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Perimenopause & menopause

Perimenopause and menopause care

For the years nobody prepares you for. In person in Carolina Beach and virtually across North Carolina.

What we treat

PerimenopauseMenopauseHormonal imbalancesIrregular periodsSleep changesHot flashesFatigueLow libidoJoint achesMood changesVaginal drynessPainful sex

Perimenopause is the long on-ramp, and it starts earlier than most women are told. Often years before periods stop. Sometimes in the forties or before.

Sleep, mood, cycles, energy, joints and libido can all move in this season. Being in the middle of it is not too early to talk about it.

Normal labs are not a treatment plan

Being told your labs are normal is not the same as being told nothing can help. It is one of the most common reasons women stop asking.

Perimenopause is largely a clinical picture rather than a single number, and hormone levels in this season fluctuate enough that one draw on one day can miss what is happening. What you are experiencing is data.

What is actually available

There are real options, they are not one-size-fits-all, and you are entitled to a conversation about the trade-offs of each rather than a yes or a no.

Hormone therapy is one route and is not right for everyone. Non-hormonal approaches exist and are not a consolation prize. Thyroid and metabolic contributors are checkable and often part of the picture. Pelvic floor symptoms in this season are treatable. Strength training matters more now, not less.

Which of those belongs in your plan is a clinical decision made with a provider who has looked at you specifically.

Bone, heart and pelvic health

The years after menopause are the longest stretch and the one with the least attention paid to it. Bone, heart and pelvic health all deserve active attention now rather than monitoring.

Ask what should be screened, and ask what you can build rather than only what you should watch.

How care works

Start with a consultation with one of our providers, or book an initial appointment. You are seen by a clinician who builds a treatment plan specific to you, using insurance where it applies.

Care is available in person in Carolina Beach and virtually across North Carolina.

Common questions

How do I know if I am in perimenopause?

It is a clinical picture rather than a single test, and it often begins years before periods stop. Changes in cycles, sleep, mood, energy, joints or libido are all worth bringing to an appointment, whatever your age.

Am I too young for this to be perimenopause?

Perimenopause commonly begins in the forties and can begin earlier. Being told you are too young is not an evaluation.

Do you prescribe hormone therapy?

Hormone therapy is one of the options our providers discuss with you. Whether it is appropriate is a clinical decision made together, based on your history and what matters to you.

My labs came back normal. Is there anything else to do?

Often yes. Normal labs rule some things out; they do not explain away what you are experiencing or exhaust the options.

Can this be handled virtually?

Much of it can. Care is available virtually across North Carolina, with in-person appointments in Carolina Beach when something needs to be done in the room.

Do you take insurance for menopause care?

We are in network with most major carriers, and coverage depends on your plan. Self-pay options are available. Email info@heyembody.com and we will check.

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