Free evening workshop · San Diego

Perimenopause:
The 3 a.m. Wake-Up

What's actually happening in perimenopause, including the symptoms nobody warns you about

Tuesday, November 17 · 6:00–7:00 PMBastyr University Clinic, San Diego · Room U105

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Free. Bring a friend; most people do.

Sound familiar?

You wake at 3 a.m. and your mind is already running. You're tired in a way rest doesn't fix. Things that never bothered you now make you snap. Your stomach has opinions it didn't used to have. Your tests came back normal, and you still don't feel like yourself. You may not have connected any of this to perimenopause. Most people don't.

In a 2026 study of more than 17,000 women, most expected hot flashes. What they actually reported most often was fatigue, irritability, low mood, trouble sleeping, digestive changes, and anxiety.

This workshop is an hour on what's going on, and why.

What we'll cover

  • What perimenopause and menopause are, and how to tell where you might be in the transition
  • The symptoms that rarely get mentioned: sleep, mood, energy, digestion, and focus
  • Why "your labs are normal" doesn't always end the conversation
  • What hormone testing can and can't tell you
  • An overview of the options people consider, from everyday foundations to hormone therapy and non-hormonal approaches
  • Twenty minutes for your questions

What to expect

An hour of plain-language education from clinicians who spend their days on this. There's no cost and no sales pitch. You'll leave knowing more than when you arrived, whether or not you ever visit our clinic.

Who it's for

Women in their late 30s, 40s, or 50s who's noticed changes and wants to understand them, whether or not you've used the word "perimenopause" yet. Partners, friends, and family who want to understand are welcome too.

Who's presenting

Dr. Alaina Totton, ND

Dr. Alaina Totton, ND, a naturopathic resident at Bastyr University Clinic, draws on a background in psychology and social work to help patients understand what's driving their symptoms.

Our clinic is the teaching clinic of Bastyr University. Licensed clinicians supervise advanced student clinicians, and visits run a full hour.

Bring a friend

Most people come with someone. Seating is set up for pairs, and the registration form lets you add a guest.

Details and getting here

When
Tuesday, November 17, 6:00–7:00 PM. Doors open at 5:45.
Where
Bastyr University Clinic, 4110 Sorrento Valley Boulevard, San Diego, CA 92121 · Room U105
Parking
You'll find reserved parking spaces for Bastyr University Clinic patients in front of the clinic and on the side of our university building.
When you arrive
Please enter through the clinic's front entrance and follow the signs to the lecture room.
Accessibility
The clinic is wheelchair accessible.

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Frequently asked questions

Do I need to know I'm in perimenopause to come?

No. If you're not sure what's going on, this session is designed for you.

Will I get advice about my own symptoms?

The session is educational and covers what's common, not individual diagnosis or treatment. You're welcome to ask general questions.

Will I be asked to book an appointment?

No. If you want to go further afterward, we'll mention a few low-key options. That's it.

Do I need to be a patient of the clinic?

No. The workshop is open to everyone.

Can I attend online?

This session is in person only. If you can't make it, join the list below and we'll let you know about the next one.

Is it really free?

Yes.

This workshop is for general education and is not medical advice. Attending does not establish a patient-provider relationship.

You wake at 3 a.m. and your mind is already running. You're tired in a way rest doesn't fix. Things that never bothered you now make you snap. Your stomach has opinions it didn't used to have. Your tests came back normal, and you still don't feel like yourself. You may not have connected any of this to perimenopause. Most people don't. In a 2026 study of more than 17,000 women, most expected hot flashes. What they actually reported most often was fatigue, irritability, low mood, trouble sleeping, digestive changes, and anxiety. This workshop is an hour on what's going on, and why.

Date & Time

November 17 2026
06:00 PM PST -
07:00 PM PST

Location

Bastyr University Clinic
4110 Sorrento Valley Blvd, San Diego, CA 92121