Hormone testing

Cracking the Code: How Hormone Testing Unlocks the Mysteries of Perimenopause

October 16, 2024•4 min read

✨ Perimenopause Power Moves: Transform Your Hormones and Health! ✨
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Cracking the Code: How Hormone Testing Unlocks the Mysteries of Perimenopause

“Many will argue that menopause is a natural process and we should just let it take its course and allow our bodies to do what they’re supposed to do. My response is that yes, the process is natural, but that doesn’t mean that it is not harmful.”

― Mary Claire Haver, The New Menopause: Navigating Your Path Through Hormonal Change with Purpose, Power, and Facts

Unlocking the Mystery: How Hormones Shape Your Perimenopause Experience

The signs of hormonal imbalance can be subtle—or hit like a tidal wave. One moment, you’re thriving; the next, you’re battling insomnia, unexplained weight gain, mood swings, and irregular cycles. These aren’t just random symptoms; they’re clues.

For me, the answer came through hormone testing, revealing that I had estrogen dominance—a common yet misunderstood condition. This insight became my roadmap for navigating perimenopause with clarity and confidence.

Decoding Estrogen Dominance: The Silent Disruptor

What Is Estrogen Dominance?

Estrogen dominance happens when estrogen levels outweigh progesterone levels. During perimenopause, estrogen’s unpredictable rise and fall often outpaces progesterone’s steady decline, leading to hormonal imbalance.

⭐Some experts prefer to call this an estrogen-progesterone imbalance rather than "estrogen dominance," since perimenopause involves fluctuating hormones rather than an absolute excess of estrogen. But when my doctor reviewed my hormone test results, they used the term estrogen dominance because my estrogen levels were high compared to progesterone. No matter what you call it, the symptoms—heavy periods, bloating, mood swings, and stubborn weight gain—are very real.

Common Symptoms of Estrogen Dominance

  • Heavy or irregular periods

  • Bloating and fluid retention

  • Mood swings and heightened anxiety

  • Breast tenderness

  • Sleep disturbances

  • Stubborn midsection weight gain

For me, understanding the “what” was only half the battle. The real game-changer came when I discovered the “why.” With my hormone test results in hand, my healthcare provider and I tailored a personalized approach—bioidentical progesterone, lifestyle shifts, and strategic self-care. The difference? Night and day.

The Science of Hormone Testing: Your Body’s Blueprint

Hormone testing is like a snapshot of your body’s inner workings. Whether through blood tests, saliva tests, or urine tests, these diagnostic tools can measure key hormones like:


✅ Estrogen (estradiol, estrone, estriol)
✅ Progesterone
✅ FSH (follicle-stimulating hormone) – a key marker of perimenopause
✅ Cortisol and DHEA – crucial for stress and energy levels
✅ Thyroid hormones (TSH, T3, T4) – often linked to perimenopausal symptoms

Why Hormone Testing Matters

  • Confirms perimenopause by detecting shifts in FSH and estrogen levels

  • Pinpoints imbalances, like low progesterone or high estrogen

  • Guides hormone therapy by ensuring proper dosage and balance

  • Monitors progress of any treatments or lifestyle changes

This is why tracking trends over time is just as crucial as a one-time test.

Is Hormone Testing Right for You?

The truth? Not every woman needs hormone testing. Many healthcare providers diagnose perimenopause based on symptoms alone—hot flashes, irregular cycles, and mood swings often provide enough clues.

But You Might Benefit from Hormone Testing If…

✔ Your symptoms don’t add up. Unexplained heavy bleeding, extreme fatigue, or rapid weight gain might indicate a deeper issue.
✔ You’re considering hormone therapy. Testing establishes a baseline for customized hormone replacement therapy (HRT).
✔ You have fertility concerns. AMH (anti-Müllerian hormone) testing can assess egg supply and reproductive health.
✔ You’re experiencing early menopause. If menopause-like symptoms hit before age 40, testing can confirm or rule out early menopause.

Hormone Testing: Myth vs. Reality?

🚫 Myth: "Hormone tests give all the answers."
✅ Reality: Hormones fluctuate. One test won’t tell the whole story, which is why tracking changes over time and listening to your body is key.

How to Advocate for Your Health

Perimenopause isn’t just a phase—it’s an invitation to understand your body like never before. Whether or not you choose hormone testing, here’s how to take charge:

📝 Track Your Symptoms – Keep a journal of your cycles, moods, and physical changes.
💬 Ask the Right Questions – If your provider suggests hormone testing, ask why and how the results will guide treatment.
🎯 Personalize Your Approach – There’s no one-size-fits-all. What works for your friend might not work for you.

Trust the Process, Trust Yourself

Navigating perimenopause can feel like a rollercoaster—but you’re in the driver’s seat. Hormone testing is just one tool in your arsenal for self-care and empowerment.

You have the power to ask questions, seek answers, and step into this new phase with confidence. Trust your instincts. Trust your journey. And remember—you are not alone.

Hormonally Yours,

Kimberlee Erin

✨ Perimenopause Power Moves: Transform Your Hormones and Health! ✨
Grab your free guide PLUS RECIPES today!
👉 Download Now!

Just a heads-up: I’m a Certified Menopause Coaching Specialist and Holistic Nutritionist, and while I love sharing what’s worked for me and my clients, this blog is for informational purposes only. It’s not a substitute for medical advice. Always check in with your healthcare provider before starting new supplements, hormones, or treatments—especially since every woman’s perimenopause journey is different. You deserve personalized care that truly fits you.

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