{"id":33453,"date":"2026-09-18T16:02:43","date_gmt":"2026-09-18T20:02:43","guid":{"rendered":"https:\/\/vitacru.com\/?p=33453"},"modified":"2026-09-18T16:02:46","modified_gmt":"2026-09-18T20:02:46","slug":"perimenopause","status":"publish","type":"post","link":"https:\/\/vitacru.com\/en\/sante-globale\/perimenopause\/","title":{"rendered":"Perimenopause: The truth about estrogen overload"},"content":{"rendered":"

What if it's perimenopause?<\/h2><\/div>\n\n\n\n

Your nights are drenched in night sweats. You wake up at 3:00 a.m. with your heart pounding, unable to fall back asleep. Your periods show up whenever they feel like it, sometimes so heavy, true heavy bleeding, that it worries you, sometimes missing for two months. Your breasts are so tender that wearing a bra becomes uncomfortable. You feel bloated without having changed anything on your plate, and the scale is creeping up, especially around your belly. This is perimenopause.<\/p>\n\n\n\n

There is also what cannot be seen. This new anxiety, which was not there before. This irritability that surprises even you, over nothing at all. This brain fog where the word you are looking for remains just out of reach. And this fatigue that does not lift, no matter how much you sleep.<\/p>\n\n\n\n

So you consult a doctor. You have a blood test. Everything is normal. You are told that you are much too young for menopause, that it is probably just a bit of stress. Maybe an antidepressant, if things don't get better.<\/p>\n\n\n\n

What nobody will tell you is that we haven't been looking in the right place. Standard hormone panels don't always capture these fluctuations. Progesterone, the hormone that fades first and whose absence explains a large part of what you are experiencing, is simply not part of the routine. It is neither tested for, nor discussed, nor suspected.<\/p>\n\n\n\n

You come out with the same question as when you went in, plus the unpleasant feeling that it might just be in your head.<\/p>\n\n\n\n

It is not in your head. And your lab results do not lie. It was the wrong question being asked.<\/p>\n\n\n\n

Because we are almost always looking for what you are lacking, and we look for it on the estrogen side. We start from the principle that the symptoms of this period come from its drop. But Dr. Jerilynn Prior, an endocrinologist at the University of British Columbia, has been documenting the exact opposite for over forty years. In her book Estrogen's Storm Season, she describes perimenopause not as a quiet decline, but as a storm. A season of unpredictable hormonal waves, where estrogen doesn't just go down: it goes up, it drops, it goes back up.<\/p>\n\n\n\n

The problem is not what you are lacking. It is what is overflowing, and what is no longer there to contain it.<\/p>\n\n\n\n

Perimenopause: what is really happening in your body<\/h2><\/div>\n\n\n\n

Imagine menopause the way you were told it is: a gentle slope. Estrogen goes down quietly, year after year, until it stabilizes at the bottom. A sloped off-ramp.<\/p>\n\n\n\n

Now, reality. This is not a slope. It is a rough sea.<\/p>\n\n\n\n

During perimenopause, the ovaries don\u2019t simply shut down gradually. They put up a fight. Every month, they receive increasingly strong signals from the brain to trigger ovulation, which is slow in coming. And when they respond, they overreact. These hormonal changes do not follow a gradual decline. Dr. Prior\u2019s research shows that estrogen levels do not drop during this period: on average, they are 26 % higher than before, and they rise erratically. Some women describe the sensation as feeling like they\u2019re pregnant.<\/p>\n\n\n\n

This is where hormonal panels become misleading. A blood test is just a snapshot. Taken during menstruation or at the beginning of the cycle, your estrogen can appear as low as during menopause, and that is perfectly normal. Taken three days later, the picture would be unrecognizable. CeMCOR, the research center founded by Dr. Prior at the University of British Columbia, is categorical on this point: perimenopause is recognized clinically, based on what a woman experiences, not through a blood test. You don't photograph a storm. You weather it.<\/p>\n\n\n\n

But the real upheaval is not there.<\/p>\n\n\n\n

To produce progesterone, you must have ovulated. It is the follicle emptied of its egg, the corpus luteum, that produces it during the second half of the cycle. No ovulation, no corpus luteum. No corpus luteum, no progesterone.<\/p>\n\n\n\n

