Real relief for hot flashes & night sweats.
Hormone therapy when appropriate, non-hormonal alternatives when it's not, and medical acupuncture proven to reduce hot-flash frequency and severity by up to 50%.
What menopause care includes
Hormone Therapy
Bioidentical or traditional HRT to relieve hot flashes, night sweats, and vaginal dryness, and protect bone health when appropriate for your history.
Medical Acupuncture
Medical acupuncture is an evidence-based treatment that can reduce hot-flash frequency and severity by up to 50%, improve sleep, and balance mood without medication.
Non-Hormonal Options
SSRIs, gabapentin, and other proven alternatives for women who can't or prefer not to take hormones.
Bone-Health Protection
Osteoporosis screening and prevention — calcium and vitamin D optimization, weight-bearing exercise guidance, medication when needed.
Lifestyle Medicine
Targeted nutrition, exercise, stress management, and sleep-hygiene strategies that reduce symptom severity.
Mental Health Support
Treatment for mood changes, anxiety, and depression that often accompany hormonal transitions.
Understanding the menopause transition
Menopause isn't a single moment — it's a transition that unfolds over years. Knowing which stage you're in helps explain what you're feeling and what to do about it, and you don't have to wait until it's "official" to get relief.
Perimenopause
The lead-up, often starting in your early-to-mid 40s, when hormones fluctuate and periods turn irregular. Many symptoms — hot flashes, mood shifts, sleep trouble — actually begin here, while you're still having periods.
Menopause
The point marked by 12 consecutive months without a period, on average around age 51. Symptoms are frequently at their most intense in the year or two around this milestone.
Postmenopause
Everything after. Hot flashes often ease over time, but lower estrogen makes bone and heart health a longer-term focus — and some symptoms, like vaginal dryness, can persist and deserve treatment.
Early & Surgical Menopause
Menopause before 45, or triggered abruptly by surgery or certain treatments. Symptoms can arrive suddenly and intensely, and early management of bone and heart health matters even more.
You don't have to just push through it.
Most new patients are seen within a week, in person or via telemedicine.
How we personalize your care
The right menopause plan depends on your symptoms, your health history, and your own preferences about hormones — not a one-size-fits-all protocol. We take the time to get it right and to keep you safe:
- A full symptom review: hot flashes, sleep, mood, libido, vaginal and urinary changes, and how much they're actually affecting your life
- Targeted testing when useful: hormone levels (FSH, estradiol) and thyroid function, since thyroid problems mimic menopause and often coexist with it
- HRT candidacy review: a careful look at your personal and family history so we can weigh hormone therapy's real benefits and risks for you, not a population average
- Bone & heart focus: osteoporosis screening (DEXA) and cardiovascular and metabolic checks, since lower estrogen shifts both risks after menopause
- A plan you help choose: hormone therapy, non-hormonal medication, medical acupuncture, and lifestyle change — combined in whatever mix fits you, and adjusted over time
Related services that support this stage of life
Women's Health
Our broader women's health program, including a dedicated perimenopause and menopause focus with extensive hormone testing.
Learn moreThyroid Care
Fatigue, weight change, and mood shifts can come from the thyroid as easily as from hormones — we check both.
Learn moreWeight Management
The metabolic shift of menopause makes weight harder to manage — we address it with a real plan, not just "eat less."
Learn moreFrom Our Blog: Natural Remedies for Hot Flashes
What actually helps without hormones, and an honest history of the HRT debate.
Read the guideMenopause questions
Is hormone replacement therapy safe?
For most healthy women under age 60 or within 10 years of menopause, hormone therapy benefits outweigh risks. Your personal health history is reviewed carefully, all risks and benefits are discussed, and you're monitored regularly.
What if I can't take hormones?
Effective alternatives exist, including medical acupuncture, non-hormonal medications like SSRIs or gabapentin, lifestyle modifications, and herbal supplements. Many women find significant relief without hormones.
Does acupuncture really help with hot flashes?
Yes. Research shows medical acupuncture can reduce hot flash frequency and severity by 40–50%, and many patients also find it improves sleep, mood, and overall well-being.
How long do menopause symptoms last?
It varies greatly. Some women experience symptoms for just a few years, while others deal with them for a decade or more; on average, hot flashes last about 7 years. Effective relief is available throughout the transition.
Will I gain weight during menopause?
Many women gain weight during menopause due to hormonal changes and metabolism shifts, but it isn't inevitable. Targeted nutritional guidance, exercise recommendations, and medical support can help maintain a healthy weight through the transition.
What's the difference between perimenopause and menopause?
Perimenopause is the transition leading up to menopause — often starting in your early-to-mid 40s — when hormones fluctuate and periods become irregular. This is when many symptoms actually begin, even while you're still having periods. Menopause itself is the point marked by 12 consecutive months without a period; everything after is postmenopause. Symptoms can be treated at any of these stages — you don't have to wait until periods fully stop.
Could my symptoms be a thyroid problem instead of menopause?
Possibly — and it's worth checking. Thyroid disorders can cause fatigue, weight changes, mood shifts, and temperature intolerance that overlap closely with menopause, and the two can occur at the same time. Because we're a full family-medicine practice, we can test thyroid function and other causes rather than attributing every symptom to hormones alone.
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