Perimenopause & Menopause

This Phase of Life Deserves More Than "Just Deal With It.''

Perimenopause can begin years — sometimes a decade — before your last period. And yet, many women spend that entire time being told their symptoms are stress, aging, or anxiety. Meanwhile, the hormonal shifts happening during this phase can significantly affect your sleep, mood, cognition, metabolism, bone density, and cardiovascular health. 

You deserve to understand what’s happening in your body, and to have access to treatments that actually work.


My Approach to Perimenopause & Menopause

My approach is grounded in the evidence — and the evidence on perimenopause and menopause care has evolved significantly. Hormone replacement therapy (HRT) is one tool available during certain stages of this transition, and for the right candidate at the right time, it can be an important part of a treatment plan. I am licensed to prescribe bioidentical hormones and approach prescribing thoughtfully, carefully, and always with your individual health history and safety in mind. 

That said, HRT is not appropriate for everyone, and treatment is never one-size-fits-all.

We start with thorough lab work to understand exactly where you are hormonally and what’s driving your specific symptoms. From there, we build a plan that may include hormonal and non-hormonal strategies — depending on your goals, where you are in your journey, and what’s right for you.

Treatment may include:

  • Comprehensive hormonal lab panels to understand your full picture and guide treatment

  • Bioidentical hormone therapy (HRT), where appropriate — individualized and monitored carefully for the right candidate at the right stage

  • Evidence-based supplementation for symptom management and long-term health support (bone, cardiovascular, cognitive)

  • Therapeutic nutrition and lifestyle strategies to support your health and ease the changes you’re experiencing

  • Sleep and stress support — practical, sustainable approaches

Whether you’re newly noticing changes in your cycle or well into menopause and still struggling, you don’t have to navigate this alone.