Perimenopause and Menopause: Key Insights from Dr. Nadine Hammoud
- Pam Adams
- Sep 21
- 3 min read
Perimenopause and menopause are natural life transitions every woman will go through—but they’re often surrounded by confusion and misinformation.
In a recent interview, Dr. Nadine Hammoud, a gynecologist and certified menopause practitioner, shared valuable insights into what these phases look like and how women can navigate them with more confidence. You can watch the full interview here.
She also shared a simple quiz that can help you identify whether you may be in perimenopause.
What We Learned
Perimenopause can start earlier than many women expect. Dr. Hammoud explains that this phase can begin in your late 30s or early 40s. Irregular periods, hot flashes, night sweats, sleep changes, and mood swings are common, but tracking your symptoms and talking openly with your provider can make a huge difference.
Menopause is more than “the last period.” Menopause is diagnosed after 12 consecutive months without a period, usually in your late 40s to early 50s. It’s driven by lower estrogen levels, which can lead to hot flashes, vaginal dryness, and mood changes. While these symptoms can feel overwhelming, Dr. Hammoud stresses that there are many options—ranging from hormone therapy to lifestyle shifts—that can help.
Lifestyle plays a powerful role. Exercise, nutrition, and stress management aren’t just “nice to have”; they’re critical tools for managing symptoms and protecting long-term health. Strength training helps preserve bone and muscle, while whole-food nutrition supports energy, mood, and hormonal balance.
Mental health matters too. Hormonal changes can intensify anxiety or depression. Dr. Hammoud encourages women to prioritize mental well-being, reach out for support, and remember they’re not alone in this journey.
Why This Matters for Midlife Women
As a certified menopause coaching specialist and DMV Menopause Network Provider, I see how much relief women feel when they have the right information and the right support. Dr. Hammoud’s perspective is a reminder that knowledge is empowering and that, with the right tools, we can navigate perimenopause and postmenopause with confidence.
Sharing resources like this interview is one more way we can support each other through midlife and beyond.
Understanding Perimenopause
Perimenopause is the transitional phase leading to menopause, marked by fluctuating hormone levels that can result in various symptoms. Dr. Hammoud notes that this phase can begin as early as the late 30s and may last for several years.
During perimenopause, women may face a range of symptoms, including:
Irregular menstrual cycles: Some women experience heavier or lighter periods, while others may skip cycles altogether.
Hot flashes: Up to 75% of women report experiencing hot flashes, which can range from mild to intense.
Night sweats: Many women wake up drenched due to night sweats, affecting their sleep quality.
Mood swings: Emotional fluctuations can occur, leading to feelings of irritability or sadness.
Changes in sleep patterns: Insomnia or trouble falling asleep can become common.
Recognizing these symptoms is vital. Dr. Hammoud encourages women to track their experiences and discuss them with healthcare providers. Such proactive steps can aid in managing symptoms and aid in understanding what to expect as they transition into menopause.
Ready to Take the Next Step?
Perimenopause and menopause don’t have to feel confusing or overwhelming. With the right support and strategies, you can feel strong, energized, and confident through midlife and beyond.