And here is the catch: you can have your period every month without actually ovulating. Dr. Prior calls this silent ovulatory disorder. On the surface, the calendar is spotless. Behind the scenes, progesterone production never took place. This can go on for years before the word perimenopause is ever uttered.<\/p>\n\n\n\n

Result: estrogen creates higher and higher waves, a true hormonal roller coaster, and the dam that used to contain them is no longer there.<\/p>\n\n\n\n

Frequently asked questions about perimenopause<\/h2><\/div>\n\n\n\n

At what age does perimenopause start? <\/strong>Most often in the forties, sometimes as early as the late thirties. Early perimenopause is sometimes referred to when the first symptoms appear before the age of 40. Menopause itself occurs on average around age 51. Perimenopause is the transition that precedes it, and it can last from five to ten years.<\/p>\n\n\n\n

Can you be in perimenopause with regular periods? <\/strong>Yes. It is even common. You can have your period every month without actually ovulating, which causes progesterone to drop long before the cycle becomes irregular. The calendar may seem normal even though the imbalance is already established. These silent hormonal changes often go unnoticed in routine examinations.<\/p>\n\n\n\n

Can a blood test confirm perimenopause? <\/strong>Rarely reliably. Hormone levels vary enormously from one day to the next during this period, and hormonal fluctuations are too rapid for a single test to capture them. A test taken on the wrong day can look completely normal. Perimenopause is recognized primarily by the symptoms experienced, not by a blood test.<\/p>\n\n\n\n

How long do the symptoms last? <\/strong>This varies greatly from one woman to another. Some go through the transition in a few months, others over several years. The intensity depends largely on underlying factors: sleep, stress, the liver, and diet. These hormonal changes are not experienced the same way by every woman. Without appropriate management, symptoms can become long-lasting.<\/p>\n\n\n\n

Growth and control: the duo that keeps you in balance<\/h2><\/div>\n\n\n\n

These two hormones are not rivals. They are two complementary functions, and your entire female health balance depends on their ratio.<\/p>\n\n\n\n

Estrogen builds. It is the hormone of growth and abundance. It multiplies cells, thickens the uterine lining each month, develops breast tissue, retains water, keeps skin supple, and maintains bone density. Without it, nothing is built. It is a force of proliferation, and that is precisely what makes it powerful.<\/p>\n\n\n\n

Progesterone controls. It does not build, it frames. After ovulation, it sends the stop signal: the lining stops thickening and instead prepares to stabilize. It limits cell multiplication in the uterus and breast tissue, flushes out excess fluid, calms the nervous system, and promotes deep sleep.<\/p>\n\n\n\n

A force that makes things grow. A force that says when to stop.<\/p>\n\n\n\n

Traditional Chinese medicine was already describing this relationship long before a single hormone was isolated. Estrogen corresponds to Yin: the nourishing, receptive energy that accumulates and fosters growth. Progesterone corresponds to Yang: the energy that restrains, that structures, that prevents Yin from overflowing. Two thousand years before blood tests, the principle was the same. It is never one or the other that causes a problem. It is when one of the two disappears.<\/p>\n\n\n\n

And that is what happens in perimenopause. The growth force remains in place, sometimes stronger than ever. The control force, on the other hand, fades away.<\/p>\n\n\n\n

Tissue that is stimulated without ever being told to stop ends up showing it. The uterine lining thickens too much, hence those flooding periods that take you by surprise. Breast tissue proliferates, hence those painful breasts. Water accumulates, hence the swelling. And the nervous system, deprived of its natural calmer, stays turned on day and night.<\/p>\n\n\n\n

This unchecked proliferation is not just a matter of discomfort. Progesterone has a recognized protective role on the endometrium: it is the hormone that interrupts the thickening of the uterine lining and tells it when to stop. Without this signal, month after month, the tissue continues to accumulate. Medicine calls this endometrial hyperplasia, an abnormal thickening that requires monitoring.<\/p>\n\n\n\n

In fact, it is for this very reason that in hormone therapy, estrogen is never given alone to a woman who still has her uterus. Progesterone is always added to protect the tissue. Medicine has perfectly understood the principle of the counterbalance. It applies it in pharmacy, but rarely thinks to look for it in the woman who is not yet under treatment.<\/p>\n\n\n\n

These are not separate symptoms. It is one and the same thing, seen from different angles: uncontrolled growth.<\/p>\n\n\n\n

