“Am I in menopause?” is one of the most common questions we hear, usually from women who still have periods but don’t feel like themselves anymore. Hot flashes, mood swings, brain fog, and weight that won’t budge can show up long before your periods actually stop. The words perimenopause and menopause get used interchangeably, but…
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You used to sleep like a rock. Now you fall asleep fine, then you’re wide awake at 3 a.m., hot, restless, and running through tomorrow’s to-do list. If that sounds familiar and you’re somewhere in your late 30s to early 50s, perimenopause may be part of the story. Sleep trouble is one of the most…
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Most men who come in for low testosterone or ED turn out to have more than one problem. Fatigue, weight that will not move, poor sleep, low motivation, low libido, erectile dysfunction — these get filed under “getting older” and treated one at a time, if at all. They are frequently connected, and treating them…
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Perimenopause is not linear, fluctuations of the body’s hormone production can vary greatly. So, the point of this posting is twofold: 1. Perimenopause does not always show in the labs but can be diagnosed by a provider with experience and an understanding of the peri-menopause life cycle. 2. Adjustments are common and help the patient…
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Most patients arrive knowing they want hormone therapy. What they haven’t thought about is how they want to take it — and that decision affects cost, convenience, and how easily we can adjust your dose if something isn’t working. There are four common ways to deliver bioidentical hormones. None of them is best for everyone.…
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