Perimenopause & menopause
Evidence-based care for hormones, symptoms, pelvic health and metabolic health.
Evidence-based care for hormones, symptoms, pelvic health and metabolic health.
Covered by select insurance plans
Perimenopause can begin years before your final period, and there is no single lab test that defines the experience. We start with your symptoms, cycles, history and goals, then use testing when it will meaningfully guide care.
For all care, we also look at lifestyle factors like diet, sleep, movement, and supplements or medications when indicated.
Explore menopause careYour clinician takes a full history of your symptoms, cycles, sleep, mood and medical background. The diagnosis is clinical.
Testing is ordered when it can answer a clinical question or guide treatment, including thyroid and metabolic testing. A single lab value does not confirm or rule out perimenopause.
Hormone therapy is one of the options discussed. Whether it is appropriate is a clinical decision made together, based on your history and what matters to you.
Genitourinary symptoms, bone health and body composition are treated in the same practice.
Treatment is reviewed and adjusted as your symptoms change.
As hormones change, strength and resistance training become even more important for muscle, bone and metabolic health. Movement is not an add-on to this season; it is part of caring for it.
Pilates · Strength · Yoga · Sculpt
Perimenopause is usually identified by your age, cycle changes, symptoms and medical history, not one hormone test. Sleep, mood, temperature, libido and cycle changes can all be part of the picture.
It can. Timing varies, and symptoms that may be related to perimenopause still deserve a full evaluation rather than being dismissed based on age alone.
Yes, when it is clinically appropriate. Your provider will review your symptoms, history, risks, preferences and alternatives with you before deciding on a treatment plan together.
Normal labs do not automatically explain or rule out your symptoms. We look at the full clinical picture and use testing to answer specific questions when it can change care.
Yes. Many visits are available virtually across North Carolina, with in-person appointments in Carolina Beach when needed.
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Hormonal change shows up in skin, too. Thoughtful treatments designed around your goals, not trends.
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Tell us what has changed and what is affecting your day-to-day life. We will help you build a plan around the whole picture.