01First Visit
The Foundation ResetBloods, 360 Longevity consultation, 4D assessment, written plan within 24 hours.
Investigated, Then Supported
Menopause & Perimenopause
Not a single event but a transition. Oestrogen, progesterone, and sometimes testosterone shift in ways that affect almost every system in the body.
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Your Concerns
What Is It?
Perimenopause and menopause are not single events but a transition — often beginning in the late 30s or early 40s and continuing into the 50s — during which oestrogen, progesterone, and sometimes testosterone shift in ways that affect almost every system in the body. Hot flushes are the symptom most patients associate with menopause; sleep, mood, weight, skin, joints, and energy are often more clinically interesting. At 23MD Longevity, perimenopausal change is investigated holistically — by Dr Martin Galy — before any treatment is recommended.
Recommended Pathway
Treatments for Menopause & Perimenopause
The treatments our doctors most often recommend for this concern. Your consultation confirms the right combination and sequence for you.
02Hormones · Women
Bioidentical Hormone TherapyFirst-line where bloodwork and clinical picture indicate.
05Diagnostics
Metabolic AssessmentRelevant where the picture includes weight or insulin sensitivity changes. Topical and vaginal therapies discussed at consultation; specific products not advertised here.
Unsure which pathway suits you?
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Common Causes
What Could Be Causing It
Oestrogen Decline
Affects vasomotor stability (hot flushes, night sweats), sleep, mood, skin quality, bone, vaginal health.
Progesterone Decline
Affects sleep, anxiety, mood regulation, cycle changes.
Testosterone Decline
Affects libido, energy, muscle, motivation — relevant in women too, not only men.
Thyroid Interaction
Perimenopausal shifts often unmask subclinical thyroid imbalance.
Cortisol Patterns
Sleep disruption and life-stage stress amplify the picture.
FAQs
Your Questions, Answered
Medically reviewed by Dr Martin Galy, MBChB, GMC-registered on April 2026.
