Think of it as puberty in reverse. As you approach menopause, your hormone levels fluctuate wildly, affecting everything: your menstrual cycle, your sleep, your mood, your weight, your hair, your skin. Many women experience hot flashes during this time.

For women who are still menstruating, or are within one year of their last period, Alloy’s medical director, Dr Sharon Malone, recommends a low dose birth control pill. Regulating your body’s natural estrogen as it fluctuates provides safe and effective relief from symptoms, regulates your cycle, and also protects against serious health issues as you age.

Take a look at the perimenopause options below and make your selection. A menopause-trained physician will review your choices and let you know your best options.