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The Menopausal Transition: A Four-Phase Framework for HPA/HPO Axis Support

Four-Phase Identification, HPA/HPO Axis Physiology, and Phase-Appropriate Protocols

The Menopausal Transition: A Four-Phase Framework for HPA/HPO Axis Support

Four-Phase Identification, HPA/HPO Axis Physiology, and Phase-Appropriate Protocols

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Discover Amie Skilton’s Four-Phase Framework for the Entire Menopausal Transition

Move beyond treating menopause as a single event and learn to identify, read, and treat each of its four distinct phases, from perimenopause through to postmenopause.

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.

FREE WEBINAR With Amie Skilton

Tuesday, 30th June 2026, 7:00 – 8:30 pm AEST

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.

By the end of this webinar, you’ll be able to:

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.

Why the Menopausal Transition Is So Hard to Treat Well

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.

Place Every Patient in the Right Phase

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.

Match the Protocol to the Phase

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.

Engage With Amie During Her Interactive Presentation

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

Learn From a Practitioner Who’s Walked the Path, Amie Skilton

Amie Skilton

Presenter
Amie Skilton

Amie Skilton | ND, DBM, BHSc (Comp Med), DBT | Functional Medicine Practitioner & Educator

Your Guide to the Four Phases of the Menopausal Transition

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.

Webinar Schedule

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

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Your Webinar Host and MC
Vashti D’Vyne BHSci, DipNat

Vashti D'VyneVashti 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:

  • Simplifying complex information into easy-to-understand, actionable guidance for practitioners
  • Mindfulness-based health coaching and lifestyle medicine approaches
  • Streamlining practice workflows to save time and money while improving patient outcomes
  • Supporting practitioners with personalised one-on-one training to elevate their practice

Designs for Health Education

I really enjoy your webinars. The presenters are engaging and concise, presenting information pertinent to the clinician setting rather than emphasising research facts is welcome. Personal stories also provide an authentic connection. Thank you
Desley Lock

Thanks for this clear, insightful information. I have found any of the webinars or seminars I’ve attended have been useful, with little nuggets that pop back into mind when relevant.
Roz Fitzgerald

Excellent in-depth training, provides extensive and well-illustrated explanations and summaries, easy to understand. Really appreciate this comprehensive self-paced practitioner training.
Duong Tran

I really enjoyed the webinar on Autoimmunity. The simplicity of the treatment protocols and the results were mind-blowing! The research studies to back up treatment protocols are great resources too.

The DFH education and webinars are awesome. I have learnt so much, thank you.

Liz Stewart

The Menopausal Transition: A Four-Phase Framework for HPA/HPO Axis Support

FREE WEBINAR With Amie Skilton | Tuesday, 30th June 2026, 7:00 – 8:30 pm AEST

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