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Your first consultation is free.
Perimenopause treatment in Palm Beach Gardens starts with understanding where you are in the transition. At ThinWorks, we listen to your symptoms, review your cycle and health history, and run in-office bloodwork to rule out other causes. Then we build a plan around what you are actually experiencing, so you can feel more like yourself through these years.
All visits, including bloodwork, take place in person at our Palm Beach Gardens clinic on Burns Road.
Perimenopause is the transition leading up to menopause. During these years, the ovaries gradually make less estrogen and progesterone, and hormone levels can swing up and down from month to month. Those swings are behind many of the changes women notice, from irregular periods to hot flashes and poor sleep.
Perimenopause most often begins in a woman’s 40s, though it can start in the late 30s. It typically lasts several years. It ends at menopause, which is defined as 12 months in a row without a period. Women who have had a hysterectomy but kept their ovaries still go through perimenopause, even without periods to track.
Because hormone levels change so much during this time, perimenopause is usually identified by your age, your symptoms, and changes in your cycle rather than by a single blood test. Bloodwork is still useful to rule out other causes, such as thyroid problems.
Perimenopause care is part of the hormone replacement therapy services we offer at ThinWorks.
Every woman’s experience is different. Some notice only small changes, while others find their symptoms disrupt work, sleep, and relationships.
Perimenopause Symptoms to Watch ForCommon signs include:
Benefits of Perimenopause TreatmentWith the right plan, many women report improvements in:
These symptoms can overlap with thyroid conditions, anemia, depression, and other health issues, so an evaluation comes first. If weight is your biggest concern, our medical weight loss program can help alongside hormone care.
When to see a doctor right away: very heavy bleeding, periods closer than 21 days apart, bleeding that lasts much longer than usual, or bleeding after sex. These need prompt evaluation, and we may recommend that you see your gynecologist.
Just as important, many women feel relief simply from understanding what is happening and having a plan for the years ahead. Treatment works best alongside good sleep, nutrition, and regular activity, which our team supports at every visit. Results vary from person to person, and your provider will talk through realistic expectations with you.
Every woman starts with the same three steps before any treatment decision is made.
Free consultation and health history: We talk through your symptoms, your cycle (how often, how long, how heavy), sleep, stress, nutrition, medications, and personal and family medical history, including any history of breast cancer, blood clots, or heart disease. If you track your periods, bring that with you.In-office lab testing: Bloodwork is drawn right here in our office. It helps rule out other causes of your symptoms, such as thyroid problems, and gives a baseline before any treatment. Your initial labs look at key hormone levels along with thyroid function and general health markers.Your personalized plan: Your provider reviews everything with you and explains where you likely are in the transition. Together you decide on next steps, whether that is hormone therapy, lifestyle changes, or watchful waiting with regular check-ins.Because hormone levels can shift from month to month during perimenopause, your plan is reviewed and adjusted as things change.
Your plan depends on your symptoms, your health history, and your goals. Options may include:
Bioidentical hormone pellets. For women whose symptoms are affecting daily life, ThinWorks offers bioidentical hormone pellets. Tiny pellets placed under the skin release hormones steadily over several months, so there is no daily routine to manage. Our page on bioidentical hormone therapy explains what "bioidentical" means, and our page on hormone pellet therapy covers the procedure. Your provider will explain whether pellets are a good fit at your stage of the transition, which hormones they contain, and whether anything else, such as progesterone, is part of your plan.
Lifestyle and symptom support. Sleep habits, nutrition, regular strength training, limiting alcohol, and stress management can ease some symptoms on their own and support any treatment. Our team helps you build these into a plan you can stick with.
Ongoing check-ins. Perimenopause changes over time. Some women start with lifestyle support and move to hormone therapy later, or the other way around. Regular visits let us adjust as you move through the transition.
When your periods stop for good, care continues. Our page on menopause treatment covers what changes after the transition.
If you start hormone therapy, we follow your symptoms and labs over time and adjust your plan when needed. Your provider will set a follow-up schedule based on your treatment and how you are feeling. Tell your provider about any changes between visits, especially new or unusual bleeding, breast tenderness, headaches, swelling, or mood changes. Pellet insertion can also cause temporary soreness or bruising at the site.
Hormone therapy is not right for everyone. If you have a history of certain hormone-sensitive cancers, active blood clots, or specific cardiovascular conditions, we will openly discuss alternative options and work with you to find the safest approach for your health.
One more thing to know: pregnancy is still possible during perimenopause, even when periods are irregular. Hormone therapy is not birth control, so talk with your provider about contraception if pregnancy is a concern.
Your first visit covers your history, symptoms, and cycle, and your bloodwork is drawn here in our office. Once results are in, you meet with your provider to review them and agree on a plan together.
If you start hormone therapy, many women notice changes in sleep, hot flashes, or mood within a few weeks, with fuller effects building over several months. Because perimenopause keeps evolving, your symptoms may shift along the way, and your plan can shift with them.
Results vary, and your plan is reviewed at each visit.
ThinWorks has cared for women in Palm Beach Gardens since 2011. Our medical director, Jaime Snarski, MD, is a board-certified emergency physician who has led the practice’s medical care from the start. Our team also includes Gabrielle Radabaugh, a certified nurse practitioner with a focus on preventive care and patient education. Our providers take the time to listen and build a plan around you. You can meet everyone on our team page.
What women value about our approach:
A free consultation and time to talk through what you are experiencingIn-office bloodwork to rule out other causesA plan that adapts as the transition changesSupport with sleep, nutrition, activity, and weight goals under the same roofA private, welcoming clinic on Burns Road in Palm Beach Gardens
For a broader look at how we care for women’s hormones at every stage, see our page on hormone replacement therapy for women.
The most common early sign is a change in your cycle, such as periods that come closer together, further apart, or with a different flow. Combined with symptoms like hot flashes, poor sleep, or mood changes in your late 30s or 40s, it often points to perimenopause. An evaluation can confirm it and rule out other causes.
Perimenopause is the transition, when hormones fluctuate and periods become irregular. Menopause is the point when you have gone 12 months in a row without a period. Our menopause treatment page covers care after that point.
Your first consultation is free. After that, cost depends on your lab work and the plan you choose. We go over all pricing with you before you start, so there are no surprises.
ThinWorks does not accept insurance for hormone therapy or lab work. We share all costs up front, and payment plans are available, which many patients use for pellet therapy.
For many women, hormone therapy prescribed after a full evaluation and monitored by a qualified provider is an established option for managing symptoms. It is not right for everyone, especially women with a history of certain cancers, blood clots, or heart conditions. Your provider will explain the risks and benefits for you.
It varies widely. For many women it lasts several years, and symptoms can change along the way. Some symptoms, such as hot flashes, may continue for a while after menopause.
Yes. As long as you are still having periods, even irregular ones, pregnancy is possible. Talk with your provider about contraception if pregnancy is a concern.
ThinWorks is located at 2513 Burns Road in Palm Beach Gardens, FL 33410. We see women from Palm Beach Gardens and across northern Palm Beach County. Call (561) 235-0100 to book your free consultation.
(561) 933-9689
