Addressing Perimenopause and Menopause with Functional Medicine

April 21, 2025

by

Lindsey Peterson, FNP

The Gender Gap in Research: Why Women Are Often Overlooked

Historically, women have been underrepresented in medical research. For decades, most clinical trials were conducted on men, with the assumption that findings would apply to everyone. But we now know that hormonal biology plays a critical role in everything from metabolism to cardiovascular health, brain function, immune response, and mood regulation.

This lack of sex-specific data is especially glaring when it comes to midlife women. Perimenopause—the years leading up to menopause—can begin as early as a woman’s late 30s or early 40s. Yet it remains poorly understood by many healthcare providers. Women often report feeling brushed off or offered blanket solutions like antidepressants or birth control pills, without deeper investigation into the root cause of their symptoms.

A Functional Medicine Perspective on Menopause

In functional medicine, we take a different approach. We don’t treat menopause as a disease. Instead, we view it as a biological transition that, when supported properly, can be a time of strength, clarity, and renewal.

But to thrive through this phase, the body needs balance. That means assessing the whole picture—nutritional status, gut health, blood sugar regulation, inflammation, stress resilience, sleep quality, and of course, hormone health.

Here’s how we support women in this transition:

1. Personalized Lab Testing

We look deeper. Hormone panels, adrenal function, thyroid labs, nutrient status, gut microbiome testing—all of these give us insight into the bigger picture of what’s happening in your body.

2. Lifestyle and Nutrition Support

Sleep, stress management, strength training, protein intake, blood sugar stability, and gut health all play crucial roles in hormone balance. We create customized plans to support your body’s changing needs.

3. Botanical and Nutraceutical Support

Herbal adaptogens, targeted supplements, and evidence-based support for mood, energy, sleep, and hot flashes can make a huge difference—without immediately turning to prescriptions.

4. Hormone Replacement Therapy (HRT), When Appropriate

For many women, bioidentical HRT can be a game-changer. When carefully prescribed and monitored, HRT can improve quality of life, support bone and brain health, and reduce risk of chronic disease. At Montana Functional Health, we assess if HRT is right for you, and we offer safe, personalized options for women who may benefit from it.

 

You’re Not Broken—You’re Evolving

Perimenopause and menopause are not the end of vitality—they’re a powerful evolution. But women shouldn’t have to go it alone. If you’re struggling with symptoms that no one seems to take seriously, you’re not imagining things—and you’re not alone.

At Montana Functional Health, we see you, we hear you, and we’re here to help you feel strong, clear, and supported again.