Menopause Treatment Designed Around You
There is no one-size-fits-all approach to menopause care. Treatment depends on your symptoms, medical and family history, preferences, and what you would most like to improve.
Menopause & Perimenopause Care
Perimenopause and menopause can bring changes that affect how you feel, sleep, think, and function day to day. Whether you are dealing with hot flashes, disrupted sleep, mood changes, brain fog, changes in your period, or vaginal and urinary symptoms, you do not have to navigate them on your own.
We provide personalized, evidence-informed menopause and perimenopause care focused on your symptoms, health history, and goals. Together, we can help you understand what may be changing and find treatment options that feel right for you.
What is Perimenopause?
Perimenopause is the transition leading up to menopause. It often begins several years before your final menstrual period as levels of hormones such as estrogen and progesterone begin to fluctuate.
For many people, changes in their menstrual cycle are one of the first signs. Periods may become shorter, longer, heavier, lighter, or less predictable. You may also begin experiencing symptoms such as hot flashes, night sweats, sleep problems, mood changes, anxiety, brain fog, headaches, or vaginal dryness.
Symptoms can come and go and may change throughout perimenopause. You can still become pregnant during this stage, even if your periods have become irregular.
Because many perimenopause symptoms can overlap with other health conditions, a visit with your provider can help determine what may be contributing to the changes you are experiencing.
What is Menopause?
Menopause is reached when you have gone 12 consecutive months without a menstrual period, when there is no other medical explanation. It marks the end of the natural reproductive years, but symptoms related to changing hormone levels can continue after your final period.
Common menopause symptoms include hot flashes, night sweats, difficulty sleeping, mood changes, vaginal dryness, discomfort during sex, urinary changes, and changes in concentration or memory. Some symptoms improve over time, while others—particularly vaginal and urinary symptoms—may continue without treatment.
Menopause is also an important time to think about long-term health. Changes associated with aging and lower estrogen levels can affect bone and cardiovascular health, making preventive care an important part of your overall menopause care.
Common Perimenopause & Menopause Symptoms
No two people experience the menopause transition in exactly the same way. Some have only a few mild symptoms, while others experience changes that significantly affect sleep, work, relationships, sexual health, or everyday life.
Common symptoms include:
- Changes in your period: Cycles may become shorter, longer, heavier, lighter, or less predictable.
- Hot flashes and night sweats: Sudden feelings of heat, flushing, sweating, or nighttime symptoms that interrupt sleep.
- Sleep problems: Difficulty falling asleep, waking frequently, or waking without feeling rested.
- Mood changes: Increased anxiety, irritability, low mood, or feeling less able to manage stress.
- Brain fog: Forgetfulness, difficulty concentrating, trouble finding words, or not feeling as mentally sharp as usual.
- Vaginal and sexual changes: Vaginal dryness, irritation, discomfort or pain during sex, and changes in sexual desire.
- Urinary changes: Increased urgency or frequency, bladder discomfort, leakage, or recurrent urinary tract infections.
- Physical changes: Joint and muscle aches, headaches, changes in energy, heart palpitations, or changes in body composition.
Many of these symptoms can have causes other than menopause. Your primary care provider can help determine what may be contributing and whether additional evaluation is appropriate.
Hormone replacement therapy (HRT), also called menopausal hormone therapy, can be an effective treatment for symptoms such as hot flashes and night sweats. Hormonal treatments may also help with vaginal and urinary symptoms.
HRT is available in different forms, including patches, pills, gels, sprays, and local vaginal treatments. Your provider can discuss the potential benefits and risks with you and help determine whether hormone therapy may be appropriate based on your individual health.
What to Expect at Your Visit
Your visit starts with a conversation about what you have been experiencing. Your primary care provider will review your symptoms, menstrual history, medications, medical and family history, and any concerns you have about your health.
Together, you can discuss treatment options—including HRT and non-hormonal approaches—and develop a plan based on your needs and preferences. When appropriate, your provider may recommend additional evaluation or testing to rule out other causes of your symptoms.
Menopause care can also include conversations about bone health, heart health, sexual health, sleep, mood, and preventive care.
When Should You Make an Appointment?
You do not need to wait until symptoms become severe. Consider scheduling a perimenopause or menopause visit if changes are affecting your sleep, mood, concentration, relationships, sexual health, work, exercise, or overall quality of life.
You may also want to schedule a visit if you have questions about hormone replacement therapy, are experiencing vaginal or urinary changes, or simply are not sure whether what you are experiencing could be related to perimenopause or menopause.
Ready to talk about what you’re experiencing? Schedule a menopause and perimenopause appointment to understand your options and develop a care plan that works for you.
Schedule an appointment
Our providers are available in-person or virtually 7 days a week with extended hours so you can get the care you need.