Ups and downs in mental wellbeing—even drastic ones—are a natural part of hormonal change. We’ll help you regain control, and feel like yourself again.

treatment options can include:

Hormones: HRT for moodiness

Prescriptions: SSRIs and SNRIs for anxiety and depression

Supplements: Recommendations customized by your clinician

Lifestyle: Physical activity, mindfulness, CBT, sleep hygiene

Shifting hormones can cause you to gain weight, add belly fat, lose muscle tone, or (sorry!) all three. We’ll work with you on solutions, which range from lifestyle tweaks to prescription medication.

treatment options can include:

Hormones: HRT, to improve bothersome symptoms associated with weight gain

Weight loss medications: GLP-1’s: Semiglutide (Wegovy, Ozempic), Tirzepitide (Mounjaro); naltrexone/buproprion HCL (Contrave), metformin, Zepbound (tirzepatide)

Supplements: Recommendations customized by your clinician

Lifestyle changes: Prediabetes counseling, personalized eating and activity recommendations, sleep optimization

Dealing with hot flashes that come out of nowhere and night sweats that wreck your sleep? We’ll work with you to find the right evidence-based solutions—from prescription meds to supplements and lifestyle hacks.

treatment options can include:

Hormones: HRT

Prescriptions: Gabapentin, Venlafaxine (Effexor), etc.

Supplements: Recommendations customized by your clinician

Lifestyle: Diet changes, stress management, acupuncture, etc.

A full 61% of women of report difficulty sleeping during the menopause transition. Maybe you struggle to fall asleep, or find yourself wide awake in the middle of the night. Your energy might be low, even after a solid eight hours. Let's solve your sleep mystery and get you the rest you deserve.

treatment options can include:

Hormones: HRT, progesterone in perimenopause

Prescriptions: Gabapentin, Tricyclics (Elavil)

Supplements: Recommendations customized by your clinician

Lifestyle: Sleep hygiene, mindfulness, caffeine management, etc.

At midlife, your periods may get more frequent, or less, or wildly unpredictable. Your flow might be heavy or light, clumpy or spotty.  Tell us all about it so we can stabilize your cycle (and save your sanity).

treatment options can include:

Hormones: Oral contraceptives, progestins, etc.

Prescriptions: SSRIs for PMS, etc.

Supplements: Recommendations customized by your clinician

Lifestyle: Period tracking, diet changes for PMS

Half of menopausal women experience painful sex and vaginal dryness, which often go hand in hand with low libido. Yet this is one of the most treatable symptoms of hormone change. We’ll work with you to make it better.

treatment options can include:

Hormones: Vaginal estrogen, testosterone, etc.

Prescriptions: Flibanserin (Addyi), bremelanotide (Vyleesi), DHEA

Supplements: Recommendations customized by your clinician

Lifestyle: Sex therapy, use of lubricants, vaginal dilators

Words and names—not to mention keys and phones—go missing. Focus is a challenge. Women often panic about early Alzheimer's at midlife, but hormone change is the likely culprit. Research-backed solutions can help to clear your mind.

treatment options can include:

Hormones: HRT

Prescriptions: SSRIs and SNRIs (if associated with mood changes)

Supplements: Recommendations customized by your clinician

Lifestyle: Sleep hygiene, physical activity, brain games, etc.

Estrogen plays a significant role in the health of your hair and skin, so when it declines during the menopausal transition, you may see the aging process pick up speed. Changing your care routines, as well as medications and supplements, can help.

treatment options can include:

Hormones: Compounded estrogen face cream

Prescriptions: Retinol, minoxidil, ketoconazole shampoo, etc

Supplements: Recommendations customized by your clinician

Lifestyle: Sunscreen and moisturizer use

On average, women lose up to 10% of their bone mass in the first five years after menopause. Testing and preventative treatment can help you reverse that, and protect your long term bone health.

treatment options can include:

Hormones: HRT, SERMs (Evista)

Prescriptions: Bisphosphonates (Fosamax, Actonel)

Supplements: Recommendations customized by your clinician

Lifestyle: Weight-bearing exercise, diet changes

Many therapies that help women beat breast cancer also impact estrogen levels, causing some of the same symptoms natural menopause does, but faster. The good news: every one of them can be improved with treatment.

treatment options can include:

Hormones: Tamoxifen for prevention, vaginal estrogen

Prescriptions: Gabapentin, SSRIs and SSNRIs for hot flashes

Supplements: Recommendations customized by your clinician

Lifestyle: Exercise, diet changes, sleep hygiene, stress management