Perimenopause Care That Sees the Whole You
At Adaptive Wellness, Dr. Anne Wells provides thoughtful, individualized perimenopause care, helping women understand what's changing, explore their treatment options, and develop a plan that fits their health and their lives.
Personalized care via telehealth throughout Washington State and in person in Mukilteo.
Your sleep has changed. Your energy isn't what it used to be. Maybe you're experiencing brain fog, unexpected mood changes, or a menstrual cycle that no longer feels predictable
Perimenopause may be part of the picture. And you deserve more than guesswork.
Could This Be Perimenopause?
Signs and Symptoms to Recognize
Perimenopause doesn't always announce itself with hot flashes or missed periods. Sometimes the earliest changes are subtle, and sometimes they affect parts of your life you wouldn't immediately associate with hormones.
Sleep & Fatigue
Difficulty falling asleep, waking during the night, night sweats, or feeling exhausted even when you thought you got enough rest.
Menstrual Changes
Periods becoming heavier, lighter, shorter, longer, or less predictable. Changes may be gradual and easy to overlook.
Brain Fog & Focus
Forgetting words, struggling to concentrate, or feeling less mentally sharp during work and everyday life.
Weight & Body Composition
Changes in weight distribution, muscle mass, or body composition despite familiar eating and exercise habits.
Mood & Anxiety
Increased irritability, anxiety, mood fluctuations, or feeling less resilient to stress than usual.
Hot Flashes, Intimacy & Physical Symptoms
Hot flashes, night sweats, vaginal dryness, discomfort during intimacy, changes in sexual desire, or new joint and muscle discomfort.
You don't need to experience every symptom for perimenopause to be worth discussing. And because many of these concerns can have other causes, a thoughtful clinical evaluation matters.
Wondering If It Could Be Perimenopause?
You don't have to figure it all out on your own. Dr. Anne Wells takes a personalized, whole-person approach to understanding symptoms and helping women navigate this transition with clarity and confidence.
What Is Perimenopause, and When Does It Begin?
Perimenopause is the natural transition leading up to menopause, when the body's production of reproductive hormones begins to change. Rather than declining steadily, estrogen and progesterone levels can fluctuate significantly, sometimes creating noticeable changes in how you feel from one week or month to the next.
For most women, perimenopause begins in their 40s, although some notice changes earlier or later. This transition can last several years before menopause, which is reached after 12 consecutive months without a menstrual period.
One of the most surprising aspects of perimenopause is that symptoms can begin while your periods are still regular. Changes in sleep, mood, anxiety, energy, and menstrual patterns may develop gradually or seem to appear unexpectedly. Some women experience significant disruptions, while others notice relatively little change.
Because every woman's experience is different, understanding perimenopause involves more than checking hormone levels. Your symptoms, menstrual history, overall health, and individual circumstances all help tell the story. Other health conditions can also contribute to similar symptoms, making a thoughtful evaluation especially valuable.
At Adaptive Wellness, Dr. Anne Wells helps women understand these changes through individualized perimenopause care, available by telehealth throughout Washington State and in person in Mukilteo.
Perimenopause Treatment:
Finding the Right Approach for You
There is no single treatment plan that works for every woman.
At Adaptive Wellness, your care begins with a comprehensive review of your symptoms, medical history, health goals, and treatment preferences.
Depending on your needs, recommendations may include:
Hormone Replacement Therapy (HRT) for Perimenopause
Hormone therapy can be effective for certain bothersome symptoms, including hot flashes and night sweats. Whether it is appropriate depends on your medical history, individual risks, symptoms, and whether contraception is still needed.
Non-hormonal treatment options
Not everyone wants or is a candidate for hormone therapy. Evidence-based non-hormonal options and other approaches may be appropriate depending on the symptoms being treated.
Sleep, nutrition, movement, and lifestyle support
Sleep quality, resistance exercise, nutrition, stress, and daily routines all matter during midlife. Your plan should consider practical strategies that support your overall health.
