Yesterday, a patient in her early forties sat across from me describing something she had never experienced before: her heart would suddenly race for no apparent reason, jolting her awake at 2 a.m. She could not fall back asleep. She felt foggy at work. She wondered if something was seriously wrong. Nothing was wrong with her heart. What she was experiencing were some of the earliest signals of perimenopause. The purpose of this blog is to walk you through the major body systems affected by perimenopause and to show you what to expect at each phase. My hope is that by understanding these changes, you will feel empowered rather than frightened, and that you will recognize the signals your body is sending you as it moves through this natural, but sometimes disorienting, transition.

On November 10, 2025, the FDA announced the removal of black box warnings from menopausal hormone therapy products—a decision that FDA Commissioner Dr. Marty Makary called "one of the greatest mistakes in modern medicine" to finally correct[1]. As a physician who specializes in perimenopause and menopause care in Ohio, I've spent years watching qualified women be denied treatment because of outdated fears. This announcement should be cause for celebration. And it is, but with important caveats that every woman and clinician needs to understand.

Perimenopause can be a significant transition in a woman’s life—one that is widely misunderstood and often neglected in conventional healthcare. If you’re experiencing shifts in mood, energy, cognition, or bodily comfort in your 30s, 40s, or early 50s, you are not alone. This comprehensive guide will empower you to understand perimenopause, recognize its earliest and most surprising signs, and know when to seek help. At Bonza Health, our holistic approach centers your unique experience—because perimenopause is not “one size fits all.”

Perimenopause often arrives as a storm of unpredictability—restless nights, a rollercoaster of emotions, exhaustion with a mind that won’t quit. Fluctuating levels of estrogen and progesterone, two pivotal hormones for women’s mental and physical wellbeing, are responsible for these changes. These hormones help regulate cycles, modulate the nervous system, shape sleep and mood, and buffer stress.

Hot flashes can feel like an unwelcome guest, turning your days and nights into a rollercoaster of discomfort. What if you could understand the science behind them and find effective ways to manage and even eliminate these symptoms? In our latest blog, we unravel the mystery of hot flashes, explore their causes, and offer a comprehensive guide to treatments—from simple lifestyle changes to cutting-edge hormone therapy.

Menopause symptoms, especially hot flashes are worsening. Learn what you can do to find relief. Dr. Bonza covers remedies including lifestyle habits, natural supplements and traditional medicine. Explore the potential treatment options that will work best for you.

We’re big on natural, effective ways to help women overcome perimenopausal and menopausal symptoms. In this blog post, we specifically discuss hot flashes, headaches, and migraines, which are common symptoms for women going through perimenopause or menopause. We share some of the most popular natural remedies to help reduce these symptoms in this post. Check it out!

Learn my top tips on how to relieve yourself of pesky and inconvenient hot flashes and discover what you can do naturally to help with treating hot flashes during perimenopause or menopause.