Restore what contains rather than add to what grows. Everything that follows stems from this reversal.<\/p>\n\n\n\n

Perimenopause Symptoms: Decoding the Signals<\/h2><\/div>\n\n\n\n

Every symptom during this period has a mechanism. None are random, and none are in your head. Understanding them is the first step toward proper management of your perimenopause.<\/p>\n\n\n\n

\"Perimenopause<\/figure><\/div>\n\n\n\n

Hot flashes and night sweats<\/h3><\/div>\n\n\n\n

Your brain has a thermostat, in the hypothalamus, with a comfort zone. When everything is fine, this window is wide: a small temperature variation triggers nothing.<\/p>\n\n\n\n

During perimenopause, it shrinks. An increase of a tenth of a degree is enough to trigger a disproportionate alarm: blood vessels suddenly dilate, hot flashes rise to the face and chest, sweating goes into overdrive, and the heart races.<\/p>\n\n\n\n

And here is what is surprising: it is not low estrogen that triggers the hot flash, it is its drop. A fall from a high level to a lower level is enough. That is why a woman whose lab results look normal can experience intense hot flashes. It is not the level that matters. It is the movement.<\/p>\n\n\n\n

Insomnia and waking up at 3 AM<\/h3><\/div>\n\n\n\n

Progesterone is a natural calming agent. It acts on the same brain receptors as anti-anxiety medications, but without dependency. It is what allows the brain to unwind at night and stay in deep sleep.<\/p>\n\n\n\n

When it fades, the nervous system stays switched on. You fall asleep, then wake up in the middle of the night, alert, your mind racing, often accompanied by night sweats. By day, this same lack of brakes manifests differently: anxiety that appears for no apparent reason, patience that melts away, and emotions that follow the same roller coaster as hormones.<\/p>\n\n\n\n

It\u2019s not a bad habit or a character trait. It\u2019s a missing brake.<\/p>\n\n\n\n

Brain fog and memory<\/h3><\/div>\n\n\n\n

The brain is a hormonal organ. The hormonal fluctuations of perimenopause directly disrupt working memory circuits, which explains the word on the tip of your tongue and the difficulty keeping the thread of a conversation. To this is added the effect of sleep deprivation, which makes everything worse.<\/p>\n\n\n\n

Persistent fatigue<\/h3><\/div>\n\n\n\n

Fragmented sleep, a nervous system on constant alert, adrenal glands overworked. The body no longer goes into repair mode. You sleep, but you do not recover. In the long run, this sleep debt accumulates and amplifies every other perimenopause symptom.<\/p>\n\n\n\n

Decreased libido and vaginal dryness<\/h3><\/div>\n\n\n\n

Rarely named, often experienced in silence. Genital tissues are among the most hormone-sensitive in the body, and they react to fluctuations well before menopause. Desire itself depends on a combination: hormones, but also sleep, available energy, and a nervous system capable of relaxing. When all three are lacking at the same time, libido is rarely the first to return.<\/p>\n\n\n\n

It is neither inevitable nor a taboo subject. It is a symptom, just like the others, and it can be worked on.<\/p>\n\n\n\n

Migraines, palpitations, joint pain<\/h3><\/div>\n\n\n\n

Often attributed to something else. Migraines follow sudden drops in estrogen. Palpitations accompany nervous system surges, especially at night. Widespread joint pain appears when inflammation is no longer modulated. These effects can persist long-term if the underlying terrain is not supported.<\/p>\n\n\n\n

Key takeaways<\/h3><\/div>\n\n\n\n

You are not collecting independent problems. A single imbalance expresses itself in multiple systems at once, because these hormones speak to the brain, the nervous system, the blood vessels, the uterus, and the bones all at the same time.<\/p>\n\n\n\n

If several of these signs resonate with you, the question is no longer whether it's real. It's about what to do next.<\/p>\n\n\n\n

Why Perimenopause Begins Well Before Age 50<\/h2><\/div>\n\n\n\n

This is the phrase that does the most damage: \u00abYou\u2019re too young for that.\u00bb<\/p>\n\n\n\n

Menopause is a specific day. Twelve consecutive months without menstruation, around age 51 on average. But menopause is not the transition. It is the finish line.<\/p>\n\n\n\n

