The Real Cost of Hormonal Imbalance — And Why You Don’t Have to Live With It

Perimenopause isn’t just “a phase” or “the change.” It’s the early warning sign that your estrogen is declining—and that decline comes with a high price tag. Not just in money, but in your mind, your body, your relationships, and your sense of self.

The Hidden Toll of Hypoestrogenism

The majority of women spend years in a hypoestrogenic state without realizing it. In fact, most women have never spent one day of their lives with plenty of estrogen. The symptoms of PMS, which we all experience and have come to accept as normal, are those of estrogen deficiency. We chalk PMS up as part of being a woman, and we all accept it and suffer through it. Women are prescribed hormonal contraception in an attempt to manage menstrual and PMS issues, but those drugs place women in chemical menopause, shutting down their ovaries, estrogen production, and their brains. The longer women take hormonal contraception, the longer they spend in chemical menopause. For some, it’s years.

Understanding Perimenopause

There are three stages of perimenopause. In the first stage, it’s like living with PMS for two weeks out of every month instead of a couple of days. The daily symptoms creep in gradually as estrogen begins the declining process—brain fog here, a little weight gain there, less joy in the things you used to love—and no one connects it to hormones. Not even most doctors. Women are gaslit and drugged up and left in a perpetual state of managing misery.

In stage two perimenopause, it’s like having PMS for three weeks out of every month. In stage three perimenopause, women are lucky to have one or two good days a month. Each stage of perimenopause is marked by lower and lower circulating levels of estrogen, which is why each stage of perimenopause gets worse. Once estrogen falls too low to maintain a regular period for a year, you will reach the milestone of misery— menopause.

Many women think menopause is a welcome relief, but the reality is, their brains and bodies adapt to being in an extreme state of estrogen deficiency, and when the real changes of who a woman turns into appear. It’s severe estrogen deficiency that changes who a woman is, no matter how old she is, and everyone adapts to the new decrepit version who is now, only a fraction of the woman she once was.

Estrogen— The Hormone of Life

It's supercritical to understand that estrogen is the command center for the functionality of your body and brain at every age. There is never a day in a woman’s life when she feels good without estrogen. Without enough of it, every system gets the message: “We’re done here—it’s time to break down, it’s time to stop caring.” That’s when the slow living decaying process of mental and physical decline begins… and continues until a woman dies or takes action. The longer women go without estrogen, the worse their lives become. Estrogen deficiency robs a woman of life and meaning.

Here’s what estrogen deficiency is quietly taking from you:

1. Your Mind—One of the first signs of estrogen deficiency is feeling like you’re losing your mind. Your memory slips, you can’t make decisions like you used to, and you lose the ability to dream big and follow through. Motivation disappears. You feel disconnected—even in a room full of people. This isn’t “you being dramatic.” This is your brain without enough estrogen, beginning the preparation for mental and physical death.
2. Your Body— When estrogen stays low, your body believes it’s time to age and deteriorate. Muscle tone vanishes. Skin thins and dries. Hair falls out. Your joints ache. You gain fat—especially around your middle and upper back—and it becomes nearly impossible to lose it. Your vagina changes, too, making intimacy uncomfortable or painful. Every cell in your body is feeling the absence of estrogen.
3. Your Friendships— When you don’t feel like yourself, socializing feels exhausting. You stop making plans, and your friends stop calling. Slowly, your social circle shrinks—not because you don’t care, but because low estrogen has stripped away your drive to connect. Not only are you going through this miserable decline, but your friends are too. The less estrogen women have, the harder it is to be around friends.
4. Your Relationship— Without plenty of estrogen, your body stops responding to touch, your sex drive tanks, and you can’t remember the last time you truly wanted intimacy. Estrogen-deficient women do not like to be touched. You get repulsed at the thought of being touched, let alone having sex. Arguments flare over little things. Emotional connection fades. It’s not that you don’t love your partner—your low estrogen is telling your brain and body that you are “out of business” and should avoid intimacy.
5. Your Career— Low estrogen doesn’t just affect your personal life—it affects your professional one. Your focus, problem-solving skills, executive function, and ability to handle stress all drop. You’re more irritable, less collaborative, less productive, and more easily overwhelmed. It’s harder to keep up, let alone get ahead. Cognitive function and self-confidence take a nose dive and make it difficult to be a team player or run the show.
6. Your Family Connection— Kids, grandkids—even pets—can feel irritating when your hormones are low. Your patience is gone, your mood is unpredictable, and the smallest noise can set you off. Estrogen deficiency causes malcontent and disconnection from yourself and loved ones. Being the matriarch of the family is too much to bear. That emotional detachment isn’t who you are—it’s what happens when your brain chemistry collapses without enough estrogen to stabilize it.
7. Your Self-Respect— You notice the changes—and you don’t like them. You don’t behave the same as you used to. Your behavior is more outrageous and out of proportion with the situation at hand. You don’t trust your reactions anymore. You don’t trust your moods. You lose your self-reliance. You wonder why you say and do things that don’t feel like you. Your interactions with others push them away, and you don’t care. That self-assured, confident woman you used to be? She feels like a stranger, because she is without estrogen.
8. Your Will to Live— Without estrogen, it can get dark. Really dark. The lower your estrogen, the greater the depression and anxiety. Hopelessness and the lack of will to live creep in. You might even have thoughts you’d never admit out loud. Estrogen deficiency is the number one cause of suicidal ideation in perimenopausal women. It’s difficult to be the woman you know you are when you think about doing yourself in every day. The loneliness and isolation contribute to the internal dialog and can push a woman into doing things she would never think of doing if she had enough estrogen.
9. Your Money— Low estrogen can drain your finances, too. You chase solutions—doctor to doctor, hormone expert to hormone expert, drug to drug, supplement to supplement—but no one is fully restoring the very hormone that’s missing. You are prescribed low-dose HRT protocols that keep you in a state of deficiency, and then you spend thousands of dollars on treatments that only manage symptoms, not fix the problem. You also spend money on superficial and meaningless things you think will make you feel better, but the feeling is short-lived without estrogen.

