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Menopause and Midlife Health

Midlife is a time of change for many women — changes at home and at work, and especially changes in their bodies. We want to improve the lives of women in their 40s, 50s and 60s. We’ll help you take charge of your health and reduce the symptoms that come with perimenopause and menopause.

  • What we treat

    Symptoms of perimenopause and menopause can linger for a decade or more. You don’t need to wait it out. It’s important to get care that alleviates symptoms, including:

    • Menstrual cycle changes
    • Hot flashes and night sweats
    • Sleep issues
    • Concentration and memory problems
    • Irritability and mood changes
    • Loss of sex drive
    • Vaginal dryness

    These symptoms can be signs of:

    • Perimenopause: During this time leading up to menopause, your periods are often irregular. This transition phase can last up to eight years and ends one year after your final menstrual period.
    • Menopause: This is defined as having no periods for 12 months and includes decreased levels of estrogen and other hormones. Most American women reach menopause around age 52, but the exact age varies.
    • Postmenopause: Symptoms, including hot flashes, may continue in the years after menopause, though they usually decrease in frequency and intensity.
    • Premature ovarian insufficiency: This condition occurs when a woman’s ovaries stop working before age 40. While women may still have irregular periods, they often experience symptoms of menopause such as hot flashes and night sweats.
  • Midlife and menopause treatment

    We offer treatment plans tailored to your unique needs and goals. Our physician is certified by the North American Menopause Society. She will help you evaluate and manage your symptoms.

    Your treatment options may include:

    Hormone replacement therapy

    There are different types of HRT, which is the gold standard treatment used to alleviate many symptoms. Some HRT contains only estrogen, while others contain estrogen and progesterone.

    Women with a history of breast or ovarian cancer, blood clots and some other conditions usually cannot take estrogen therapy. These patients may benefit from medications such as gabapentin, selective serotonin reuptake inhibitors (SSRIs) or clonidine. We’ll work with you to determine the best option for your symptoms.

    Lifestyle adjustments

    For women with mild symptoms, simple changes may make a difference:

    • Paced breathing: Slow, deep breaths may calm you and regulate your body temperature.
    • Dressing in layers: Loose, layered clothing can help you manage hot flashes.
    • Environmental adjustments: Keep your bedroom cool at night and carry a hand-held fan with you during the day to deal with hot flashes.


    Most dietary supplements are not helpful in treating menopause symptoms. However, black cohosh, a plant native to North America, may be helpful for some women.