What is menopause?

Menopause is the time in a woman’s life when her ovaries stop producing estrogen and progesterone.  You are considered menopausal if you have gone one whole year without a period.  On average, this occurs at age 52, but can occur much earlier or later. 

Typical symptoms may include:

• hot flashes

• depressed mood

• fatigue

• insomnia

• low libido

• vaginal dryness

• painful sex

• poor memory

• irritability

• dry skin

• dry eyes

• thin or aging skin, including wrinkles

• weight gain

What is perimenopause?

As a woman approaches menopause, her hormone production may fluctuate wildly, causing all sorts of symptoms. Some women experience symptoms early – in some cases 10-15 years before menopause – so it can sometimes be hard to recognize that a hormone problem is the culprit!

Common symptoms of perimenopause include:

• night sweats

• mood swings

• anxiety

• irritability

• waking up in the night

• worse PMS symptoms (like breast tenderness, fluid retention and bloating)

• longer PMS (lasting 1-2 weeks instead of just 1-2 days)

• heavier periods

• irregular periods or more frequent periods

• premenstrual spotting

• weight gain

Are you wondering if you are a candidate for hormone replacement because you feel totally sluggish and have gained weight (despite the fact you haven’t changed your diet or exercise routine?)

Still feeling “off” even though your doctor has you on hormone replacement?

Or maybe you are just “on the fence” and don’t know what to think because you are concerned about possible side effects of hormone replacement?

For women who don’t feel good because of menopausal hormone deficiencies, we often find that hormone replacement therapy can make a big difference.  

It is important to know that there are different approaches to hormone replacement. 

Here’s how we do it

We start by measuring your hormone levels.  We only want to replace hormones that you are deficient in, so we can bring you back into balance. 

We use bio-identical hormones, which are an exact match to the hormones your body used to make.  These are available in FDA-approved forms from a regular pharmacy, or in customized preparations from a compounding pharmacy.  

We monitor  to make sure your symptoms are better and you are not having side effects.

Then we re-measure your hormone levels to make sure we have it right.