The Truth: You Can Reverse This

If you’ve felt like you’re slowly losing pieces of yourself—your brain, your patience, your confidence, your energy—it’s not in your head. It’s your ovaries petering out. And the truth is, you don’t have to watch your life unravel this way.

Here’s the part no one tells you: perimenopause is preventable and reversible for most women.

Declining estrogen (perimenopause) is a reversible process if you fully replace what’s missing with an HRT system designed and dosed for full restoration. I’m not talking about the outdated “low-dose HRT” patches, gels, and creams that keep you deficient. I’m talking about therapeutic-dosed, physiologically administered hormone therapy—monitored and adjusted until you hit what I call the Hormone Sweet Spot^™. That’s where your mind, body, and emotions function at their best and remain that way as long as your estrogen tank is full.

When estrogen is properly restored:

• Your brain gets the estrogen it needs to restore focus, memory, and motivation.
• Your mood stabilizes, anxiety lifts, and your emotional resilience returns.
• Your metabolism reignites, making it easier to maintain a healthy weight.
• Your skin, hair, and muscle tone improve.
• Your cardiovascular, bone, and neurological health are protected for decades to come.
• You get yourself back— but better. Estrogen allows a woman to be who she authentically is, happy, joyful, contented, and loving. 

Don’t Wait for Things to Get Worse

If you’ve been told “you are not broken”, then you’ve been lied to. Your ovaries are broken, and this has led to the breakdown of your brain and body. Once you come to terms with the reason you feel so cruddy is because your estrogen has tanked due to broken ovaries, then you can take control before it gets out of hand.

Perimenopause is a warning light to take control. The goal is to fully restore your missing hormones and keep your hormone tank full for life. You no longer have to wait until menopause to replenish deficient hormones. If you intervene in perimenopause, you can reverse your perimenopause and prevent menopause for as long as you like. This is what I did.

Hormonal balance isn’t a luxury—it’s a requirement.

And restoring it isn’t just possible—it’s the smartest, most cost-effective decision you can make for your future and everyone you love.

If you’re tired of losing your mind, your body, your relationships, and your joy to estrogen deficiency, book a free discovery session to see if one of our advanced hormone balancing programs is a good fit. Our life-transforming programs are not for everyone, but could be just what you are looking for. You deserve to wake up happy, motivated, and feeling alive. 

_Reference: 

_{Albert K, Pruessner J, Newhouse P. Estradiol levels modulate brain activity and negative responses to psychosocial stress across the menstrual cycle. Psychoneuroendocrinology. 2015;59:14-24.}

_{Asarian L, Geary N. Cyclic estradiol treatment normalizes body weight and restores physiological patterns of spontaneous feeding and sexual receptivity in ovariectomized rats. Horm Behav. 2002;42(4):461-71.}

_{Assaf AR, Bushmakin AG, Cappelleri JC, Gerber RA, Balabanova S, Dubois RW. The economic impact of moderate to severe vasomotor symptoms in the United States. J Womens Health (Larchmt). 2017;26(11):1209-1218.}

_{Behrman R. Perimenopause as a window to mental health risk: opportunities for prevention and early intervention. Front Psychiatry. 2024;15:1379875.}

_{Borrow AP, Cameron NM. Estrogenic mediation of serotonergic and neurotrophic systems: implications for female mood disorders. Prog Neuropsychopharmacol Biol Psychiatry. 2014 Oct 3;54:13-25.}

_{Burger HG. The menopause: when it is all over or is it?. Aust N Z J Obstet Gynaecol. 1994;34(3):293-5}

_{Masters WH. Sex steroid influence on the aging process. Am J Obstet Gynecol. 1957;74(4):733-42.}

_{Payne JL. The role of estrogen in mood disorders in women. Int Rev Psychiatry. 2003 Aug;15(3):280-90.}

_{Reiss, MD, Uzzi, Fitzpatrick B. The Good News About Estrogen, The Truth Behind a Powerhouse Hormone. St. Martin's Press; 2020.}

_{Roshenshein B. Preventing Menopause, Stopping Ovarian Failure Before It Starts. 2013.}