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four stages of menstruation namely premenopause, perimenopause, menopause, and postmenopau

Women's Hormone Health

Personalized Care for Perimenopause & Menopause

Hormonal changes during perimenopause and menopause can bring a wide range of symptoms — from fatigue, mood swings, and brain fog to weight gain, hot flashes, and disrupted sleep. These shifts are natural, but they don’t have to control your life.

With a proactive, personalized approach to hormone health, you can feel balanced, energized, and fully yourself — at every stage.

What’s Included:

Initial Consultation -- 90 minutes -- $225

  • Comprehensive review of your medical history

  • Physical examination

  • Lab orders include a comprehensive hormone panel, with billing through insurance or an affordable cash-pay option available

  • In-depth lab review and symptom assessment

  • Custom treatment plan with prescriptions, if indicated

Follow-up Visits -- 60 minutes -- $110

  • We typically recommend a follow-up three months after starting treatment, and then every 3 to 6 months to monitor your progress.

  • Lab review and symptom monitoring

  • Prescription adjustments and renewals

  • Continued support for your evolving needs

Take control of your health, feel your best, and navigate this chapter with confidence — we’re here to help every step of the way.

Frequently Asked Questions

General Understanding

What’s the difference between perimenopause and menopause?
Perimenopause is the transition leading up to menopause, when hormone levels start to fluctuate and symptoms may appear. Menopause is officially reached when you’ve gone 12 months without a menstrual period.

 

How long does perimenopause usually last?
It varies, but most women experience perimenopause for 4–8 years. The length can be shorter or longer depending on genetics, lifestyle, and overall health.

 

At what age does menopause typically occur?
The average age in the U.S. is about 51, though anywhere between 45–55 is considered normal.

Common Symptoms

Why am I having hot flashes and night sweats?
These symptoms are caused by fluctuating estrogen levels, which affect the brain’s temperature regulation center. They’re very common and can range from mild to intense.

 

Can menopause affect my sleep or mood?
Yes. Hormonal shifts can trigger insomnia, early waking, anxiety, irritability, or low mood. Stress management, good sleep hygiene, and — if needed — medication or hormone therapy can help.

Treatment Options

What is menopausal hormone therapy (MHT) and is it safe for me?
MHT (sometimes called HRT) replaces the estrogen and/or progesterone your body is no longer producing. For healthy women under 60 or within 10 years of their last period, benefits often outweigh risks when therapy is tailored to individual needs.

Are there non-hormonal options for hot flashes or mood changes?
Yes. Lifestyle adjustments, cognitive-behavioral therapy, certain prescription medications, and cooling strategies can all help ease symptoms without hormones.

Sexual & Vaginal Health

Why am I experiencing vaginal dryness or discomfort during sex?
Declining estrogen can thin vaginal tissues and reduce natural moisture. Local estrogen treatments, moisturizers, or lubricants can restore comfort and support sexual well-being.

 

Can hormone therapy improve libido?
Restoring estrogen (and often testosterone) may improve sexual desire and satisfaction. Your provider will discuss whether these options are right for you.

Care at Why Wait Wellness

What should I expect at my first perimenopause/menopause consultation?
We’ll review your symptoms, health history, and lifestyle, order labs if needed, and talk through treatment choices — from lifestyle strategies to hormone therapy. The visit is collaborative, so you’ll leave with a clear plan to feel your best.

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"Why Wait Wellness changed my life. After being miserable for 2 years I learned a new way of living, a healthier, happier and realistic life style."
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