The transition, however, begins much earlier. Perimenopause generally lasts five to ten years, and the first signs often appear in one\u2019s 40s, sometimes as early as the late 30s. This is referred to as early perimenopause. In other words, a woman may experience years of symptoms while still having regular periods and a perfectly normal menstrual cycle.<\/p>\n\n\n\n

That\u2019s where the misunderstanding sets in. Since menstruation is still occurring, we conclude that the transition hasn\u2019t begun. But remember silent ovulatory disorders: the cycle can proceed without actual ovulation taking place. The calendar is misleading. As for progesterone, its levels have already begun to decline.<\/p>\n\n\n\n

And stress speeds everything up. The mechanism is simpler than you might think. Stress doesn\u2019t directly affect the ovaries\u2014it signals the brain. When the hypothalamus detects ongoing stress, it dampens the signals that trigger ovulation. And without ovulation, there is no corpus luteum, and therefore no progesterone. It\u2019s the brain that turns off the tap\u2014not the ovaries that burn out.<\/p>\n\n\n\n

That's why the women who are most affected are often the ones who carry the heaviest load\u2014the ones who keep everything together without ever stopping. Eventually, the body makes them pay the price.<\/p>\n\n\n\n

So no, you're not too young. You're right in the age range that no one thinks to look at.<\/p>\n\n\n\n

What Exacerbates the Storm of Perimenopause<\/h2><\/div>\n\n\n\n

All women go through this transition. Not all of them experience it with the same intensity. What makes the difference is their individual circumstances.<\/p>\n\n\n\n

An Overworked Liver<\/h3><\/div>\n\n\n\n

Your liver is the organ that prepares used estrogen to leave the body. It converts it into soluble compounds and then flushes it into the intestines via bile. But that same liver is already processing food waste, alcohol, medications, and pollutants. When it is overloaded, this conversion slows down, and circulating estrogen remains in the bloodstream longer than it should.<\/p>\n\n\n\n

At a time when estrogen is already causing a stir, a congested liver is like slowing down the exit during a storm.<\/p>\n\n\n\n

A gut that sends back what was supposed to go away<\/h3><\/div>\n\n\n\n

This is the step that almost no one mentions, and it may be the most critical one for gut and hormonal health.<\/p>\n\n\n\n

Once processed by the liver, estrogens travel to the intestines to be eliminated in the stool. But if bowel movements are slow or the imbalanced flora<\/a>, an enzyme produced by certain gut bacteria undoes this process: it releases the estrogens from their coating and returns them to their active form. They are then reabsorbed and re-enter the bloodstream. The body had already done the work, and now it has to do it all over again. Digestive health plays a direct role in hormonal balance during perimenopause.<\/p>\n\n\n\n

Regular bowel movements are therefore not just a matter of digestive comfort. They are a hormonal elimination pathway in their own right. The link between the gut microbiome and hormones is now well documented.<\/p>\n\n\n\n

Adipose tissue: a forgotten source<\/h3><\/div>\n\n\n\n

Body fat is not merely a storage reservoir. It is an active tissue capable of producing estrogen on its own. The more it increases, the more this production adds to that of the ovaries.<\/p>\n\n\n\n

Let\u2019s be clear: this weight gain around the waist isn\u2019t due to a lack of discipline. It\u2019s largely caused by the hormonal imbalance itself and the cortisol that comes with it. Many women eat exactly the same as before and still see the scale go up.<\/p>\n\n\n\n

It\u2019s important to know that this mechanism works both ways. So, reducing the workload on the ground has an effect on both at the same time.<\/p>\n\n\n\n

Estrogens that come from the outside<\/h3><\/div>\n\n\n\n

Certain substances in our environment mimic estrogen and bind to its receptors. They are found in heated plastics, pesticides, synthetic fragrances, and several cosmetics and household products. Each one is minuscule. Added up day after day, they add to an already heavy load.<\/p>\n\n\n\n

Cortisol That Never Goes Back Down<\/h3><\/div>\n\n\n\n

As we\u2019ve seen, chronic stress inhibits ovulation\u2014and thus progesterone production. But it does more than that. It disrupts sleep\u2014the time when the body repairs itself\u2014and fuels underlying inflammation, which makes every symptom of perimenopause harder to cope with.<\/p>\n\n\n\n

