When estrogen levels shift, it can cause changes that make you and your body feel out of sync. Hers can help you feel relief from your symptoms and start feeling like yourself again with access to treatment plans that are tailored to you and include clinically prescribed options and 100% online care that works on your terms.
Your hormones can start to fluctuate years before your period fully stops in a phase called perimenopause. The result? Mood swings, sleepless nights, brain fog, and the feeling that something’s just not right. Getting support helps you stay in control.
Declining estrogen levels can throw off your cycle, energy, and more—but it’s not your new normal. Treatment plans through Hers are designed to gently restore your levels and bring everything back into balance.
The hormones in birth control are primarily used to prevent pregnancy by overriding your cycle; in perimenopause treatment they replenish declining levels to provide symptom relief.
Get ahead of what’s next. Find relief from your symptoms with care from providers trained in women’s health.
No one-size-fits-all solutions, just one kit with three potential parts for holistic support. After reviewing your intake, a provider will prescribe the combination that’s right for you, if you’re eligible.
1. Based on separate randomized, placebo-controlled clinical trials of oral estradiol and estradiol patches in postmenopausal women that each found a reduction in hot flashes. Source.
2. Progesterone is for menopausal women with a uterus who are taking estrogen hormone replacement therapy. Progesterone helps protect the uterine lining. It is not independently approved for treating the symptoms of menopause. Source
3. In a meta-analysis of randomized clinical trials, oral micronized progesterone was shown to improve sleep quality in postmenopausal women by helping them fall asleep faster compared to placebo. Source.
4. In multiple randomized controlled trials, including a double-blind study of postmenopausal women, estradiol vaginal cream was shown to significantly improve vaginal dryness, itching, and irritation, and thinning of the vaginal lining. Source.
Hormone replacement therapies are not FDA-approved for the treatment of perimenopause but may be prescribed off-label for perimenopausal symptoms at a provider’s discretion.
Dr. Shepherd is a board certified OB/GYN, published author, and women’s health expert who has spent her career advocating for women’s health and education.
"You’re allowed to take up space, to take time, to ask again, to say you’re not okay. Having a good health team is what you deserve. You don’t have to ask for permission when you’re collaborating on your health.”
Conditions guide
Education hub
Blog
What is perimenopause?
Perimenopause is the transitional phase leading up to menopause when hormone levels begin to fluctuate and decline and menstrual cycles become irregular.
When does perimenopause start?
Perimenopause often begins in your 40s but can start as early as the mid-30s. Every person’s timeline is different.
How long does perimenopause last?
On average, perimenopause lasts 4–6 years before menopause.
What are the first signs of perimenopause?
The earliest signs of perimenopause often include irregular periods, hot flashes, mood swings, sleep disruptions, and changes in menstrual flow.
What are the common symptoms of perimenopause?
Common symptoms of perimenopause include night sweats, brain fog, vaginal dryness, decreased fertility, and weight changes, in addition to irregular cycles.
Can you get pregnant during perimenopause?
Yes. Ovulation can still occur during perimenopause, even with irregular cycles, so pregnancy is still possible. Birth control may be needed until menopause is reached, so we encourage you to consult with your women’s health or primary care provider.
How do you test for perimenopause?
While there isn’t a single test to determine or diagnose perimenopause, certain lab tests may provide helpful insights. However, a healthcare provider should review your symptom severity and medical history to see if treatment is right for you.
Is spotting during perimenopause normal?
Light spotting during perimenopause, even just when wiping, can be common due to hormonal fluctuations. However, heavy bleeding or unusual patterns should always be checked by a provider.
Is weight gain a symptom of perimenopause?
Weight gain isn’t caused by perimenopause alone, but hormonal changes can shift fat storage, especially around the belly. Aging, metabolism, and lifestyle also play a role.
What is the difference between perimenopause and menopause?
Perimenopause is the lead-up to menopause. Menopause is a point in time that’s reached once you’ve gone 12 consecutive months without a period.
Is insurance required?
Insurance isn’t required, so there are no complicated insurance questions or health insurance plan considerations.
