24/09/2026
What happens when perimenopause meets endometriosis?
Itās a conversation I wish Iād heard when I was in my 30s.
We hear so much about oestrogen declining as we move toward menopause, but perimenopause isnāt necessarily a smooth, steady decline. And when youāre already living with an oestrogen-responsive condition like endometriosis, that changing hormonal picture adds another layer to an already complex situation.
Except in my case, I didnāt even know I had endometriosis.
I was living with deep endometriosis and adenomyosis while simultaneously going through perimenopause ā without having the full picture of what was happening inside my own body.
The pain. The flooding. The anxiety. The brain fog. The exhaustion. The migraine.
It was debilitating.
For years I was trying to understand individual symptoms, when looking back, there were multiple things happening at the same time.
This is something I feel strongly about in the work I do with women now. We cannot look at perimenopause symptoms in isolation. A woman arrives at this stage of life with a health history, a body thatās already been through things, and sometimes other womenās-health conditions that need to be considered too.
We need more conversations about what the menopause transition can look like for women already living with endometriosis.
If youāre navigating perimenopause and feel like you donāt know what your body needs anymore ā especially with endometriosis in the mix ā comment STUCK and Iāll send you my free resource, 5 Mistakes Keeping You Stuck.
