Perimenopause at Evoke

Changes in your 30s and 40s

It’s not you, it's your hormones!

• Estrogen becomes erratic — sometimes high, sometimes low, often unpredictable.

• Progesterone steadily declines — due to fewer ovulations.

• Testosterone may also decline — contributing to changes in mood, energy, & libido

Thyroid function can slow down — leading to subtle shifts in metabolism, energy, weight regulation, and mental clarity.

Common symptoms that are often hormone related:

Metabolic Changes

• Weight gain, especially around the abdomen

• Increased insulin resistance

• Slower metabolism

• Changes in cholesterol or blood sugar levels

Emotional & Psychological Shifts

• Feeling more sensitive or overwhelmed

• Less tolerance for stress

• Grief-like feelings over life transitions

Skin, Hair & Tissue Changes

• Vaginal dryness or discomfort

• Decreased libido

• Thinning skin or hair

• Joint aches or stiffness

Sleep Disruptions

• Difficulty falling or staying asleep

• Waking up at 2–4 a.m.

• Restless or poor-quality sleep

Cycle & Period Changes

• Irregular periods (shorter or longer cycles)

• Heavier or lighter bleeding

• Skipped periods

• Shortened luteal phase

Temperature Regulation

• Hot flashes

• Night sweats

• Feeling flushed or chilled randomly

Mood & Cognitive Changes

• Increased anxiety or irritability

• Mood swings

• Depression or emotional sensitivity

• Brain fog or memory lapses

Hormonal changes are a natural part of aging — but they don’t have to define how you feel.

Understanding these shifts is the first step toward reclaiming your energy, strength, and balance.

If these symptoms sound like you, your hormones may be the culprit.

At EVOKE, we offer more than just treatment—we provide attentive and personalized care to help uncover the root cause of your symptoms and support you through every stage of hormonal change. Contact us to learn more!