Dr. Marci Nelson Menopause & Perimenopause Guide

Coaching provides education, planning, and support so you can make informed decisions with your doctor. It does not diagnose or prescribe.

No. I provide evidence-based guidance for both HRT and non-HRT approaches. Together, we’ll review what’s best for your health and preferences.

Yes. I create a concise summary of your plan so you can have a more focused, efficient conversation with your physician.

Many clients feel clearer and more confident after the very first session. Long-term results depend on your plan and consistency.

Coaching is typically private-pay. Documentation may be eligible for HSA/FSA reimbursement depending on your provider.

There is no “right” time to start this journey. Perimenopause symptoms may start years before you have any period changes and can include symptoms like irritability, difficulty sleeping, pain with intimacy, decreasing sex drive, anxiety for no obvious reason, joint pains, backaches, frozen shoulder, arthritis, vertigo, and hot flashes or night sweats. Some women may start this process in their late 30s and early 40s, while others may not experience this until their mid to late 50s. It may be helpful to start educating yourself on your options early in the process so you know what to expect and how to recognize and handle peri/menopausal symptoms when they do start affecting your life.