The prefix "peri" means "around" in latin. The perimenopause encompasses the time period around menopause when reduced estrogen levels may result in menopause-related symptoms. One full year after the last menses women are considered to be in menopause. The transition into menopause can be troublesome for some women secondary to hot flashes, night sweats, vaginal dryness, insomnia, and mood disturbances. The goal is to promote health by monitoring wellness screenings and optimize well being by considering all available therapies including conventional HRT, alternative therapies, as well as bioidentical hormones. This can be accomplished by individualizing care, taking into account the woman's risk/benefit profile, her treatment goals and symptoms that may affect quality of life. The menopause is an optimal time to encourage health and make informed decisions about life-style changes that may reduce chronic diseases and help reduce menopause-related symptoms.