Estradiol Tablet
Oral estrogen therapy prescribed for eligible patients as part of an individualized menopause-care plan.
Women's Health
Perimenopause care, personalized around you.
Changing periods. Poor sleep. Mood shifts. Temperature changes. Low energy. Changes in sexual wellness. You're not alone — and you don't have to just push through it. Get private, provider-guided care designed for your unique needs.
- Private care
- Licensed providers
- Personalized treatment
- Ongoing support
Perimenopause Treatments
Treatment options your provider may consider.
Treatment depends on your symptoms, medical history, and a provider evaluation.
Estradiol Patch
Transdermal estrogen treatment designed to provide consistent estradiol delivery through the skin.
Progesterone Capsules
Helps protect the uterine lining and supports balanced hormone treatment.
Common Symptoms
Perimenopause can feel different for every woman.
Symptoms can be different for everyone and may come and go. Here are some of the most common changes.
Irregular periods
Cycles may become shorter, longer, heavier, lighter, or less predictable.
Hot flashes
Sudden waves of heat, flushing, or sweating.
Night sweats
Heat and sweating that interrupt your rest.
Sleep changes
Trouble falling asleep, staying asleep, or waking rested.
Mood changes
Irritability, anxiety, sadness, or emotional shifts.
Low libido
Changes in desire, arousal, or how intimacy feels.
Vaginal dryness
Dryness or discomfort in daily life or during intimacy.
Brain fog
Difficulty concentrating, recalling words, or staying focused.
Changes in energy
Fatigue that may persist even after a full night of sleep.
You deserve to feel like you
You don't have to just push through it.
Perimenopause can affect your comfort, relationships, sleep, and daily life. Get expert support and effective treatment options so you can feel more like you again.
Start your assessmentEducation
What's changing during perimenopause?
During your reproductive years, estrogen levels follow a relatively predictable monthly pattern — rising, peaking, falling, and resetting. During perimenopause, this pattern becomes erratic. Your ovaries produce estrogen inconsistently — some months more than usual, some months far less. This unpredictability is what makes perimenopause symptoms so variable from week to week and month to month.
Estrogen influences your brain, cardiovascular system, bones, skin, urinary tract, and vaginal tissue. Progesterone also declines during perimenopause, often faster than estrogen. Understanding these changes can help you see them as a specific transition that can be evaluated and, when appropriate, treated.
Hormones shift.
You're still you.
With the right support, this can be a transformative chapter — not just a challenging one.
Personalized Care
Care built around your symptoms — not a template.
Understand what's changing
Discuss your symptoms, health history, and goals with a licensed provider.
Explore personalized treatment
Your provider may recommend medications and lifestyle support based on your needs.
Adjust care as your needs change
Your care can be updated over time as your symptoms and goals evolve.
How It Works
Getting started is simple.
- 1
Tell us what you're experiencing
Complete a private online assessment.
- 2
Meet with a licensed provider
Review your assessment and discuss your options.
- 3
Receive your personalized care plan
Get treatment recommendations if appropriate.
- 4
Continue with follow-up care
Ongoing support helps you feel your best.
Medical Care You Can Trust
Care backed by experienced medical professionals.
Your provider reviews your health history, symptoms, and goals before recommending treatment when appropriate.
Medical team members trained at
Verified clinician affiliations will be published after credential review.
Why Graceland Wellness
More support for what matters to you.
Private online care
Your health, your privacy.
Meet with providers
Expert, compassionate care.
Personalized treatment
Care tailored to your needs.
Convenient access
Care from home, on your schedule.
Ongoing support
We're here for your journey.
Discreet delivery
Medications shipped when prescribed.
Frequently Asked Questions
Questions about perimenopause?
Perimenopause is the transition leading up to menopause. During this time, estrogen and progesterone levels can fluctuate and symptoms may change from month to month.
Explore More Women's Health
Related women's health care.
A Brighter Tomorrow
Feel supported through what comes next.
Private, personalized care for perimenopause — on your terms.