5 Misconceptions About Perimenopause Debunked

Why hormone therapy at SkinSurgery makes the difference

Almost every woman is familiar with menopause, yet until recently, little was said about perimenopause. Perimenopause is the transitional phase before menopause and is one of the most underestimated periods in a woman’s life. Yet it is the time when many symptoms begin to appear—from sleep disturbances and mood swings to weight gain, changes in the menstrual cycle, brain fog, and sudden feelings of anxiety.

For years, women were misdiagnosed. Many of these symptoms were dismissed as burnout, stress, or even depression. Antidepressants were often prescribed, while the real cause was simply a hormonal imbalance. At SkinSurgery Clinics, we look beyond symptoms. Our doctors use personalized, bioidentical hormone therapy to restore balance in your body safely, naturally, and in line with your stage of life.

Myth 1: “Perimenopause only starts around the age of fifty”

Not true.

Perimenopause can begin as early as your mid-thirties. The production of estrogen and progesterone starts to fluctuate, affecting your mood, skin, energy levels, and menstrual cycle. Women who recognize this early can prevent many symptoms with timely hormonal support.

Myth 2: “Hormone therapy is dangerous”

Not true.

This persistent myth dates back to the 1990s and is based on a single large study that caused widespread concern at the time. The conclusion that hormone therapy was dangerous—or even cancer-causing—later proved to be incomplete and not applicable to modern treatments.

Many women — perhaps including your mother — remember the warnings from that era about “dangerous hormones.” That fear arose after early results from the American Women’s Health Initiative study, which investigated synthetic hormones in women who were, on average, older than the group for whom hormone therapy is actually intended.

Later studies have shown that the risks depend strongly on age, dosage, hormone type, and the method of administration. Today we know that bioidentical hormones, in low and carefully personalized doses, are a safe and effective way to restore hormonal balance and relieve perimenopausal symptoms.

Under medical supervision at SkinSurgery, bioidentical hormone therapy is precisely dosed and safe — and can even offer health benefits: stronger bones, better sleep, more energy, fewer mood swings, and healthier skin.

Read more about hormone therapy at SkinSurgery

Myth 3: “You just have to learn to live with it”

Absolutely not!

Hormonal changes do not have to mean losing yourself. Many women feel clear-headed, energetic, and emotionally stable again after hormone therapy. At SkinSurgery, we begin with a thorough medical intake, bloodwork, and consultation so the treatment can be tailored precisely to your values, lifestyle, and goals.

Myth 4: “It’s normal for your skin, hair, and libido to decline”

It doesn’t have to be!

Changes are natural and part of life, but losing your glow, energy, or desire for intimacy is not something you simply have to accept. Hormones influence everything — from collagen production and fat distribution to sexual desire. That’s why at SkinSurgery we often combine hormonal therapy with skin-rejuvenating treatments such as collagen stimulation or the Bio-Identical Skin Renew Boost to support complete restoration from the inside and the outside.

Myth 5: “Every woman responds the same way to hormone therapy”

No two bodies are the same.

The strength of hormone therapy lies precisely in personalisation. Our doctors monitor your values and adjust the dosage as your body evolves. This means you don’t receive a standard protocol, but a fully customised plan with long-lasting results.

More Than Aesthetics: A Holistic Approach at SkinSurgery

In addition to our cosmetic treatments, we offer supportive therapies aimed at enhancing your overall health and wellbeing. This includes nutritional guidance, hormone therapy, stress management, and lifestyle coaching.

We understand that true beauty cannot be separated from inner balance. A holistic approach to health and aesthetics is essential for long-term wellbeing and a natural appearance. Our dedicated and welcoming team provides a warm, comfortable environment where you feel at ease. We listen closely to your wishes, goals, and concerns, and work with you to create a personalised treatment plan that aligns perfectly with your life stage and expectations.

Why choose hormone therapy at SkinSurgery?

• Bioidentical hormones — natural, body-identical, and safe
• Medically supervised treatment — including blood tests and consultation
• Holistic approach — balancing body, skin, and energy
• Locations in The Hague & Bergschenhoek (Rotterdam)
• Personalised advice — focused on true recovery, not symptom masking

Do you recognise yourself in this phase?

Do you feel like you’re no longer “yourself,” but can’t quite explain why? And are you a woman between your mid-thirties and mid-forties? Then you may be in perimenopause. Don’t let anyone dismiss your symptoms as “stress” or “just part of getting older.” Our doctors take your concerns seriously and help you bring your body back into balance.

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HORMONE THERAPY AT SKINSURGERY