Menopause is a time to prioritize your health and well-being. While some focus on lifestyle changes to manage perimenopausal symptoms and prevent disease, others may need hormones or other therapies.

With the overwhelming information available, much of it misinformation, women benefit from personalized guidance & individualized education from a certified menopause specialist.

Services Offered:

Menopause education & personalized health screening for women & transgender men.

Diet/lifestyle counseling
FDA-approved bioidentical hormone & non-hormone therapies, including GLP1’s
Management of related conditions:
- Sexual, vaginal & urinary health
- Breast and bone health
- Metabolic health (thyroid, blood sugar, lipids)
- Fertility and contraception
- Weight and body composition

Note: I am not a PCP. Referrals available here

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Want to learn more about menopause, but don’t want to read? Listen to my interviews on these podcasts:

RecoverHer 2025

Flipside of Midlife 2024

Are there non-hormonal treatment options? YES

Lifestyle modifications:
- Diet changes
- Drinking too much alcohol? Read here
- What about cannabis? Read here
- Regular activity
- Stress management
- Acupuncture
Targeted supplements (when appropriate):
- Valerian for sleep
- Calcium/vitamin D if your diet is insufficient
Non-hormonal meds may address multiple symptoms
“Menopause supplements" lack research, expensive

Aren't hormones dangerous? TYPICALLY, NO

MHT offers benefits, but requires careful consideration:

Reduced hot flashes and night sweats
Improved sleep and mood
Better cognitive function
Relief from urinary and vaginal symptoms
Improved bone density
May reduce heart disease/diabetes risk if started early

Important Considerations:

NO systemic MHT is completely risk-free for all
Some breast cancer survivors can consider MHT
Vaginal estradiol is safe without progesterone
MHT may be appropriate for most:
- Those in perimenopause
- Those within 10 years of menopause or < age 60
- Healthy older women with persistent symptoms
Treatment may continue beyond age 65 if beneficial
Individualized decisions with professional guidance

Do I need lab work or testing? TYPICALLY, NO

Hormone testing is rarely helpful because: