CONDITIONS

Common signs include fatigue, weight changes, mood swings, poor sleep, brain fog, low sex drive, vaginal dryness, hot flashes or night sweats, and irregular or heavy periods. Having several together is a reason to get your hormones checked.

The most common cause is the perimenopause and menopause transition, but thyroid problems, PCOS, chronic stress, insulin and blood-sugar issues, certain medications, and postpartum changes can all play a role. We look for the specific cause behind your symptoms.

We start with your history and symptoms, then use targeted lab testing (which may include thyroid, estrogen, progesterone, testosterone, and other markers) and read the results in the context of how you actually feel.

For many women, especially in perimenopause and menopause, hormone replacement is a safe, effective option when it's guided by a provider and matched to your health history. It comes in many forms (pills, patches, gels and creams, injections, vaginal options, and pellets) and includes human-identical (also called bioidentical, or BHRT) hormones. We go over the benefits, risks, and forms and tailor the plan to you, without pushing any one type.

Often, yes. Depending on the cause, lifestyle and nutrition changes, thyroid or PCOS care, stress management, and other targeted treatments can help. Hormone therapy is one option among several, not the only one.