, as they may be associated with very serious illnesses and not just menopause.

Hair and Skin Changes

As hormones change, the hair and skin often change, too. These changes can be temporary or permanent. For example, some minor hair loss or thinning of the hair can take place. The skin often changes, becoming dry or causing blemishes as the hormones fluctuate.

Anxious or Depressed

Changes in the chemistry of the brain also take place during perimenopause. This can trigger anxiety and depression, forgetfulness, or lack of attention. Fortunately, women don’t have to suffer from anxiety attacks or bouts of depression. Today’s treatments are effective in balancing mood and helping the brain function better.

Weight Gain

Many women find that gaining weight is much easier during perimenopause. The metabolism shifts along with the hormones. Dietary modifications, such as smaller meals and portions, may help avoid excess weight.

When to See Your Doctor

Dr. Stemmerman encourages women to address any symptoms of perimenopause that interfere with your daily life or sex life. That includes lack of sleep, change in mood, weight gain, loss of interest in sex. Dr. Stemmerman can examine you, talk to you about your symptoms, and create a plan with you to test your hormonal levels and treat your specific symptoms. Contact Infinity Medical Clinic for an appointment to address the challenges of perimenopause, so you can continue an active and healthy lifestyle with fewer disruptions from these symptoms!


It’s no secret that doctors frequently recommend exercise for patients who are experiencing depression and anxiety. But why? What is it about physical movement that helps us mentally and emotionally? Research has demonstrated that physical activity helps improve mood and decreases sleep complaints. In short, when you move your body, it releases endorphins—the feel-good chemicals that are just waiting to be set free. Aerobic exercise raises your heart rate and core body temperature—it is especially good at releasing endorphins.


Self-care gets a lot of attention these days, and for good reason! It’s important, especially if you want to be at 100% for your kids, spouse, and aging parents. If you’re not well, how can you be there when your son breaks an arm or your mom gets sick? Taking care of yourself gives you strength, makes you resilient and happier, and saves time and money. Any time you put into caring for yourself comes back to you in better health and ensures that you can be at your best! Let’s review a few ways self-care benefits you and your family.


After working in the garden and yard, lower back pain can strike you down, causing you to ache for days. You can prevent back pain by practicing good posture while working outside. Whether you’re sitting on the mower or pushing it, digging holes to plant trees, or weeding the vegetable garden, there are several steps you can take to avoid back aches. Last month, we covered the importance of good body mechanics to ensure your spinal health. This month, we expand on that with five specific tips to ease your work in the garden and yard.


Spinal health continues to be one of the most important aspects of your wellbeing. Millions of people experience neck and back pain every day. According to Georgetown University’s Health Policy Institute, back pain is a leading cause of work limitations and one of the costliest conditions in the U.S. People miss work, lose income, and experience pain, which are all great reasons to practice good body mechanics at work and at home.


We all know that carrying excess weight can have negative effects on your long-term health. Plus, being overweight can also damage your confidence and self-image. If you have tried to lose weight on your own with little success, or if your weight goes down, then up and up some more, it may be time to try medical weight loss. Medical weight loss is supported by a physician who examines you and evaluates you for any possible causes of weight gain or excess weight.


Millions of people suffer from seasonal allergies, indoor allergies, and pet allergies. Some find relief from over-the-counter medications. While those medications can help immensely, they merely treat allergy symptoms, often without a physician’s diagnosis. People who have allergy-triggered asthma are among the patients who can benefit the most from allergy treatment. For more effective allergy treatment, a person should be tested for allergies and treated according to those specific allergies. At Infinity Medical Clinic, Dr. Stemmerman performs skin testing to identify allergic triggers and follows it with immunotherapy that is designed specifically for each allergen. The testing and immunotherapy treatment provides convenient access to accurate and effective allergy treatment.


Acne scarring can put a damper on your self-confidence. The scars and red spots from acne leave behind an uneven skin surface and discoloration. This can prompt you to wear heavy makeup, which can cause additional problems for your skin. Instead of fighting your acne scars by covering them up, consider medical cosmetic treatment to improve your skin texture. Chemical peels, Botox, and dermal fillers may be options for treating acne scars. With a personalized consultation from Dr. Stemmerman, you can be on your way to improving your skin and your confidence!


Are you concerned about the depth of frown lines, forehead lines and squint lines on your face? If so, you may want to look into Botox Cosmetic treatments. Botox smooths out fine lines with noticeable results that last for several months—and all with a few injections near the troublesome areas. Dr. Stemmerman has received extensive training in providing Botox treatments to patients. Many people ask her what they can expect when getting Botox treatments to reduce the appearance of facial lines. If you’re interested in Botox, learn more from this blog post and make an appointment for a personalized consultation.


Okay, ladies, let’s talk breast cancer screening! According to, approximately 1 in 8 women will develop invasive breast cancer during her lifetime. As you age, your risk for breast cancer increases, and you may also have a family history of breast cancer. But it isn’t all grim because mammograms are here to provide the gold standard for early breast cancer detection. Early detection of breast cancer results in better treatment outcomes, so you should discuss your screening options and family history with Dr. Stemmerman to develop a plan for your mammograms.

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