The Big Picture<\/h3><\/div>\n\n\n\n

An overburdened liver, a digestive system that recycles what should have been eliminated, adipose tissue that produces even more fat, constant environmental exposure, and a nervous system that never rests. Five factors that turn a normal transition into an ordeal.<\/p>\n\n\n\n

That\u2019s also the good news. You can\u2019t control your ovaries. But you can work on your liver, your gut, your environment, and your stress levels. That\u2019s the foundation of a holistic approach to managing perimenopause.<\/p>\n\n\n\n

Supporting the Body During Perimenopause<\/h2><\/div>\n\n\n\n

You can't command your ovaries. But you can lighten what weighs around them, and that's often where the change is felt first.<\/p>\n\n\n\n

\"Diet<\/figure><\/div>\n\n\n\n

Clear the exit routes<\/h3><\/div>\n\n\n\n

Before adding anything, we make sure the body can eliminate it.<\/p>\n\n\n\n

Cruciferous vegetables\u2014such as broccoli, cabbage, Brussels sprouts, kale, and arugula\u2014provide sulfur-containing compounds that support the liver\u2019s processing of estrogen. Fiber takes over in the next step: it binds to the estrogens processed by the liver and carries them away before the intestines can release them back into the bloodstream. Ground flaxseed, legumes, leafy greens, and whole fruits.<\/p>\n\n\n\n

A daily bowel movement isn\u2019t just a matter of comfort. It\u2019s the body\u2019s way of eliminating waste, and digestive health becomes a direct factor in hormonal balance. Milk thistle and dandelion support the liver in this process, and a tea made from roasted dandelion root is a great substitute for some of your coffee.<\/p>\n\n\n\n

Calm the nervous system<\/h3><\/div>\n\n\n\n

This is where everything happens, because stress is what blocks ovulation, and therefore progesterone.<\/p>\n\n\n\n

Magnesium soothes the nervous system, contributes to deep sleep, and its reserves melt away precisely under the effect of stress. Adaptogenic plants, for their part, do not force anything: they help the body respond better rather than masking. Ashwagandha calms and supports sleep, rhodiola helps get through periods of overwork, and reishi acts deeply on the nervous and immune systems.<\/p>\n\n\n\n

\"Adaptogenic<\/a><\/figure><\/div>\n\n\n\n

And sleep is not a reward at the end of the day. It is the time when the body repairs itself. Regular physical activity, even moderate, supports nervous and hormonal balance, and improves long-term sleep quality.<\/p>\n\n\n\n

Fuel hormonal production<\/h3><\/div>\n\n\n\n

Your hormones are built from fat. Very low-fat diets directly harm their production. Avocado, olive oil, nuts, seeds, small fatty fish. B-complex vitamins, vitamin B6 in particular, contribute to the balance between the two hormones, and zinc supports the quality of ovulation.<\/p>\n\n\n\n

Reduce the external load<\/h3><\/div>\n\n\n\n

Do not heat food in plastic, choose cosmetics and household products without synthetic fragrances, filter water, and favor organic for the most heavily treated fruits and vegetables.<\/p>\n\n\n\n

Don't rush anything<\/h3><\/div>\n\n\n\n

A terrain that has become unbalanced over several years does not recover in three weeks. One or two things sustained over time are better than a complete protocol abandoned after a fortnight. The body responds to consistency, not intensity.<\/p>\n\n\n\n

Restore what contains<\/h2><\/div>\n\n\n\n

Here is where conventional reasoning falters. When faced with a perimenopausal woman, the reflex is to add estrogen. Yet that is precisely the hormone that is causing waves. Dr. Prior has argued for decades that in this phase, it is progesterone that is lacking, and that it is the one that should be restored. Adding estrogen to a system that is already overflowing with it is like pouring water into a full vase and wondering why the floor is wet.<\/p>\n\n\n\n

The confusion that frightened a generation<\/h3><\/div>\n\n\n\n

In 2002, a major American study made headlines everywhere: hormone therapy supposedly increased the risk of breast cancer. Millions of women stopped their treatment overnight, and the fear lingered.<\/p>\n\n\n\n

What the headlines didn't say was what was being tested. Estrogen derived from pregnant mare urine, combined with a synthetic progestin. Molecules manufactured to look enough like your hormones to act, but not enough to behave like them.<\/p>\n\n\n\n