Evaluation of overlapping health concerns
Fatigue, mood changes, weight changes, and difficulty concentrating are not always explained by perimenopause alone. Thyroid concerns, anemia, sleep disorders, medications, and other conditions may need consideration.
Individualized testing when appropriate
Testing can be valuable when it answers a specific clinical question. However, your symptoms, menstrual history, and overall health are often the most useful starting points for understanding perimenopause.
Hormone levels can fluctuate considerably during this transition, so a single test may not provide a definitive answer. Thoughtful testing can still help establish relevant baselines, investigate other possible contributors, and provide additional context for individualized care.
The goal is not to chase individual hormone numbers. It is to understand your clinical picture and choose treatments that are appropriate for you.
A More Personal Approach to Midlife Health
You have a full life. Your healthcare should help you navigate it, not become another complicated project to manage.
At Adaptive Wellness, Dr. Wells combines evidence-informed naturopathic and functional medicine with individualized clinical care.
Rather than treating sleep, hormones, metabolism, mood, and energy as unrelated concerns, she considers how these areas may interact while remaining attentive to other potential medical causes.
Appointments are intentionally unhurried. Your questions, health history, preferences, and goals help shape your care.
And when ongoing support makes sense, your relationship with Anne can continue beyond the first appointment, allowing your treatment plan to evolve as your needs change.
Care built around the whole person, not just a symptom or a laboratory result.
What to Expect:
Your Perimenopause Care Journey
1. Start with a Conversation
Schedule a complimentary 15-minute introductory call with Dr. Wells. Share your concerns, ask questions, and explore whether Adaptive Wellness is the right fit for you.
2. Understand What's Changing—and Start Moving Forward
Your first month begins with Care Launch, a comprehensive assessment of your symptoms, health history, lifestyle, and goals. Together, you'll develop a personalized care plan, explore appropriate treatment options, and begin taking meaningful steps toward feeling better. Care Launch stands on its own, with no ongoing commitment.
3. Continue with Support That Evolves with You
If you choose to continue, Guided Ongoing Care provides personalized support as your needs evolve.
Together, you'll monitor progress, refine your treatment plan, and make adjustments along the way—with care that adapts to you.
Explore Your Care Options
Every woman's needs are different. Learn more about Care Launch, Guided Ongoing Care, and the flexible ways to work with Adaptive Wellness.
Meet Dr. Anne Wells
Anne Wells, ND, FMCP-M is a Washington-licensed naturopathic physician, Functional Medicine Certified Professional – Medical, and founder of Adaptive Wellness.
Her clinical focus includes perimenopause and menopause, hormone health, metabolic health, sleep, fatigue, digestive health, and healthy aging.
Dr. Wells believes that good clinical care begins with careful listening and a willingness to understand the whole person.
Her approach combines clinical evaluation, patient education, evidence-informed treatment, and collaborative decision-making.
Perimenopause Care Throughout Washington State
Adaptive Wellness welcomes patients across Washington through secure telehealth.
Whether you live on Whidbey or Camano Island, in Anacortes, in North Kitsap communities like Kingston and Poulsbo, or in the San Juan Islands, you can access personalized perimenopause care without routinely traveling to a distant clinic.
For patients who prefer face-to-face appointments, in-person visits are available in Mukilteo.
You Don't Have to Navigate These Changes Alone
Perimenopause is a natural transition, but that doesn't mean symptoms affecting your sleep, work, relationships, or quality of life should go unaddressed.
Whether you're just beginning to notice changes or have been searching for answers for some time, Adaptive Wellness offers a thoughtful place to start.
Schedule a complimentary 15-minute introductory call with Dr. Anne Wells and explore whether her approach is right for you.
For a deeper look at symptoms and hormonal changes, read Dr. Wells' article, "Could This Be Perimenopause?"
This page provides general health information and is not a substitute for individualized medical advice. Adaptive Wellness does not provide emergency care.
Frequently Asked Questions About Perimenopause