It’s one of the most common — and most frustrating — experiences women describe:
“My lab work was normal, but I don’t feel normal.”
You’re told your estrogen, progesterone, and FSH are “in range,” so everything looks fine.
But you’re still dealing with:
Here’s the truth your lab report doesn’t show:
Hormonal instability causes symptoms long before hormones fall outside the normal range.
Unlike thyroid labs, which remain steady, reproductive hormones in women fluctuate dramatically.
Estrogen can swing from 30 to 300 in a matter of days.
Progesterone can be high one cycle, absent the next.
A single blood draw captures one moment in a storm of variation, not the pattern your brain is responding to.
So yes — you can have:
…and still have real, significant hormonal symptoms.
This is the most important concept missing from traditional care:
It’s not low hormones that cause the most symptoms — it’s unreliable hormones.
When estrogen and progesterone swing unpredictably, neurotransmitters struggle to keep up:
→ irritability, anxiety, low mood, sensory overload
→ sleep problems, agitation, PMDD-like symptoms
→ low motivation, poor focus, “flat” mood
Your brain is designed to operate on steady hormonal signals.
When those signals become erratic — as in perimenopause, postpartum, or PMDD — the emotional and cognitive consequences can be profound.
During perimenopause:
This creates a pattern known as “loop cycles.”
Cycles may be:
Yet the lab drawn on the “right day” may still show a completely normal estradiol or progesterone level.
Normal labs ≠ normal hormonal experience.
When women are told their labs are fine, they often internalize:
But symptoms reflect real neurobiological instability, not emotional weakness.
Common hormonal instability symptoms include:
These aren’t psychological flaws — they’re predictable results of fluctuating estrogen and progesterone.
You deserve care when you experience:
These are exactly the moments when hormone-informed mental health support can change the trajectory.
Options may include:
The goal is simple:
help the brain feel steady again.
Perimenopause causes unpredictable hormone fluctuations - Menopause Society
Sensitivity to normal hormonal changes- MGH Center for Women's Mental Health
Conscious Psychiatry is a specialized mental health practice that takes a holistic, evidence-based approach to women's mental wellness throughout all life stages. Founded by Jordan Gough, a Psychiatric Nurse Practitioner with extensive experience in critical care, our practice combines traditional and alternative treatment options to provide comprehensive, personalized care.
Our Philosophy: We believe that every individual deserves to be heard, supported, and empowered on their journey to better mental health. Our approach is rooted in empathy, empowerment, and evidence-based practices, ensuring that you feel validated and understood throughout your treatment.
Specialized Services:
Our Approach: We treat the whole person, not just symptoms. By integrating mental health support, hormone therapy when appropriate, and lifestyle medicine, we help women navigate life's transitions with confidence and optimal well-being.
Insurance and Accessibility: We accept insurance for psychiatric evaluations and follow-ups, making mental health care accessible. Our hormone therapy services are offered on a transparent, self-pay basis to ensure the comprehensive time and attention this specialized care requires.
Located in Denver, Colorado, Conscious Psychiatry serves women throughout the region who are seeking compassionate, expert care during perimenopause, menopause, and beyond. We're here to help you reclaim your mental wellness and thrive through life's changes.
Contact us today to learn how we can support your journey to optimal mental and hormonal health.
In-Person in Denver | Virtually Throughout Colorado
Located in: Cherry Tower
Address: 950 S Cherry St Suite 1675, Denver, CO 80246
