Naturopathic and Functional Medicine Doctor in Pleasant Hill, CA

Perimenopause Care

Functional & Naturopathic Medicine for Early Hormonal Transition

Pleasant Hill, CA | Virtual Care Available Throughout California

At Salus Natural Medicine, we specialize in helping women navigate perimenopause, the often-overlooked hormonal transition that can begin years before menopause and significantly impact quality of life.
Led by Dr. Jenny Root, ND, our practice provides functional and naturopathic medicine care for women experiencing hormonal changes that are frequently dismissed, misdiagnosed, or minimized.
We serve patients in Pleasant Hill, Walnut Creek, and throughout California through in-person and virtual consultations.

Table of Contents

What Is Perimenopause?

Perimenopause is the transitional phase leading up to menopause, often beginning in a woman’s late 30s or early 40s. During this time, hormone levels — particularly progesterone and estrogen — fluctuate unpredictably.
Unlike menopause, perimenopause is characterized by hormonal variability, not deficiency — which is why symptoms can feel confusing and inconsistent.

Common Symptoms of Perimenopause

Perimenopause symptoms vary widely and may come and go. Common experiences include:
  • Irregular, heavy, or skipped periods
  • Worsening PMS
  • Anxiety, irritability, or mood swings
  • Sleep disruption
  • Brain fog or memory changes
  • New or worsening migraines
  • Weight gain or weight-loss resistance
  • Increased stress sensitivity
  • Changes in libido
Change in libido is a common symptom of perimenopause
Many women are told they are “too young” for perimenopause, despite clear symptom patterns.

Why Perimenopause Is Often Missed

Perimenopause is frequently under-recognized because:
  • Hormone levels may appear “normal” on standard labs
  • Symptoms fluctuate rather than remain constant
  • Care is often symptom-focused rather than systems-based
  • Women are told symptoms are due to stress or aging
At Salus Natural Medicine, we recognize perimenopause as a real, biologically meaningful transition that deserves skilled medical support.

Our Functional & Naturopathic Approach to Perimenopause

1. Hormone Pattern Evaluation

We assess:
  • Estrogen and progesterone dynamics
  • Androgen balance
  • Thyroid function
  • Cortisol and stress response
We look for patterns over time, not single lab values.

2. Addressing Amplifiers of Symptoms

Hormonal fluctuations are often worsened by:
  • Blood sugar instability
  • Chronic stress
  • Poor sleep
  • Inflammation
  • Gut and liver function challenges
Chronic Stress is an aplifier of perimenopause symptoms
Supporting these systems often improves hormone tolerance.

3. Individualized Support Strategies

Care may include:
  • Nutritional and metabolic support
  • Botanical medicine
  • Micronutrient optimization
  • Stress physiology support
  • Sleep and circadian rhythm alignment
Sleep and circadian rhythm alignment
Hormone therapy may be considered in select cases, but is never the default.

In-Person & Virtual Perimenopause Care

In-Person Appointments

Pleasant Hill, CA

Virtual Consultations

Available throughout California

Virtual care allows consistent, supportive follow-up without added stress.

Is Perimenopause Care Right for You?

  • Your cycles have changed and symptoms are emerging
  • PMS has worsened
  • Anxiety, sleep, or weight feel harder to manage
  • You feel dismissed or confused by current care
  • You want proactive, root-cause support

Frequently Asked Questions

Can perimenopause start before age 45?
Yes. Many women experience symptoms in their late 30s or early 40s.
No. Symptoms often precede measurable lab changes.
Yes — virtual visits are available throughout California.

Begin Perimenopause Care With Support

If you are ready for a thoughtful, integrative approach to supporting perimenopause symptoms, we invite you to work with us.

Serving Pleasant Hill, Walnut Creek, and Women Across California