Support for Perimenopause & Menopause
Personalized plans for symptoms, sleep, sexual health, and long-term wellbeing.
Perimenopause and menopause are normal transitions, but symptoms can disrupt work, sleep, mood, and relationships. We provide clear guidance and options tailored to your medical history and goals.
Fast Facts
Perimenopause can last several years before the final period
Menopause is confirmed after 12 months without a period
Hot flashes, night sweats, brain fog, and mood shifts are common
Care plans can improve sleep, sexual comfort, and long-term health
Common Symptoms
- Hot flashes and night sweats
- Sleep difficulty or fatigue
- Brain fog or mood changes
- Vaginal dryness and pain with intercourse
- Irregular or heavy cycles (perimenopause)
- Joint aches, weight redistribution
Why It Matters
Beyond day-to-day symptoms, menopause is linked with changes in bone density, body composition, and cardiometabolic risk. Early, individualized care can improve quality of life and support long-term health.
Diagnosis & Evaluation
History and symptom patterns usually guide diagnosis. Labs are not required for most patients but may be used to evaluate irregular bleeding, thyroid concerns, anemia, or to guide therapy choices based on your history.
Perimenopause vs. Menopause
Perimenopause
- Irregular cycles with fluctuating hormones
- Hot flashes, mood and sleep changes may begin
- Contraception may still be needed
- Care focuses on cycle regulation and symptom relief
Menopause
- No periods for 12 months
- Symptoms may persist or evolve
- Focus on symptom control and preventive health
- Bone and heart health screening become key
Treatment Options
Plans are individualized and may include hormone therapy (estrogen with progesterone if you have a uterus), nonhormonal medications for hot flashes, sleep and mood support, vaginal estrogen for dryness, pelvic floor therapy, and lifestyle strategies for bone, heart, and metabolic health. We review benefits, risks, and alternatives so you can choose confidently.
What to Bring to Your Appointment
- ✓Cycle timeline and symptom journal
- ✓Medication and supplement list
- ✓Recent labs or imaging if available
- ✓Personal goals (sleep, hot flash relief, sexual comfort, bone health)
Frequently Asked Questions
1Is hormone therapy safe for me?
For many healthy patients within 10 years of their last period, benefits can outweigh risks. Safety depends on age, time since menopause, personal and family history, and route and dose. We review your specifics before recommending any therapy.
2Do I need blood tests to confirm menopause?
Usually no. In most cases, 12 months without a period confirms menopause. Labs may be useful if periods stopped early, symptoms are atypical, or other conditions are suspected.
3What if I cannot take estrogen?
Effective nonhormonal options exist for hot flashes and sleep, and vaginal symptoms can often be treated with local therapies. We tailor a plan around your health history.
4How long do symptoms last?
Duration varies. Many people notice improvement over time, but symptoms can persist for years. Treatment aims to reduce intensity and improve daily life while supporting long-term health.
Feel Like Yourself Again
Get a clear plan for symptoms now and a strategy for bone and heart health going forward.
Book an Appointment