MENOPAUSE & HORMONES

MENOPAUSE & HORMONE HEALTH

​

The years when everything changes, measured instead of guessed

​

Perimenopause can begin in the early forties and last a decade. Sleep breaks first for some women, mood or memory for others, and body composition shifts even when the scale does not move. Most of it gets written off as stress.

​

We treat this window as what it is: a stretch of years when several systems move at once. That is also why it belongs inside a CogSpan™ Physical, where hormones are one of ten domains scored and retested every year.

​

​

WHAT WE LOOK AT

​

• Symptom history: cycles, sleep, hot flashes, mood, libido, memory and word-finding

• Hormone panels read in the context of your symptoms and stage

• Thyroid, iron, vitamin D and metabolic markers that mimic or worsen menopause symptoms

• Bone density and lean mass with DEXA body composition

• Cardiovascular and metabolic risk, which change after menopause

• Sleep, stress load and recovery

​

WHAT TREATMENT CAN INCLUDE

​

There is no single protocol. Depending on your history, preferences and risk profile, a plan may include hormone therapy where appropriate, non-hormonal options for specific symptoms, strength training through Living Strong, nutrition and protein targets, sleep work, and treatment of the metabolic changes that often arrive at the same time.

​

Hormone therapy is not right for everyone, and it is not the only tool. Eligibility depends on your history, and the conversation covers what is known, what is uncertain and what the alternatives are.

​

​

WHY IT MATTERS BEYOND SYMPTOMS

​

The menopause transition is also when bone loss speeds up, lipids shift, visceral fat increases and many women first notice cognitive symptoms. Acting in this window protects the reserve you will draw on for the next forty years, which is what measuring intrinsic capacity is for.

​

FREQUENTLY ASKED QUESTIONS

​

Do I need to have stopped my period to be seen?

No. Most of the change happens in perimenopause, while cycles are still present but irregular.

​

Do you prescribe hormone therapy?

Where it is appropriate and you choose it after reviewing risks, benefits and alternatives. Some women do better with non-hormonal approaches.

​

Will you test my hormones?

Often, though levels fluctuate and symptoms usually matter more than a single number. Testing is read alongside your history.

​

Can this be part of my annual CogSpan Physical?

Yes. Hormonal and neuroendocrine balance is one of the ten domains scored every year.

​

MEASURE THIS WINDOW. DO NOT WAIT IT OUT.

​

Book a consultation and bring your symptoms, your questions and any recent labs.

​

Menopause care is individualized following medical evaluation. Hormone therapy carries risks and is not appropriate for everyone. Nothing here is medical advice or a promise of a specific outcome.