Many women contact us feeling exhausted, overwhelmed and unsure what is happening in their bodies. They often say the same thing: “I don’t feel ill, but I don’t feel like myself anymore.”
This is the story of one such woman. Details have been anonymised for privacy.
Mary’s Story
As a Chiroprarctor I see many female clients coming through the clinic that are struggling. Mary, 44 came to me as a client with generalised joint pain but also stated she was feeling exhausted, anxious and unlike herself.
Over the previous year she had noticed increasing fatigue, poor sleep, low mood and a growing sense that she was no longer coping in the way she used to.
She had accessed healthcare in Spain several times and had been told her symptoms were likely due to stress and a busy lifestyle. Blood tests were reported as normal.
Despite trying to rest more, improve her diet and slow down, she continued to feel worse. She began to worry that something was seriously wrong with her.
Her Symptoms
During her meeting with me Mary described:
Broken sleep and early morning waking
Increasing anxiety and reduced confidence
Brain fog and difficulty concentrating
Intermittent palpitations
Subtle changes in her menstrual cycle
I introduced Mary to Dr Raquel Delgado as my experience in Spain for women around perimenopause and menopause has left many feeling frustrated. She arranged an appointment with Dr Raquel reluctantly but ready to try anything.
Assessment and Discussion
Dr Raquel took a detailed discussion of Mary’s symptoms, cycle history, medical background and recent changes suggested she was likely in early perimenopause.
Time was spent explaining what perimenopause is, how fluctuating hormones can affect multiple systems in the body, and why her symptoms made sense in this context.
This alone brought her a huge sense of relief that someone understood.
Quick Tip: Keep a symptom diary noting your sleep patterns, mood changes, energy levels and menstrual cycle. This information helps your doctor build a clearer picture during your consultation.
What Our Patient Said
“I felt like I was losing myself and no one could explain why. Speaking to Dr Delgado was the first time I felt properly listened to. She explained what was happening in my body and gave me clear options. I finally felt hopeful again.”
— Patient, age 44
Creating a Personalised Plan
Together, Mary and Dr Delgado discussed appropriate options, including lifestyle strategies and evidence-based medical approaches including HRT.
A personalised plan was agreed based on her symptoms, preferences and health history. Follow-up support was arranged to review progress and adjust the plan if needed.
The Outcome
Within a few weeks, Mary reported improvements in sleep and anxiety.
Over the following months, she felt more stable, more informed and more in control of her health.
Why This Matters
Many women do not realise that perimenopause can begin years before periods stop. Symptoms are often misunderstood or dismissed as stress or burnout.
With the right conversation, explanation and support, clarity and improvement are possible. If you are unsure we are here to help, our team can guide you.
Quick Tip: If you have been told your blood tests are “normal” but you still feel unwell, trust your experience. Perimenopause is often diagnosed based on symptoms and clinical history rather than blood tests alone.
How our Doctors are Supporting Women
Both Dr Melanie Lake and Dr Raquel Delgado offer calm, unhurried consultations for women experiencing perimenopause and menopause symptoms.
Their approach focuses on listening, understanding your concerns and providing clear, evidence-based guidance. Consultations are available online or in person at our clinic.
Ready to take the next step? Get in touch with Costa Health to book your appointment.
Frequently Asked Questions
Can perimenopause really start before periods stop?
Yes. Perimenopause can begin several years before menopause. Many women still have regular periods while experiencing significant symptoms such as fatigue, anxiety and sleep disturbance.
Do normal blood tests mean nothing is wrong?
No. Hormone levels fluctuate throughout the day and month, so they can appear normal even when symptoms are clearly hormonal. Diagnosis is often based on symptoms and clinical history rather than blood tests alone.
Is anxiety common in perimenopause?
Yes. Hormonal changes, particularly fluctuating oestrogen levels, can affect mood regulation and emotional resilience. This makes anxiety and low mood common symptoms during perimenopause.
Can lifestyle changes really help with perimenopause symptoms?
Yes. Factors such as sleep hygiene, stress management, regular movement and balanced nutrition can significantly influence how symptoms are experienced. These changes work well alongside medical treatment when needed.
Is HRT the only treatment option?
No. Hormone replacement therapy is one option, but there are several approaches including lifestyle modifications, non-hormonal medications and complementary therapies. The right choice depends on your symptoms, health history and personal preferences.
Can I speak to a GP online about menopause?
Yes. Many menopause and perimenopause consultations are suitable for online appointments. This can be particularly convenient for expats living on the Costa del Sol who prefer English-speaking healthcare.
When should I seek help for perimenopause symptoms?
If symptoms are persistent, worsening or affecting your quality of life, it is reasonable to seek medical guidance. You do not need to wait until symptoms become severe to ask for support.