Menopause & Perimenopause Treatment
Your Body Is Changing. You Don't Have to Struggle Through It.
Perimenopause is the transition leading up to menopause, and it often begins earlier than expected. During this time, estrogen and progesterone fluctuate unpredictably, and testosterone levels also begin to decline.
Most women are familiar with symptoms like hot flashes and night sweats, but the experience is often much broader. Mood changes, anxiety, poor sleep, brain fog, weight gain, joint discomfort, and reduced libido are all common.
Testosterone is often overlooked in this phase, but it plays a key role in how you feel. As levels decline, women may notice lower energy, reduced strength, decreased motivation, and a drop in sexual desire.
These changes are not just part of aging. They are often tied to hormone imbalance that can be identified and addressed.

How We Approach Hormonal Transition
We begin with a comprehensive hormone evaluation that looks at estrogen, progesterone, testosterone, thyroid function, and other key markers.
From there, we create a personalized plan that may include bioidentical hormone therapy, targeted supplementation, and lifestyle support. When appropriate, testosterone is included to help restore energy, strength, and libido alongside other hormones.
Treatment during perimenopause is not one size fits all. Some women need short-term support, while others benefit from longer-term hormone optimization. We adjust your plan over time based on how your body responds.
A personalized treatment plan helps reduce the severity of symptoms, restore energy and mood, and support long-term health through and beyond the transition.

How do I know if I'm in perimenopause?
Perimenopause doesn't have a single defining event. Common signs include irregular periods, new or worsening PMS, sleep changes, hot flashes, mood shifts, and changes in libido. Hormone testing can help confirm whether hormonal fluctuations are contributing to what you're experiencing.
Is hormone therapy safe during perimenopause?
Hormone therapy is considered safe for many women during perimenopause when it is properly prescribed and monitored. Treatment is personalized based on your health history, symptoms, and lab results to ensure it is both effective and appropriate for you.
What's the difference between perimenopause and menopause?
Menopause is defined as twelve consecutive months without a menstrual period. Perimenopause is the transition leading up to that point, which can last anywhere from a few years to a decade. The hormonal shifts and symptoms often begin during perimenopause, not menopause itself.
Can I still get pregnant during perimenopause?
Yes, pregnancy is still possible during perimenopause as long as ovulation is occurring, even if cycles have become irregular. If contraception is important to you, that's worth discussing during your consultation.
