FAQs

Are my symptoms related to menopause? MAYBE

1

The perimenopausal transition is gradual and can span years before final period, even with regular menses & normal labs. Key points:

  • Menopause occurs one year after your final menstrual period, typically around 50-52 (possible between 40-60)

  • Symptoms can begin up to 10-15 years before final menses and may last several years after

  • Factors affecting transition include genetics, lifestyle habits, surgery, medication, and general health status

  • Symptoms can fluctuate daily and monthly due to erratic hormone production

Important Pregnancy is possible with perimenopausal symptoms throughout the 40s. Contraception & fertility planning should be part of the perimenopause assessment.

When to Seek Care: If you suspect perimenopausal symptoms, schedule an appointment; diagnosis is made from reviewing your history and symptoms, not hormone levels

Do I need hormones? MAYBE


2

Not all women benefit from menopausal hormone therapy (MHT). This decision should be individualized based on:

  • Specific symptoms & their impact on quality of life

  • Personal medical & family history and risk factors

  • Other potential causes of symptoms (like thyroid issues)

  • Your preferences for treatment approaches

The key is finding the right balance between managing symptoms and potential risks. This decision should be made through a detailed discussion with your healthcare provider.

Do I need to see a menopause specialist? MAYBE

3

You might not —menopause is a natural life stage, not a disease. However, a certified menopause specialist can help:

  • Individualized risk vs benefit assessment

  • Treatment of menopause-related symptoms, including after breast cancer

  • Management of associated conditions:

    • Osteoporosis

    • Anxiety and depression

    • Insomnia

    • Cardiovascular disease

    • Diabetes

    • Migraines

    • Sexual dysfunction

**Beware providers offering unregulated treatments (pellets, injections, compounded): Major professional societies do not recommend these.

Do you prescribe bioidentical hormones? YES

4

YBut understand the terminology:

  • "Bio-identical" means chemically identical to those your body produces

  • FDA-approved bio-identical options are available in various doses and formulations

  • Custom-compounded hormones rarely necessary and:

    • Not covered by insurance

    • Less regulatory oversight

    • Typically more expensive

    • No evidence of being safer or more effective