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––– MIDLIFE AND BEYOND
Perimenopause is the transition leading up to menopause, and it can last several years. Hormone levels fluctuate rather than simply decline, which is part of why symptoms come and go, and part of why they are so often missed.
Because levels move rather than settle, a single blood test taken on a single day may look entirely normal. That is one reason so many women are told nothing is wrong while continuing to feel unwell.

Perimenopause is the transition leading up to menopause, and it can last several years. Hormone levels fluctuate rather than simply decline, which is part of why symptoms come and go, and part of why they are so often missed.
Because levels move rather than settle, a single blood test taken on a single day may look entirely normal. That is one reason so many women are told nothing is wrong while continuing to feel unwell.
Perimenopause can show up in many different ways.
01
Fatigue that sleep does not fix
02
Sleep that became unreliable, particularly waking in the early hours
03
Weight changes, especially around the midsection, despite no change in habits
04
Brain fog and difficulty finding words
05
Mood changes, irritability, or anxiety that feels unfamiliar
06
Hot flashes and night sweats
07
Changes in libido
08
Cycles that became irregular, heavier, or lighter
09
Joint aches and stiffness
10
Skin and hair changes

Why this practice
Dr. Lyse Laurin-Pierre, DNP, FNP-C is an autonomous Family Nurse Practitioner with over 25 years in the medical field. She earned her Doctor of Nursing Practice degree from Chatham University.
As a Nurse Practitioner and a woman navigating midlife herself, she saw a gap between conventional care and a more personalized, root cause model of health. Functional medicine allowed her to bridge that divide, offering women a deeper, more personalized path to wellness.
Empowering you to achieve optimal health and wellness through midlife and beyond.
A personalized approach built around your history, symptoms, and goals.
Step 01
We review your symptoms, your cycle, your sleep, your stress, and what has already been ruled out. Perimenopause is largely a clinical picture, and the history often carries more weight than any single result.
Step 02
Where standard panels have not provided clear answers, advanced testing may be recommended based on your clinical presentation.
Step 03
That may include hormonal support alongside nutrition, sleep, stress, and metabolic health. What is appropriate depends on your individual evaluation and your preferences.
Step 04
Symptoms change through this transition. Your plan is monitored and adjusted rather than set once.
Perimenopause commonly begins in the forties and can begin earlier. Age alone does not rule it out.
Standard panels answer specific questions and are a useful starting point. Because hormone levels fluctuate during perimenopause, a single normal result does not close the question. When standard testing has not fully addressed your concerns, additional evaluation may provide more insight.
Perimenopause is the transitional period leading up to menopause, when hormone levels fluctuate. Menopause is confirmed after twelve consecutive months without a period. Symptoms are often most pronounced during the transition.
No. Hormonal support is one part of a plan that also considers nutrition, sleep, stress, and metabolic health. What is appropriate depends on your individual evaluation.
This varies considerably between individuals and commonly spans several years.
Mood changes, irritability, and anxiety are among the concerns women commonly report during this transition. They are evaluated as part of your overall picture rather than treated in isolation.
We do not bill insurance for consultations. Insurance covers most lab work, though not all. We accept cash, Visa, Mastercard, HSA, and FSA, and financing is available through Cherry.
Specialty diagnostic testing is a clinician guided evaluation designed to offer additional clinical insight when standard testing has not fully addressed a patient's wellness concerns. It is not intended to independently diagnose, treat, cure, or prevent any specific disease. Some specialty panels referenced on this page are specialized diagnostic tests and have not been cleared or approved by the U.S. Food and Drug Administration. Results should be interpreted within the context of a comprehensive clinical evaluation. This service is not a replacement for care or evaluation by your primary care provider or specialist.
Let's get started.

All About Eve Medical and Wellness Center is an autonomous Nurse Practitioner owned practice that brings high quality care to individuals. With over 25 years of experience in the medical field, we understand the importance of professional, reliable, timely, and optimal care. We are dedicated to your overall health and wellness.
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