Perimenopause with Endometriosis: Mindset, Movement & Medicine

As I embark on the journey of perimenopause alongside some of my friends, it’s an interesting turn of events. After fighting the good fight and overcoming the symptoms of endometriosis, I wonder what perimenopause will look like for my body.

Estrogen dominance is a common symptom of endometriosis, but in perimenopause, estrogen begins to decline.

Q: Does this mean my symptoms will disappear?
A: Unfortunately, no. While hormonal shifts occur, endometriosis tissue doesn't simply vanish.

Here’s what I can anticipate: just like with everything else, mindset is crucial. Dr. Mindy Pelz recently discussed in a webinar how incredible women are as they navigate this next phase. Yes, our hormones are fluctuating again, which can sometimes lead to uncomfortable experiences. But it’s also an opportunity for us to slow down and listen to our bodies. Our bodies may need new habits while shedding the old.

This is our chance to slow down and smell the roses, tulips, lavender—all the flowers! This is often when we start to truly feel like ourselves. We’ve lived enough life to know when to sweat the small things and when to let them go, creating space for something new and beautiful.

🌸 Gentle Movement for a New Season

Movement remains important to keep our joints, bones, and muscles strong. However, instead of intense HIIT workouts and running, we can embrace yoga, Pilates, and strength training exercises that support our changing bodies.

🛠️ Essentials for a Whole-Woman Transition

  • A loving support group: Women in healthy communities are healthier. Quality over quantity.

  • Diverse food: Continue discovering the delicious flavors of organic fresh, whole foods at every meal.

  • Clean environment: Use items with as few toxic chemicals as possible. Check out EWG.org for a free guide.

HRT Considerations: If you've had endometriosis, it's important to be in tune with your body and approach conversations about Hormone Replacement Therapy with discernment. HRT is not one-size-fits-all.

🧭 What To Reflect On

  • How is my body asking me to shift?

  • What parts of life feel like they're ending, and which are beginning?

  • Who is walking this path with me?

  • What does self-compassion look like right now?

💬 Want to Talk It Through?

Every season of change is easier with wise, loving community. I offer free 20-minute Clarity Calls to help you explore what this stage means for your unique journey.

Book your free clarity call

🌿 Final Thought

Sometimes change is hard, but it’s usually for the better. You are not alone in this transition. Whether you're curious, concerned, or just need a kind voice to reflect with, I'm here to support your transformation from uncertainty to grace.

Your wisdom is growing.
Your body is speaking.
And this next chapter can be your most empowered yet.

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Is Surgery the Right Path for Me? A Whole-Woman, Faith-Fueled Guide to Endometriosis Surgery

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