Understanding Perimenopause: What’s Really Happening

A time of change that deserves more conversation

Perimenopause is a natural stage of life, yet many women find themselves unprepared for the changes it brings. Irregular cycles, sleep disruption, weight fluctuations, mood swings, and hot flushes are often brushed aside as “just part of getting older.”

At The Herbary, we believe you deserve more than reassurance that it is “normal.” You deserve support, clarity, and a plan that helps you navigate this transition with confidence and care.

What is perimenopause?

Perimenopause is the period leading up to menopause, when hormone levels — especially oestrogen and progesterone — begin to fluctuate. This stage can last anywhere from four to ten years, often starting in a woman’s 40s but sometimes earlier.

These hormonal shifts affect not only your menstrual cycle but also your sleep, mood, energy, and metabolism. Recognising the signs early allows you to take steps that support balance and ease.

Woman cycling along a tree-lined path, representing movement, vitality, and holistic wellbeing supported through naturopathic care at The Herbary in Pukekohe, Auckland.

Common signs and symptoms

Every woman’s experience is unique, but the most common signs of perimenopause include:

  • Irregular or heavier periods

  • Hot flushes and night sweats

  • Sleep difficulties

  • Mood swings, anxiety, or irritability

  • Weight gain or changes in metabolism

  • Brain fog and memory lapses

  • Vaginal dryness or discomfort

While these symptoms are common, they are not something you need to simply endure. With the right support, this stage of life can become an empowering transition rather than a struggle.

Why support matters

Hormonal changes ripple through every system in the body. When they are not managed well, they can affect digestion, cardiovascular health, bone strength, and emotional wellbeing.

Support during perimenopause helps you:

  • Sleep more deeply and wake feeling refreshed

  • Stabilise mood and reduce anxiety

  • Improve energy and mental clarity

  • Manage weight and metabolism

  • Feel more comfortable and confident in your body

Natural strategies for balance

Herbal medicine

Herbs such as black cohosh, sage, and red clover are often used to ease hot flushes, while adaptogens like ashwagandha can support stress resilience. At The Herbary, custom blends are created to suit your unique picture.

Nutrition

Food plays a vital role in balancing hormones. A diet rich in fibre, wholefoods, and phytoestrogens (plant compounds that gently mimic oestrogen) can support smoother transitions. For some clients, structured programs like Metabolic Balance® offer additional guidance in stabilising metabolism and weight.

Lifestyle

Movement, relaxation practices, and sleep hygiene all contribute to hormone regulation. Gentle exercise such as walking, yoga, or Pilates can support both physical and emotional balance.

Why choose The Herbary

Perimenopause is not just about managing symptoms. It is about supporting the whole woman — physically, emotionally, and mentally. At The Herbary, we:

  • Take time to listen to your full story

  • Create personalised plans that address root causes

  • Offer herbal blends and nutritional support tailored to your needs

  • Provide a safe, compassionate space where you feel understood

Take the next step

If you are experiencing the changes of perimenopause and want support that is natural, personalised, and grounded in care, we are here to help.

Book a Consultation
Or learn more about our Metabolic Balance® Program



Perimenopause is a chapter of transition, not decline. With the right tools and support, it can be a time of empowerment and renewal. At The Herbary, we walk alongside you with knowledge, compassion, and natural solutions that help you embrace this season of life with confidence.

Have you started noticing the signs of perimenopause? Share your experience in the comments or explore more articles on the Herbary Blog.

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