HORMONAL HEALTH SERVICES
Menopause & Perimenopause Treatment
Perimenopause typically begins in the 40s, though it can start earlier. During this phase, estrogen and progesterone levels fluctuate (sometimes dramatically) leading to unpredictable physical and emotional symptoms.
​Menopause is officially defined as 12 consecutive months without a menstrual period, but symptoms can continue for years beyond that point.
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For many women, what feels like sudden anxiety, worsening depression, ADHD symptoms, sleep disruption, or mood instability is often tied to these hormonal shifts.
Common symptoms we address
Our approach looks beyond surface symptoms to identify whether fluctuating hormones, thyroid function, sleep disruption, or other biological factors are influencing your mental health.
Emotional & cognitive symptoms:
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New or worsening anxiety
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Depression or low mood
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Irritability or mood swings
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Brain fog and memory changes
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Difficulty concentrating
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Sleep disruption or insomnia
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Loss of confidence or emotional resilience
Physical contributors impacting mental health:
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Hot flashes and night sweats
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Hormone-related migraines
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Fatigue and low energy
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Metabolic shifts
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Thyroid or adrenal changes
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Increased sensitivity to stress
Our specialized treatment approach
Our hormonal health providers evaluate and monitor estrogen, progesterone, thyroid, and related markers when appropriate. ​​All treatment is individualized and carefully reviewed based on your history and goals.
Treatment options may include:
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Hormone therapy (when indicated)
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Thyroid optimization
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Targeted supplementation
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Ongoing lab monitoring and symptom tracking
When to seek support
Consider scheduling an evaluation if you’re experiencing:
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New anxiety or depression in your 40s or 50s
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Significant sleep disruption
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Brain fog impacting daily life
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Mood changes that feel different than previous episodes
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Mental health symptoms that worsen with hormonal shifts
