We hear this all the time. Many patients come to Midi after being told they’re not candidates for hormonal care because their labs look “normal.” But during perimenopause, hormone tests don’t tell the whole story. 

That’s because hormones fluctuate day to day, even hour to hour. A single test can miss those swings and doesn’t reliably reflect how hormones affect your body.

Your symptoms are often the most important clue. If hot flashes, insomnia, vaginal dryness, or something else is disrupting your life, that matters—even if your labs fall within the “normal” range. 

For many women, hormone replacement therapy (HRT) is the most effective treatment, but it’s not for everyone. If vaginal dryness, painful sex, or urinary changes are your main concerns, localized vaginal estrogen can be extremely effective. And there are many other solutions, ranging from prescription meds to supplements. 

That’s why working with a trained clinician is so important. At Midi, every Care Plan is personalized to your symptoms, goals, and medical history—so you can get relief that’s right for you.