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At Bloom Aesthetics & Wellness, we see many women who come in saying the same thing:
“I don’t feel like myself anymore.”
Energy is lower. Sleep feels impossible. Weight suddenly won’t budge. Moods feel unpredictable. Focus is harder. And yet, they’re often told everything looks “normal.”
For many women, this is perimenopause.
Located in Frederick, we specialize in personalized, root-cause care to help women understand what’s happening in their bodies and restore balance during this important transition.
What Is Perimenopause?
Perimenopause is the hormonal transition phase that occurs before menopause. It can begin in your late 30s or early 40s and lasts several years until you reach menopause.
During this time, estrogen, progesterone, and testosterone fluctuate — sometimes dramatically. These shifts affect nearly every system in the body, including metabolism, brain chemistry, sleep cycles, and stress response.
Unlike menopause, periods may still occur during perimenopause, but cycles often become irregular or unpredictable.
Common Symptoms of Perimenopause
Perimenopause looks different for every woman, but common symptoms include:
• Fatigue and low energy
• Brain fog and poor concentration
• Anxiety or mood changes
• Difficulty sleeping
• Weight gain or increased belly fat
• Irregular periods
• Hot flashes or night sweats
• Low libido
• Changes in skin and hair
• Increased stress sensitivity
Many women are surprised by how early these symptoms begin — and how disruptive they can feel.
Why You May Feel “Off” Even When Labs Look Normal
Traditional medicine often relies on single lab values taken on one day. But during perimenopause, hormones fluctuate constantly. A “normal” result doesn’t always reflect how your body is functioning over time.
Perimenopause is less about one number and more about patterns, symptoms, and how your systems are interacting.
That’s why many women are told nothing is wrong — even though they clearly don’t feel right.
Our Approach to Perimenopause Care
At Bloom Aesthetics & Wellness, we take a personalized, systems-based approach.
Your care begins with a comprehensive consultation where we review symptoms, cycle changes, energy levels, sleep quality, stress, weight history, and lifestyle factors.
We use advanced lab testing when appropriate to evaluate hormones, thyroid function, metabolic markers, and nutrient status. These results help guide individualized care rather than generic recommendations.
From there, we build a customized plan that may include:
• Hormone optimization when indicated
• Nutritional and lifestyle support
• Medical weight management strategies
• Peptide therapy
• IV nutrient support
• Stress and sleep optimization
Everything is tailored to your body and your goals.
This is not one-size-fits-all medicine. This is precision wellness.
Why Addressing Perimenopause Early Matters
Perimenopause isn’t just about managing symptoms — it’s about protecting long-term health.
Unchecked hormonal imbalance can contribute to:
• Metabolic slowdown
• Muscle loss
• Bone density decline
• Increased cardiovascular risk
• Chronic fatigue and burnout
Supporting your hormones early helps preserve strength, energy, mental clarity, and overall vitality as you move forward.
Who Is Perimenopause Care For?
Perimenopause support may be ideal for women who:
• Feel tired, foggy, or emotionally off
• Struggle with sleep or weight changes
• Notice cycle irregularities
• Experience mood shifts or anxiety
• Want a proactive approach to aging
• Prefer personalized, medical-grade care
A consultation is required to determine the best approach for your individual needs.
Start Your Perimenopause Wellness Journey
Perimenopause doesn’t have to feel confusing or overwhelming.
With the right support, this phase can become an opportunity to reset your health, restore balance, and feel strong again.
If you’re ready to understand your hormones and take control of how you feel, we’re here to help.
Schedule your consultation today and take the first step toward feeling like yourself again.