Personalized direct primary care for women in Carmel, Indiana navigating midlife changes
“I just don’t feel like myself anymore.”
If that sounds familiar, you’re not alone—and you’re not imagining things.
Perimenopause is the transitional phase before menopause, and it can start as early as your mid-30s. But because most women don’t expect it until their 50s, the symptoms often get brushed off or misdiagnosed. Many are told, “Your labs are normal,” even while their quality of life is declining.
At our direct primary care clinic in Carmel, Indiana, we work with women every day who are navigating these exact changes—and finding relief with personalized hormone replacement therapy (HRT).
Here are five common signs of perimenopause and how HRT may help:
- Sleep Disruptions & Night Sweats
You fall asleep fine—but wake up drenched in sweat, tossing and turning at 3 a.m. This is often due to shifting estrogen and progesterone levels that affect your internal thermostat and sleep regulation.
How HRT can help:
Balancing hormones—especially estrogen—can reduce hot flashes and night sweats and help you get deeper, more restorative sleep.
- Mood Swings, Irritability, or Anxiety
If you’ve noticed a shorter fuse or emotional rollercoasters that feel out of character, your hormones may be at play. Many women report feeling “edgy,” tearful, or overwhelmed during perimenopause.
How HRT can help:
Restoring hormonal balance can improve serotonin and GABA levels in the brain, helping to stabilize mood and reduce anxiety.
- Brain Fog & Difficulty Concentrating
Misplacing words, forgetting names, struggling to focus—it can be scary and frustrating. This cognitive cloudiness is another common but overlooked symptom of hormonal shifts.
How HRT can help:
Estrogen plays a major role in brain health. Replenishing it can sharpen memory and mental clarity.
- Weight Changes (Especially Around the Belly)
Even with no change in diet or exercise, many women experience stubborn weight gain—particularly around the midsection—as estrogen declines and insulin sensitivity shifts.
How HRT can help:
While HRT isn’t a weight-loss drug, it can support metabolic health and reduce the hormonal drivers of weight gain.
- Irregular or Heavy Periods
Cycles may become shorter, longer, heavier—or vanish for a few months, only to return with a vengeance. These erratic patterns are classic signs of perimenopause.
How HRT can help:
A personalized approach to hormone therapy can smooth out the hormonal ups and downs that create menstrual chaos.
Let’s Personalize Your Care
Every woman’s experience of perimenopause is different. That’s why we take the time to listen deeply, run meaningful labs, and create a tailored HRT plan—whether you’re just starting to notice changes or you’ve been struggling for years.
We specialize in bioidentical hormone therapy, weight-neutral primary care, and midlife wellness for women in Carmel and beyond.
Located in Carmel, Indiana | Serving Zionsville, Westfield, Noblesville, Fishers & North Indy
Ready to feel like yourself again?
Schedule your consultation today with Farah Myers, Family Nurse Practitioner and Diplomate of the American College of Lifestyle Medicine. Let’s talk about what’s really going on.
