Menopause is a natural transition, but its symptoms don't have to control your life. We offer comprehensive, naturopathic approaches to help you navigate this change with comfort and confidence.
Menopause patients typically present in three patterns: (1) women in perimenopause (often 40–50) with disrupted cycles, sleep, and mood but who haven't yet been told they're 'in menopause'; (2) post-menopausal women dealing with persistent hot flashes, sleep disruption, and vaginal or urinary symptoms; and (3) women with surgical or premature menopause needing thoughtful long-term hormone support.
Hormone therapy for symptomatic women near menopause has strong evidence for vasomotor symptom relief, sleep, mood, and bone protection. The original Women's Health Initiative data, which raised broader fears, has been substantially re-evaluated based on age and timing of initiation.
Perimenopause is the multi-year transition leading up to your final period — hormones fluctuate dramatically, and symptoms often start here. Menopause is technically the point you've gone 12 months without a period; everything after that is postmenopause.
For most healthy women starting therapy near the time of menopause, modern HRT — particularly transdermal estradiol and oral micronized progesterone — has a favorable risk profile and meaningful benefits. Risk is more nuanced for women starting later or with specific medical histories, which is why individual evaluation matters.
Estrogen therapy is the most effective treatment we have for vasomotor symptoms. For women who can't or don't want hormones, options include certain SSRIs, gabapentin, and lifestyle and botanical strategies that may help — though typically less dramatically.
Estrogen has well-established protective effects on bone density when started near menopause. Cognitive and cardiovascular benefits appear to be timing-dependent — typically more protective when started in the early menopause window than years later.
We treat menopause for patients in:
Book a free 30-minute consultation. We'll review your history, discuss your goals, and recommend the right treatment plan.