BLOG #2 - 11/2025 ​“Don’t Blow Them Off…” — Perimenopause and Women’s Health - An Interview with Eleanor Diamse, NP

Too often, women are underserved in their healthcare—whether it’s dismissive providers saying, “It’s just menopause,” before sending them on their way without help or answers, or outdated myths perpetuated by the 2002 Women’s Health Initiative and overextended providers who don’t have time to address every patient’s needs. The result? Too many women continue suffering from symptoms that can be effectively managed with the right provider.

At Harmony HRT, we’re honored to work with providers who not only spend their weekends at continuing education conferences to better serve their patients but who also walk their own HRT journeys. Eleanor Diamse, NP, is Harmony’s newest provider. I sat down with her to hear her story and her perspective on the important topic of perimenopause and women’s hormone health.

A common myth around hormones is that you must already be in menopause before seeking treatment—or that it’s too late to start once symptoms appear. So we asked the expert: When is it too early or too late to talk to a provider about perimenopause or menopausal symptoms?

Eleanor’s thoughtful response encapsulates the philosophy of Harmony HRT perfectly:

“It’s never too early or too late to be seen for any symptoms. Symptoms of perimenopause can start years before full menopause (12 months without a period), and they might overlap with conditions like PCOS, PMS, endometriosis, or even thyroid issues—all of which can be helped with hormone treatment. So any sign or symptom is never too minor or something you should be expected to ‘just deal with.’ Plus, if you have one symptom, like hot flashes, you likely have others that just need time to explore with your provider.”

Perimenopause affects every woman differently. One woman might experience hot flashes, while another may never have them at all. With that in mind, Eleanor encourages anyone who believes they may be experiencing symptoms to seek care.

“All different body systems and symptoms can be helped or improved with hormone therapy,” she says. “That includes mood, mental resiliency, sleep, aging skin, lower back pain, and other vasomotor symptoms, among others.”

When looking for a good hormone provider, Eleanor emphasizes the importance of a strong patient–provider relationship—someone who truly listens.

“I’ve been that dismissed patient before, and you don’t want to wake up one day and realize you missed out on years of your life. You shouldn’t have to grieve over how much better things could have been.”

The knowledge and personal experience Eleanor brings to the team make her a brilliant addition to Harmony HRT’s already strong group of hormone specialists. We’re lucky to have her.

You can schedule with Eleanor or any of our providers at HarmonyHRT.com or by calling (970) 639-2677.

Written by Ezra Bell, RMA – November 10, 2025