The free guide

What’s happening
to me?

The 30+ symptoms of perimenopause and menopause, what connects them, and what actually helps. Free, plain-language, from a physician who does nothing but this.

Send me the guide See what’s inside
Cover of the free guide What’s Happening to Me? by Dr. Julie Grimes, MD, FACOG, MSCP
What’s inside

The whole picture, in plain language.

No jargon, no scare tactics: just the connections no one drew for you, and what you can actually do about each one.

01

The one hormone behind it all

Why estrogen runs 30+ systems in your body, and why the symptoms hit everywhere at once.

02

Your symptoms, decoded

The dots no one connected: from sleep and mood to joints, memory, and weight.

03

What actually helps

HRT, non-hormonal options, and how to tell real evidence from hype and fear.

04

Why willpower stopped working

The metabolic shift at menopause, and what moves the needle when the old rules don’t.

05

Protecting your next 30 years

Bones, heart, and brain: why this window matters more than anyone told you.

06

Questions to bring to your appointment

The exact things to ask, so you’re never dismissed or rushed out the door again.

What connects them

The symptoms of perimenopause and menopause, one at a time.

Estrogen does not only run your cycle. It has receptors in your brain, your bones, your joints, your skin, your bladder and your blood vessels. When it starts swinging and then falling, any of those systems can register it. That is why the list below looks unrelated, and why treating one symptom at a time so often fails.

Sleep and energy

Waking at 3am, wide awake, with your heart going.

Tired in a way that sleep does not touch.

Night sweats that soak the sheets and wake you cold.

Legs that will not settle the moment you lie down.

Mood and mind

Anxiety that arrives from nowhere, often in the early morning.

Rage out of all proportion to whatever set it off.

Words going missing in the middle of your own sentence.

Dizziness or a swimmy, off-balance feeling.

Body and metabolism

Weight settling at your middle when nothing about your habits changed.

Joints stiff and sore before you are out of bed.

A shoulder that quietly stops moving.

Hair thinning at the temples and along the part.

A heart that pounds or skips for no reason you can name.

Cycle and intimacy

Periods that crowd together, then stretch apart.

Desire that has gone quiet.

Dryness and discomfort that turn sex into something you avoid.

Needing the bathroom more, and infections that keep coming back.

The ones nobody warns you about

A burning tongue or mouth.

Ringing in your ears.

Skin that itches or feels like something is crawling on it.

Small electric shock sensations just under the skin.

Dry, gritty eyes.

A buzzing or vibrating feeling inside your body.

That is 23 of them. The full list runs to 74, and the guide draws the lines between all of them.

Dr. Julie Grimes, MD, FACOG, MSCP, Medical Director of Mariposa
Why I wrote it

Too many women are handed a prescription and a shrug, or nothing at all, and sent home to figure it out alone at midnight on the internet.

This is the guide I wish every woman had before she walked into an appointment. It’s the plain-language version of what I’d tell you if we were sitting across from each other: what’s actually happening, what genuinely helps, and the questions that get you taken seriously.

You deserved this information years ago. Here it is: free, and no strings.

Dr. Julie GrimesMedical Director, Mariposa
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Everything they should have told you, and what to actually do about it. Tell us where to send it:

Cover of “What’s Happening to Me?”
  • ✓The 30+ connected symptoms, and the drivers behind them
  • ✓What actually helps, and what to be wary of
  • ✓The exact questions to bring to your next appointment

Send me the guide

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Common questions

Perimenopause and menopause, answered.

Perimenopause is the transition, and it can run for years while you are still having periods. Menopause is a single day: twelve months after your last one. Almost everything people call menopause symptoms actually belongs to perimenopause.
Typically 4 to 8 years, most often starting in the mid-40s, though it can begin earlier. Hot flashes alone persist for a median of about 7 years, and longer for women whose symptoms started early in the transition.
No. In perimenopause your hormones swing from one day to the next, so a single blood draw can land on a normal-looking number and still tell you very little. This stage is identified from your symptoms and your cycle, not from one lab result.
No. Plenty of women never get a single hot flash and still have the sleep, mood, joint and memory changes. The list of symptoms linked to this transition runs to 74.
There is no blanket answer, and that is the honest one. The real question is not whether it is safe for everyone but whether it is right for you, and that comes from a proper risk-and-benefit conversation built around your history, your symptoms and your goals.
Go in with specifics: what changed, when it started, and how it affects an ordinary day. The guide ends with the exact questions to ask, so the appointment does not end before you have been heard.

Ready to talk it through with someone who gets it?

The guide is a great start. When you’re ready for a plan built around you, we’re here.

Call (256) 965-6812