Menopause 101:

Understanding the Shift from Perimenopause to Menopause

 

By

Dr. Gabrielle Francis

 

 

Introduction: 

 

Are you starting to notice changes in your cycle, mood, or energy—and wondering if it might be Perimenopause? You’re not alone, and you’re not imagining things.

In this first episode of Empowered Menopause: A Naturopathic Guide to the Midlife Transformation, Dr. Gabrielle Francis, Naturopathic Functional Medicine Doctor, breaks down what Perimenopause and Menopause actually are. She explains the hormonal shifts taking place and how your Adrenal and Thyroid glands step in to support hormone balance in midlife.

This foundational blog post will walk you through key points of the episode and highlight what you need to know to feel more confident and supported through this change.

What Is Menopause and Why Does It Happen?

 

Menopause is a natural biological process that marks the end of a woman's reproductive years. It is officially diagnosed when a woman has gone 12 consecutive months without a menstrual period. This typically happens between ages 45 and 55, with the average age around 51.

The years leading up to menopause are known as Perimenopause. During this time, hormone levels—especially estrogen and progesterone—begin to fluctuate unpredictably. This hormonal rollercoaster can last anywhere from 4 to 10 years and is often when most symptoms begin.

Understanding the Menstrual Cycle in Perimenopause

 

Dr. Gabrielle Francis explains how the menstrual cycle begins to change during Perimenopause. Ovulation may become irregular or absent, and periods may become heavier, lighter, shorter, or longer. These fluctuations are caused by inconsistent estrogen and progesterone production.

Common symptoms during this time include:

• Irregular menstrual cycles
• Mood swings or irritability
• Fatigue
• Sleep disturbances
• Anxiety or depression
• Hot flashes or night sweats

Many women feel confused or overwhelmed during Perimenopause because the changes seem to come out of nowhere. But the more you understand what's happening, the more empowered you'll be to respond with self-care, lifestyle adjustments, and appropriate support.

Where do Hormones come from after Menopause?

 

One of the most important takeaways from this episode is that your body doesn’t stop producing hormones completely after menopause. Instead, the Adrenal glands and Thyroid step in to play a more significant role.

The Adrenal glands produce small amounts of estrogen, progesterone, and DHEA. The Thyroid plays a major role in metabolism, mood, and energy regulation. If these glands are overworked or under-functioning, menopause symptoms may become more intense or prolonged.

Supporting your Adrenals and Thyroid through:

• Whole-food nutrition
• Stress reduction techniques
• Adequate rest and recovery
• Targeted supplements (under professional guidance)

can make a significant difference in how you feel during and after the transition.

Hormonal Balance vs. Imbalance

 

Dr. Francis emphasizes the importance of identifying whether your symptoms are the result of natural hormonal shifts or a deeper imbalance that needs attention. While some discomfort is expected, intense or disruptive symptoms could point to:

• Thyroid dysfunction (hypothyroidism or Hashimoto's)
• Adrenal fatigue or dysregulation
• Blood sugar imbalances
• Nutritional deficiencies

This is why testing is so valuable. Getting a clear picture of your hormone, thyroid, and adrenal function can help guide effective and personalized treatment plans.

Takeaway: Midlife Is Not a Breakdown—It’s a Rebirth

 

This stage of life is a powerful opportunity to reset, refocus, and reclaim your health from a place of wisdom. Menopause is not an ending; it’s a transformation. When you understand your hormones, support your body naturally, and get the right care, you can step into this next chapter with energy, clarity, and confidence.

 

🎥 Watch the full video episode here :

 

 

 

Stay tuned for Episode 2: 

Symptoms of Menopause and Perimenopause:

What’s Normal, What’s Not & What You Can Do Naturally.

 

 

Keywords: Menopause 101, perimenopause symptoms, what is menopause, menopause explained, hormone imbalance, adrenal support, thyroid and menopause, natural menopause solutions, Dr. Gabrielle Francis, Empowered Menopause