--- title: "Faq" entity: "page" canonical_url: "https://www.drangelinayee.ca/faq" markdown_url: "https://www.drangelinayee.ca/llms/page/faq" lastmod: "2026-08-29T08:42:29.029Z" --- # Frequently Asked Questions Your Top Concerns Answered What age does perimenopause usually start? Perimenopause typically starts in a woman's 40s, but it can vary from person to person. Some may experience it as early as their mid-30s, while others may not enter perimenopause until their late 40s or even early 50s. How long does perimenopause last on average? Perimenopause can last anywhere from a few months to several years. On average, it lasts for about four years, but this duration can differ for each individual. Factors like genetics, overall health, and lifestyle choices can influence the length of perimenopause. What are some of the symptoms of perimenopause? The symptoms experienced during perimenopause can vary from woman to woman, and some may experience them more intensely than others. Common symptoms of perimenopause include: • Irregular Menstrual Cycles • Hot Flashes and Night Sweats • Mood Swings and Emotional Changes • Decreased Libido • Vaginal Dryness and Discomfort • Breast Tenderness • Fatigue and Sleep Disturbances • Urinary Incontinence • Memory and Concentration Changes • Weight Fluctuations • Headaches • Joint and Muscle Aches • Changes in Skin and Hair • Digestive Issues • Increased PMS Symptoms Are there natural remedies for perimenopause symptoms? Yes, some women find relief from certain perimenopause symptoms through alternative therapies and lifestyle changes. Natural remedies may include dietary adjustments, regular exercise, relaxation techniques, and herbal supplements. For example, incorporating soy products, which contain natural plant estrogens, into the diet may help alleviate some symptoms. However, it's essential to consult with healthcare providers before trying any new treatments to ensure safety and effectiveness. What are hormone replacement therapy (HRT) and hormone supplement therapy (HST)? Hormone Replacement Therapy (HRT) is a medical intervention commonly used to manage perimenopause and menopause symptoms. It involves taking hormones, such as estrogen and progesterone, to replace what the body no longer produces. Hormone Supplement Therapy (HST) is the practice of taking hormones to supplement what the body is not producing enough of in order to restore hormonal balance.  HRT and HST comes in various forms, including pills, patches, creams, and gels. How do I know if I need HRT or HST? Determining whether you need Hormone Replacement Therapy (HRT) is a personal decision that requires careful consideration of various factors. Firstly, it is essential to assess your current health and understand the symptoms you are experiencing. Common symptoms of hormonal imbalances, such as hot flashes, mood swings, and sleep disturbances, may indicate a potential need for HRT. Additionally, hormone lab tests can provide valuable insights into your hormone levels, aiding in the decision-making process. An experienced healthcare professional, particularly one with expertise in perimenopause and menopause, can guide you through this journey. Their knowledge and guidance will help you understand the benefits and potential risks of HRT, as well as explore other treatment options that may suit your individual health needs. Ultimately, the decision to undergo HRT should be a collaborative one between you and your healthcare provider. By carefully considering your symptoms, hormone lab results, and professional guidance, you can make an informed choice that best addresses your specific hormonal concerns and overall well-being. What can I expect during the first few weeks of HRT and how long will it take to notice the full effects? Initial effects may vary, but some women feel symptom relief within the first few weeks, while others may take a few months. You may experience mild adjustments like mood changes, fatigue, or breast tenderness, which often subside  as your body adjusts. For many women, it can take 2-3 months to experience the full effects, as hormone levels gradually stabilize. Consistent follow-up is key to optimizing your dose and treatment. Are there any side effects of HRT I should be aware of? Side effects like mild bloating, headaches, or breast tenderness are possible initially. If they persist or are severe, please book an appointment to review and adjust your treatment plan. You should not experience abnormal vaginal bleeding.  How often will my hormone levels be monitored? Our bodies are not static so your levels should be checked on a regular basis. Typically, I prefer to check hormone levels are checked every 3-6 months initially to ensure the therapy is effective.  I also believe it's important to run a full metabolic panel annually. Can HRT help with mood and mental clarity? Yes, HRT often improves mood and mental clarity by balancing hormones that impact cognitive function and emotional health. Many women report a noticeable uplift in mood and focus. How long will I need to stay on HRT? This is an personal choice. You need to have an ongoing discussion with your provider who should take into account your symptoms, any new medical issues which may impact your risk profile, and your health goals. Will HRT cause weight gain? While HRT doesn't directly cause weight gain, some women notice fluid retention or a slight increase. Lifestyle adjustments, dose adjustments and even a change in delivery method can help manage weight during this transition. ### Hey There! ## Dr. Angelina Yee Dr. Angelina Yee received her medical degree from the University of Toronto and an Integrative Medicine Fellowship from University of Arizona. Her integrative approach combines her extensive knowledge of human physiology with a genuine curiosity to develop a tailored road map for each woman as they navigate their transition from perimenopause into menopause. Her passion is to empower women to look and feel vibrant throughout this period and beyond. ### Join Us on a Transformative Journey ## To health, harmony, and happiness. #### Discover the difference of care rooted in compassion, customized to your unique needs, and committed to your lifelong wellness. ## 01 #### PERSONAL ASSESSMENT To truly understand where you are at the beginning of this journey, your first visit is a comprehensive review of your medical history, lifestyle and core concerns. ## 02 #### PLAN YOUR ROADMAP The detailed information gathered from the first visit is then used along with the lab results to formulate your unique roadmap. Your personalized plan offers a tailored approach with lifestyle changes, supplements, and bioidentical hormone therapy (BHRT), along with follow-up care for ongoing support. ## 03 #### COLLABORATE This is an ongoing, collaborative process where we work together to adjust and refine your plan as your needs evolve. BOOK DISCOVERY CALL