The transition to menopause marks another period within a woman's life and is characterized by physical symptoms such as hot flashes, sleep disturbance, and vaginal changes. Most women also experience emotional symptoms such as mood instability, increased anxiety, depression and even cognitive (memory) symptoms. Sexual dysfunction such as low libido and painful intercourse are also very common. Take the menopause IQ quiz for some indication of which hormones might be deficient.


  • Irregular menstrual cycles
  • Night sweats
  • Moodiness
  • Irritability
  • Sleeplessness
  • Fatigue
  • Decreased Libido
  • Headaches
  • Weight gain
  • Memory and concentration issues 


Treatment includes lifestyle modification, education, support, medications and supplements. Hormone replacement therapy is an option.  We believe in a conservative approach, starting with local low dose applications before moving to systemic hormone therapy and only after a thorough review of your health history, lab evaluations, concerns, symptoms, goals and risk factors.

Additional Resources

Too Young for Menopause and Feeling a Little Crazy? Symptoms and Solutions for Perimenopausal Women

Short-Term Use of Estradiol for Depression in Perimenopausal and Postmenopausal Women: A Preliminary Report

Perimenopausal depression? Ask how she's sleeping

Perimenopausal Depression: Covering mood and vasomotor symptoms

Is hormone therapy safe?

Please remember this information is intended for educational purposes only and should not substitute medical advice from a healthcare provider.