Dr. Emily Delpero is an Obstetrician Gynecologist who focuses on women’s health, vulvar skin disorders, and menopause management. Welcome to Ask Dr. Emily, where we are tackling some of the most common questions about menopause and perimenopause, including how to navigate symptoms and options.
1. “I think I’m having menopausal symptoms but I’m still getting my period. Is this normal?”
Absolutely, this is normal—and you’re not alone! Many women are surprised to realize that symptoms like hot flashes, mood swings, trouble sleeping, and even brain fog can start before your periods stop. This phase is called perimenopause, and it’s the transition leading up to menopause (which is officially defined as 12 months without a period).
During perimenopause, your body’s production of estrogen and progesterone starts to fluctuate unpredictably. This hormonal roller coaster can cause all kinds of changes:
- Irregular periods: Your cycles might get longer or shorter and your flow could be heavier or lighter. You might even start to skip a month or more at a time leading up to your final period.
- Hot flashes and night sweats: These are classic symptoms and they can range from mild to intense.
- Sleep problems: Trouble falling or staying asleep is common, often due to night sweats, general restlessness, or changes in mood.
- Mood changes: Anxiety, irritability or low mood can appear, sometimes out of the blue.
- Vaginal dryness and discomfort: Changes related to low estrogen can make sex less enjoyable (even painful) and lead to more urinary tract infections.
- Brain fog: Trouble concentrating or remembering things is a real thing. It’s very frustrating but also common, and it does not mean early dementia.
So, yes—you can absolutely have menopausal symptoms even if you’re still getting your period. In fact, irregular periods are often the first sign that perimenopause is beginning.
If your symptoms are bothering you, or if you’re worried about the changes you’re experiencing, it’s always a good idea to check in with a healthcare provider. They can help you rule out other causes and make sure you’re on the right track.
2. Do I have options for managing menopause without seeing an OBGYN in person?
Great question! The short answer is yes, you have plenty of options depending on your health status and medical history.
Virtual Care and Specialized Clinics
Many clinics and services offer virtual visits with trained menopause specialists, where you can discuss your symptoms, get personalized advice, and even hormone therapy if it’s right for you. Make sure your healthcare provider has education and training in menopause care. Not every self-deemed menopause specialist is equipped to offer evidence-based, safe care.
Get virtual visits with trained menopause specialists at Bravella Health.
Self-Management and Lifestyle Changes
There are also many things you can do on your own to help manage symptoms such as:
- Exercise: Regular physical activity can help with sleep, mood, and even hot flashes, according to HealthDirect Australia.
- Healthy Eating: A diet rich in fruits, vegetables, and whole grains, with plenty of calcium and vitamin D, can support bone, heart, and overall well-being, according to Mayo Clinic.
- Stress Reduction: Techniques like meditation, yoga and paced breathing can help with anxiety and sleep.
Non-Hormonal Therapies
If you’re not interested in hormone therapy, there are other options such as:
- Cognitive Behavioral Therapy (CBT): This can help with mood swings, anxiety, and even hot flashes by changing how you think and react to symptoms.
- Medications: Certain antidepressants, gabapentin, and other non-hormonal medications can be effective for hot flashes and mood symptoms, according to Mayo Clinic.
Explore our care services at Bravella Health – Menopause Relief and Treatment Program.
Herbal and Complementary Therapies
While some women find relief with herbal supplements, the evidence for their effectiveness is mixed, and they can have side effects. Always check with a healthcare provider before starting any new supplement.
3. Why is Bravella Health a great option for some women?
Herbal and Complementary Therapies
Bravella Health is a great choice for women in Ontario who are tired of cutting through the confusion and misinformation that often surrounds menopause and perimenopause and are interested in individualized care. Here’s why:
Personalized, Expert Care
Bravella Health offers a multidisciplinary approach to menopause care. You’ll have access to a team of clinicians, dietitians, and counsellors—all working together to create a personalized plan that addresses your unique needs. This holistic approach means you get support for your physical, emotional, and nutritional health, not just a quick prescription.
Virtual and Convenient
Bravella is a virtual service, so you can access expert care from anywhere. Whether you’re at home, at work, or on the go, you can connect with your care team through regular virtual visits and check-ins. This is especially valuable if you have a busy schedule or trouble accessing appropriate care. This kind of timely, responsive care can make a huge difference when you’re dealing with unpredictable symptoms.
Connect with our care team at Bravella Health – Book A Free Consultation.
Personalised Care Model
Bravella provides elevated, highly responsive care and accepts insurance, which means you get more time and attention from your providers. You’ll have a personalized profile, a structured, evidence-based program, and a clear plan for what’s next. This model is perfect for women who are frustrated and want a collaborative, proactive approach to their health.
4. Why did you decide to focus on women’s health?
I love working with this part of the population. My patients are resilient and courageous. Helping them continue to contribute and use their gifts is a very rewarding experience.
Final Thoughts
Menopause and perimenopause can be a challenging time, but you don’t have to go through it alone. Whether you choose traditional care, lifestyle changes, or a carefully curated, supportive service like Bravella Health, there are plenty of options to help you feel your best. Remember, every woman’s experience is unique. The most important thing is to find a care team that listens to you, supports you, and helps you navigate this transition with confidence.
– Dr. Emily