Menopause Care Personalized care for every stage of the transition.
Menopause is a natural stage of life, but the symptoms and changes that accompany it can affect sleep, comfort, mood, daily activities and overall well-being. Our approach focuses on understanding your symptoms, health history and goals so your care can be tailored to you.
A new chapter, supported.
Understanding what is changing can be the first step toward feeling more comfortable and confident.
Your experience is uniquely yours.
Menopause marks the end of the menstrual years and is confirmed after 12 consecutive months without a menstrual period. The years leading up to menopause are called perimenopause, when hormone levels can fluctuate and menstrual cycles may change.
Some women experience few symptoms, while others experience hot flashes, night sweats, sleep changes, vaginal dryness, urinary symptoms, mood changes or other physical changes. Your symptoms deserve to be understood in the context of your overall health.
Talk with our office →Menopause symptoms can look different for everyone.
If changes are affecting your comfort, sleep, relationships or daily life, an individualized conversation with an obstetrician-gynecologist can help identify appropriate options.
Hot Flashes
Sudden feelings of heat, sometimes accompanied by sweating, flushing or discomfort.
Sleep Changes
Night sweats and other changes during the menopause transition may interfere with restful sleep.
Vaginal Changes
Vaginal dryness, irritation or discomfort during sex can occur as estrogen levels decline.
Urinary Changes
Some women experience increased urinary frequency, irritation or recurrent urinary tract symptoms.
Mood & Well-Being
Hormonal changes, disrupted sleep and other factors may contribute to changes in mood and emotional well-being.
Changes in Periods
During perimenopause, periods may become less predictable, lighter, heavier, shorter or longer.
You don't have to simply tolerate the symptoms.
Menopause care begins with listening. Your menstrual history, symptoms, medical history, medications, personal preferences and health goals can all help guide a thoughtful treatment discussion.
Depending on your individual situation, management may include lifestyle strategies, nonhormonal approaches, local treatments, hormone therapy or other options.
Discuss Your Symptoms →Understand what you are experiencing.
Consider symptoms, history and individual risk factors.
Discuss treatment options that fit your goals.
Adjust your care as your needs change.
Care designed around your needs.
There is no single menopause treatment that is right for every woman. Treatment decisions are individualized after discussing symptoms, medical history and potential benefits and risks.
Lifestyle & Wellness
Healthy nutrition, regular physical activity, strength training, sleep habits and other healthy-lifestyle strategies can support overall health during midlife.
- Healthy eating patterns
- Weight-bearing activity
- Strength training
- Sleep and stress management
Nonhormonal Options
Depending on your symptoms and health history, medications and other nonhormonal approaches may be considered for specific menopause symptoms.
- Hot-flash treatment options
- Sleep-related concerns
- Vaginal moisturizers
- Personalized symptom management
Hormone Therapy
For some women, hormone therapy can be an effective option for bothersome menopausal symptoms. The decision requires an individualized discussion of benefits, risks and alternatives.
- Systemic estrogen therapy
- Estrogen with progestin when appropriate
- Local vaginal estrogen options
- Individual risk-benefit discussion
Is hormone therapy right for you?
Hormone therapy can be an effective treatment for certain menopausal symptoms, particularly hot flashes and night sweats. It can also help with vaginal symptoms.
For women who have a uterus, estrogen therapy is generally paired with a progestin to help protect the uterine lining. Women who have had a hysterectomy may be candidates for estrogen therapy alone, depending on their circumstances.
Hormone therapy is not appropriate for everyone. The decision should take into account your age, symptoms, medical history, personal risk factors and preferences.
Schedule a consultation →Vaginal and urinary changes deserve attention.
Decreasing estrogen levels can affect vaginal and urinary tissues. Symptoms may include dryness, irritation, discomfort during sex or urinary changes.
Treatment depends on your symptoms and medical history. Options can include vaginal moisturizers, lubricants, local therapies and other individualized approaches.
Talk With Our Team →Menopause is also an opportunity to focus on long-term health.
Bone Health
Bone loss can accelerate during the years around menopause. Appropriate nutrition, physical activity and evaluation of bone health can be important parts of midlife care.
Heart Health
Midlife is an important time to pay attention to blood pressure, cholesterol, physical activity, nutrition and other cardiovascular risk factors.
Overall Well-Being
Menopause care can include conversations about sleep, mood, sexual health, physical activity, nutrition and other aspects of healthy aging.
When should you talk with your doctor?
Menopause symptoms are interfering with your daily life, sleep or relationships.
You are experiencing significant or unexpected changes in menstrual bleeding.
Vaginal, urinary or sexual symptoms are affecting your comfort or quality of life.
You would like to discuss hormone therapy or nonhormonal treatment options.
Frequently asked questions.
What is menopause? +
Menopause is the time when menstrual periods stop permanently. Menopause is generally confirmed after 12 consecutive months without a menstrual period.
What is perimenopause? +
Perimenopause is the transition leading up to menopause. During this time, hormone levels can fluctuate and menstrual periods may become less predictable.
What are common menopause symptoms? +
Common symptoms may include hot flashes, night sweats, sleep problems, vaginal dryness, urinary changes and menstrual changes. Symptoms vary considerably between individuals.
Can menopause affect sleep? +
Yes. Hot flashes and night sweats can interrupt sleep, and sleep disruption can affect daytime energy, concentration and mood.
Does everyone need hormone therapy? +
No. Hormone therapy is one treatment option and is not appropriate or necessary for everyone. Treatment should be individualized according to symptoms, medical history, risks, benefits and personal preferences.
Do I need hormone testing to diagnose menopause? +
Hormone testing is not routinely recommended before starting hormone therapy for typical menopausal symptoms. Hormone levels can fluctuate substantially during the menopause transition, so your symptoms, menstrual history and medical history are often more useful in guiding care.
Can vaginal dryness be treated? +
Yes. Depending on your circumstances, treatment options can include vaginal moisturizers, lubricants and local therapies. Your clinician can help determine which approach is appropriate for you.
What about supplements for menopause? +
Some supplements and herbal products are marketed for menopause symptoms, but evidence for safety and effectiveness varies. Discuss supplements with your healthcare professional before using them, especially if you take medications or have other medical conditions.
Move into your next chapter with informed, compassionate care.
If menopause symptoms are affecting how you feel or function, our office can help you understand your options and create an individualized plan.
Medical Information: The information on this page is provided for educational purposes and is not a substitute for individualized medical advice, diagnosis or treatment. Menopause symptoms and treatment options vary from person to person. Please discuss your individual health concerns with a qualified healthcare professional.