The distinction is far from being a detail. A vast French study that followed about 80,000 women compared the combinations with each other: the risk increased with synthetic progestins, but not with micronized progesterone, the one that is identical to the molecule produced by your body.<\/p>\n\n\n\n

And one thing must be clarified that almost no one is saying. All of this data concerns women who were taking estrogen in addition to a progestin. That is not what is being discussed here. Dr. Prior proposes progesterone alone during perimenopause precisely because there is no shortage of estrogen. And according to CeMCOR, no risk of breast cancer has ever been documented with progesterone taken alone, without estrogen. The center honestly specifies that randomized trials on this question are only just beginning.<\/p>\n\n\n\n

What scared the women, therefore, was not progesterone.<\/p>\n\n\n\n

Options to discuss with a doctor<\/h3><\/div>\n\n\n\n

Oral micronized progesterone is the most studied. Dr. Prior's protocols prescribe it at bedtime, which offers a twofold benefit: it promotes sleep at the time the body needs it. It requires a prescription and follow-up.<\/p>\n\n\n\n

Bioidentical progesterone cream passes through the skin, with more gradual absorption. Its availability varies, and its use deserves to be supervised by a professional.<\/p>\n\n\n\n

Both of these avenues require a conversation with a doctor. And if yours ended with \u00abyou're too young,\u00bb you now have the vocabulary to approach it differently. The CeMCOR<\/a> also puts all its perimenopause resources online for free in English, including documents designed to be brought to a medical appointment.<\/p>\n\n\n\n

And if you do not have a doctor<\/h3><\/div>\n\n\n\n

You are not without resources for all that. Everything related to your physical constitution already belongs to you: the burden your liver carries, the regularity of your bowel, your environmental exposure, your sleep, your magnesium. These are not waiting measures. This is what determines the intensity with which you navigate this period.<\/p>\n\n\n\n

And this is where naturopathic guidance makes all the sense in the world: understanding your constitution, targeting what weighs the most, and moving forward in the right order. Women's health deserves a global approach, not fragmented solutions.<\/p>\n\n\n\n

Navigating the perimenopause storm differently<\/h2><\/div>\n\n\n\n

You are not too young. It is not in your head. And your body is not broken.<\/p>\n\n\n\n

A hormone that builds, a hormone that contains, and a transition where the second fades away to leave the first. The night sweats, the sleep that shatters at 3 a.m., the anxiety that comes out of nowhere, the heavy bleeding: everything stems from this single imbalance.<\/p>\n\n\n\n

Once we understand that, the question changes. We no longer try to add what is already overflowing. We seek to restore what contains.<\/p>\n\n\n\n

And the most profound way to get there is found in no bottle. Progesterone, your body knows how to make it. What prevents it from doing so is a nervous system that never turns off the alarm, an overloaded liver, a gut that sends back what was meant to leave, and nights that are too short. Lightening this load means acting precisely where the body decides.<\/p>\n\n\n\n

That is the way it is.<\/p>\n\n\n\n

Perimenopause is not a disease. It is a season, with its winds and waves. You cannot command the weather. But you can make the boat stronger.<\/p>\n\n\n\n

Go further<\/h2><\/div>\n\n\n\n
\"Naturopathic<\/a><\/figure><\/div>\n\n\n\n

Understanding one's hormonal balance is about taking back control of one's feminine health. Our private meeting Perimenopause, Menopause, and Hormonal Balance <\/a>is a one-on-one live session with a naturopath on this single topic. You choose the date and time, online or in Laval, and ask all your questions.<\/p>\n\n\n\n

References<\/h4>\n\n\n\n
    \n
  • Prior, J.C. (2017). Estrogen's Storm Season: Stories of Perimenopause (revised edition). Centre for Menstrual Cycle and Ovulation Research (CeMCOR), Vancouver.<\/li>\n\n\n\n
  • Prior, J.C. (1998). \u00ab Perimenopause: The complex endocrinology of the menopausal transition. \u00bb Endocrine Reviews, 19(4), 397-428.<\/li>\n\n\n\n
  • Prior, J.C. (2014). \u00ab Progesterone for Symptomatic Perimenopause Treatment: Progesterone politics, physiology and potential for perimenopause. \u00bb Facts, Views & Vision in ObGyn, 6(2), 65-74.<\/li>\n\n\n\n
  • Fournier, A., Berrino, F., Riboli, E., Avenel, V., & Clavel-Chapelon, F. (2005). Breast cancer risk in relation to different types of hormone replacement therapy in the E3N-EPIC cohort. International Journal of Cancer, 114(3), 448-454.<\/li>\n\n\n\n
  • Writing Group for the Women\u2019s Health Initiative Investigators (2002). Risks and Benefits of Estrogen Plus Progestin in Healthy Postmenopausal Women. JAMA, 288(3), 321-333.<\/li>\n\n\n\n
  • CeMCOR (Centre for Menstrual Cycle and Ovulation Research), University of British Columbia. Perimenopause resources: cemcor.ubc.ca<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"

