Perimenopause & Menopause Care
The symptoms are real, and they are not simply age. Perimenopause and menopause are measurable transitions, and you deserve a provider who measures them instead of telling you to wait it out.
This may be a fit if…
- Hot flashes, night sweats, or disrupted sleep
- Mood shifts, brain fog, or anxiety that feels new
- Weight changes, low libido, or cycle changes in your forties and beyond
- You were told it is just age and sent home with nothing
A transition deserves a plan, not a shrug.
Perimenopause can begin years before your cycle ends, and the hormonal shifts behind it ripple through sleep, mood, weight, skin, and energy. We test what is actually changing across estrogen, progesterone, thyroid, cortisol, and testosterone, so your symptoms are met with data rather than dismissal.
Care here is guided by our board-certified OB/GYN, Dr. Ladynez Espinal, MD, who helps women navigate hormone balance, preventive care, and personalized wellness through a root-cause approach. When appropriate, your plan may include bioidentical hormone support, thyroid optimization, and targeted protocols for sleep, mood, and metabolic health.
We re-test and adjust as you move through the transition, because this stage changes, and your plan should change with it.
What individualized care may include
- Comprehensive hormone and thyroid testing
- Bioidentical hormone support, when clinically appropriate
- Protocols for sleep, mood, and energy
- Metabolic and weight support for the transition
- Scheduled re-testing and provider-guided adjustments
Care is individualized and provider-guided. Specific therapies are recommended only when appropriate following evaluation.
Questions, answered
How do I know if I am in perimenopause?
Perimenopause can start in your late thirties or forties, often before any obvious cycle change. Testing helps evaluate where your hormones sit so your provider can distinguish the transition from other causes and build a plan accordingly.
Is hormone therapy safe during menopause?
Hormone therapy carries considerations that depend on your individual history, which is why every plan is determined by a licensed provider after appropriate evaluation and monitored over time. Your provider will only recommend it when it is appropriate for you.
Can you help if I am already in menopause?
Yes. Whether you are early in perimenopause or fully postmenopausal, we measure what is happening and build an individualized, provider-guided plan rather than a wait-and-see approach.
Do I need to stop my current treatment to work with you?
No. Your provider reviews what you are currently doing and works from there. Any changes are made under medical guidance based on your labs and how you feel.
Ready to decode your biology?
Every plan begins with understanding what is actually happening inside you. Start with a consultation or the Decoded Assessment.
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