Have you ever had a menopausal patient who seemed to shift from one set of symptoms to another, responding to a protocol for a while and then changing again? The menopausal transition is not a single hormonal event. It moves through distinct phases, each with its own HPA and HPO axis picture, and a protocol that fits one phase can miss the next.
When the transition is treated as one undifferentiated stage of declining hormones, the picture rarely adds up. The markers that distinguish each phase, symptom patterns, basal body temperature shifts, and laboratory findings such as FSH, LH, oestradiol, progesterone, and cortisol, go unread, and treatment ends up aimed at a moving target.
In this 90-minute deep dive, renowned functional medicine educator Amie Skilton shares a practical four-phase framework spanning perimenopause through to postmenopause. You will learn to identify each phase by its clinical markers, understand the changes in the HPA and HPO axes that drive it, and select phase-appropriate herbal, nutritional, and lifestyle interventions to support your patients at every stage.
Designs for Health Australia is proud to present the Clinical Education Series, dedicated to supporting natural health professionals in gaining expertise, deepening clinical experience, and delivering quality patient outcomes.
This deep-dive webinar has been designed for the practitioner who is ready to move past treating menopause as a single stage and to assess and support each phase of the transition with clinical precision.
✅ Identify the four phases of the menopausal transition, from perimenopause through to postmenopause, using clinical markers including symptom patterns, basal body temperature shifts, and key laboratory findings (FSH, LH, oestradiol, progesterone, and cortisol).
✅ Read the HPA and HPO axis changes that define each phase, and understand their clinical implications.
✅ Select phase-appropriate herbal, nutritional, and lifestyle interventions that support HPA and HPO axis function at each stage of the transition.
✅ Apply a practical four-phase clinical framework to guide patient assessment and treatment planning from the first signs of perimenopause through to postmenopause.
🎯 The Goal? Walk away with a clear, phase-by-phase map of the transition: able to recognise where each patient sits, read the markers that confirm it, and match your protocol to the phase in front of you.
Challenge #1: Treating It as One Stage. The transition is often approached as a single block of declining hormones, but perimenopause, the early and late transition, and postmenopause each present differently and call for different support.
Challenge #2: Markers Left Unread. Symptom patterns, basal body temperature, and labs such as FSH, LH, oestradiol, progesterone, and cortisol each signal which phase a patient is in. Read in isolation, the phase stays guesswork.
Challenge #3: A Moving Target. A protocol that suits one phase can lose traction as the patient moves into the next, which looks like treatment failure when it is really a phase change.
Challenge #4: Axis Physiology Overlooked. The HPA and HPO axes shift throughout the transition. Supporting hormones without accounting for these changes tends to produce partial, short-lived results.
🎯 The Clinical Reality: These are not difficult patients. They are a multi-phase transition being treated as a single event. Once you can place a patient in the right phase and read the axis picture beneath it, the path forward becomes clear.
Learn to identify each of the four phases using symptom patterns, basal body temperature shifts, and key laboratory markers including FSH, LH, oestradiol, progesterone, and cortisol. Knowing the phase is what turns a general menopause protocol into a targeted one.
Explore how to select phase-appropriate herbal, nutritional, and lifestyle interventions that support HPA and HPO axis function at each stage, drawing on Amie’s clinical experience guiding patients from perimenopause through to postmenopause.
Hear Amie's latest insights on the four phases of the menopausal transition
Join Amie live in a dedicated Q&A session you can shape with your own questions
Learn her approach to phase identification and phase-appropriate protocols
Walk through Amie's four-phase clinical framework, step by step
Earn 1.5 CPE points for your webinar participation.
Take home a four-phase framework you can apply in your very next menopause case

Amie Skilton’s professional journey spans more than two decades as a functional medicine practitioner and educator in naturopathic medicine, with a particular focus on women’s health, hormones, skin, and fertility.
Her expertise has brought her to conference stages, television, and digital platforms, where she has addressed broad audiences, including functional medicine practitioners and the general public.
Amie’s approach deeply integrates environmental factors with traditional health practices, emphasising the significance of a harmonious relationship between individuals and their surroundings for optimal health.
Find Amie at whatthenaturopathsaid.com and @thatnaturopath on Instagram.
7:00 pm – 8:00 pm – Amie Skilton’s Presentation and Case Studies
8:00 pm – 8:30 pm – Live Q&A discussion with Amie Skilton
8:30 pm – Webinar concludes
Vashti D’Vyne is a Health Educator for Designs for Health, bringing over 25 years of industry experience. She has developed a unique practice style that combines mindfulness, health coaching, and lifestyle medicine with functional testing and targeted nutritional interventions.
Vashti has a special interest in:
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