    What if the problem with perimenopause isn't a lack of estrogen, but an excess? Night sweats, 3 a.m. wake-ups, anxiety, unpredictable periods. You're told it's normal. Here is what is really happening in your body, and how to restore balance naturally.<\/p>","protected":false},"author":1,"featured_media":33536,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-33453","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante-globale"],"uagb_featured_image_src":{"full":["https:\/\/vitacru.com\/wp-content\/uploads\/2026\/08\/Depositphotos_792530112_XL.webp",2048,1365,false],"thumbnail":["https:\/\/vitacru.com\/wp-content\/uploads\/2026\/08\/Depositphotos_792530112_XL-150x150.webp",150,150,true],"medium":["https:\/\/vitacru.com\/wp-content\/uploads\/2026\/08\/Depositphotos_792530112_XL-400x267.webp",400,267,true],"medium_large":["https:\/\/vitacru.com\/wp-content\/uploads\/2026\/08\/Depositphotos_792530112_XL-768x512.webp",768,512,true],"large":["https:\/\/vitacru.com\/wp-content\/uploads\/2026\/08\/Depositphotos_792530112_XL-1200x800.webp",800,533,true],"1536x1536":["https:\/\/vitacru.com\/wp-content\/uploads\/2026\/08\/Depositphotos_792530112_XL-1536x1024.webp",1536,1024,true],"2048x2048":["https:\/\/vitacru.com\/wp-content\/uploads\/2026\/08\/Depositphotos_792530112_XL.webp",2048,1365,false],"trp-custom-language-flag":["https:\/\/vitacru.com\/wp-content\/uploads\/2026\/08\/Depositphotos_792530112_XL-18x12.webp",18,12,true],"image-blog":["https:\/\/vitacru.com\/wp-content\/uploads\/2026\/08\/Depositphotos_792530112_XL-1200x480.webp",1200,480,true],"mailpoet_newsletter_max":["https:\/\/vitacru.com\/wp-content\/uploads\/2026\/08\/Depositphotos_792530112_XL-1320x880.webp",1320,880,true]},"uagb_author_info":{"display_name":"Institut Vitacru","author_link":"https:\/\/vitacru.com\/en\/author\/2231c10e9711f937b59d7128c024f9af\/"},"uagb_comment_info":0,"uagb_excerpt":"Et si le probl\u00e8me de la p\u00e9rim\u00e9nopause n'\u00e9tait pas le manque d'\u0153strog\u00e8ne, mais l'exc\u00e8s? Sueurs nocturnes, r\u00e9veils \u00e0 3 h, anxi\u00e9t\u00e9, r\u00e8gles impr\u00e9visibles. On vous dit que c'est normal. Voici ce qui se passe vraiment dans votre corps, et comment retrouver l'\u00e9quilibre naturellement.","_links":{"self":[{"href":"https:\/\/vitacru.com\/en\/wp-json\/wp\/v2\/posts\/33453","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vitacru.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vitacru.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vitacru.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vitacru.com\/en\/wp-json\/wp\/v2\/comments?post=33453"}],"version-history":[{"count":0,"href":"https:\/\/vitacru.com\/en\/wp-json\/wp\/v2\/posts\/33453\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vitacru.com\/en\/wp-json\/wp\/v2\/media\/33536"}],"wp:attachment":[{"href":"https:\/\/vitacru.com\/en\/wp-json\/wp\/v2\/media?parent=33453"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vitacru.com\/en\/wp-json\/wp\/v2\/categories?post=33453"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vitacru.com\/en\/wp-json\/wp\/v2\/tags?post=33453"}],"curies":[{"name":"WP","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}