There Is a Medical Reason for What You’re Feeling

Perimenopause and menopause are not short transitions. For many women, symptoms develop gradually and can last for years — often up to a decade.

During perimenopause, hormone levels don’t simply decline — they fluctuate unpredictably. Then, after menopause, they decline and your body will never make estrogen in the same way again. These shifts can affect multiple systems in the body at the same time, even when periods are still regular and symptoms can continue through the lifetime after menopause.

When symptoms persist, change, or interfere with daily life over years, they deserve thoughtful medical care — not waiting it out.

We routinely treat medical conditions that affect quality of life over time. Perimenopause and menopause deserve the same level of attention.

Common Symptoms We See

Symptoms vary from person to person and may shift over time. You don’t need to have all of these — or severe symptoms — to benefit from care.

  • Difficulty falling or staying asleep
  • Night sweats or hot flashes
  • Fatigue or low energy
  • Brain fog or trouble concentrating
  • Increased anxiety or irritability
  • Low mood or emotional changes
  • Weight gain or body composition changes
  • Joint aches or stiffness
  • Headaches or migraines
  • Decreased stress tolerance
  • Low libido or changes in desire
  • Vaginal dryness or discomfort
  • Pain with intercourse
  • Urinary symptoms
  • Feeling unlike yourself

Why Many Women Seek Care

  • Symptoms have been ongoing for years
  • Symptoms affect work, relationships, or sleep
  • They want clear answers, not guesswork
  • They want to understand treatment options
  • They want individualized care, not one-size-fits-all
  • They want a plan that evolves over time

How We Approach Care

Perimenopause and menopause care is not about quick fixes. It’s about understanding patterns, adjusting thoughtfully, and supporting you over time.

  • Comprehensive symptom review
  • Education tailored to your body and goals
  • Discussion of treatment options
  • Medication and non-medication approaches
  • Labs discussed when appropriate
  • Ongoing adjustment as symptoms evolve

Ready to Talk Through Your Symptoms?

A visit gives you time, clarity, and a plan — without rushing or dismissal.

Book a Visit