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Menopause and You: Belmar Pharma Solutions Explains Why Hormones Aren’t Linear  

February 2, 2023
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If you’re a woman nearing menopausal age, there is likely one question at the forefront of your mind. 

What exactly should I expect? 

And if you’re already going through menopause, you’re probably wondering:

When will my symptoms go away?

The truth is that the change is personal and may be different for each person. Let’s take a quick poll.

Raise your hand if you’ve ever experienced this:

  • Hot flashes that make you feel like you’re on fire
  • Insomnia that seems impossible to shake no matter how many sheep you count
  • Night sweats that make you feel like your bedroom is a sauna 

Chances are you may have experienced all, some, or even none of these symptoms — which proves our point that menopause symptoms aren’t one size fits all.

Trying to find your way through the winding road of menopause can be hard and frustrating. Your body will go through many changes, and as the phases of menopause progress, managing the symptoms will need to evolve as well. 

We are here for you — to be your menopausal GPS so we can help you navigate the everydayness of this new adventure and show you what’s available to make your road traveled a little less bumpy. 

The Stages of Menopause

Menopause marks the end of female reproduction and includes three phrases:

  • Perimenopause – Perimenopause is the period leading up to full menopause, as the ovaries gradually reduce estrogen production. It usually starts in a woman’s 40s, although it might begin as early as her 30s. The average duration for perimenopause is four years, but it can vary from a few months to as long as 10 years! 
  • Menopause – The natural change that occurs in a woman’s life when her menstrual periods end, usually in her late 40s to early 50s, is known as menopause. The ovaries have stopped releasing eggs and are now producing less hormones[VL2] \
  • Postmenopause – This stage occurs after you’ve been without a period for a year. Menopausal symptoms, like hot flashes, become less severe or go away during this phase. 

As you can see, there may be several years between each stage, or it could happen very quickly — it all depends on your body and genetics! 

Understanding Your Symptoms 

As you get closer to menopause, your hormones will begin to fluctuate, which may lead to the following symptoms: 

  • Hot flashes – These can be a sudden, intense warmth that spreads up your chest and neck and into the face. You may also feel flushed or sweat profusely. Hot flashes are often accompanied by night sweats.
  • Night sweats – Waking up in the middle of the night drenched with sweat is common during premenopause, perimenopause and menopause. 
  • Insomnia or trouble sleeping – As menopause takes hold, you might find it harder to fall asleep or stay asleep. You may experience more hot flashes in the evening, which can cause you to wake up in the middle of the night and not be able to get back to sleep.
  • Emotional changes – This may include anger, anxiety, depression, irritability and lack of motivation. 

When To See a Doctor 

It’s important to consult with a doctor[VL3]  if you think menopause is happening to you or you have been experiencing symptoms. You can get a blood test that will help determine whether menopause has begun in your body. Because hormone levels widely fluctuate during this period, these tests should be done a few times a year. 

The first step in diagnosing menopause is having a conversation with your doctor about your menstrual cycle. If you’ve gone an entire year without a period, they can perform the necessary tests to determine why. 

The Benefits of BHRT

To help relieve some of the menopausal symptoms you may be experiencing, your doctor may prescribe BHRT, which uses “bioidentical hormones” to supplement the body’s natural supply when hormone levels are low or imbalanced[VL4] . Studies show that hormone replacement therapy is highly beneficial when given to symptomatic women within five to 10 years of menopause

BHRT may help: 

  • Lessen hot flashes and night sweats
  • Improve sleep
  • Stabilize your mood
  • Improve anxiety and depression
  • And more

Your needs may change as you progress through menopause, and it’s important to keep this in mind when choosing your BHRT plan. One size does not fit all! This is why it’s so important to see your doctor regularly so you both can catch changes as they happen and modify your BHRT plan as needed. And don’t hesitate to contact your doctor if you feel BHRT isn’t working because this partnership is important for your menopausal journey. 

Your doctor’s prescription can be filled at compounding pharmacies[VL5]  like Belmar Pharma Solutions, which can combine, remix or change a standard medication’s active ingredients and additives to customize it for your specific needs.

It’s important to remember hormone replacement therapy isn’t linear. There can be lots of twists and turns. But you don’t have to go through it alone. Your doctor can help you manage your menopausal symptoms and provide the best BHRT option for you. And remember, we’ve got your back with the latest and most accurate information so you can make the right decision.


Dr. Angela DeRosa

DO, MBA, CPE Medical Director at Belmar Pharma Solutions & Founder of Hormonal Health Institute Dr. DeRosa built her career specializing in women's health and championing the need for a greater understanding for hormonal health, especially, as it pertains to menopausal women. In addition to being a respected, internationally recognized authority on women’s hormonal health, Dr. DeRosa understands the range of health issues women face leading up to and during menopause as she herself was in full-blown menopause by the age of 35. A hormonal health pioneer, her career has spanned over twenty years with experience including a practicing physician, best-selling author, and international speaker on women’s health issues (Read her LinkedIn bio). Angela is also super-fun, an avid cat lover, scratch golfer, boater, and bestie to many making her an ideal Wing Woman. Angela’s Wing Women Triple Play Q. If your life had a mantra what would it be? GO BIG OR GO HOME!!!   Always shoot for the stars, if you don’t succeed, you will likely go higher than most. Q If you were a color, what color would you be?  TANGERINE (HOT, ELECTRIC) ORANGE.  Fiery and brilliant. 😊 Not subtle but respectable. Q. What is your attitude about aging? We are all going to age, but I am not going quietly into the night. We should give our bodies the tools to stay optimized and healthy and then let God decide when my ticket is up. Angela lives in Scottsdale, spends time in TN near family, and travels as much as she can whenever she can.