Perimenopause & Menopause Care
Physician-Led Care for Midlife Hormonal Transitions
Board-certified family doctor providing individualized hormone therapy within comprehensive primary care.
Perimenopause and menopause can reshape sleep, metabolism, energy, mood, and long-term health.
Thoughtful evaluation and carefully prescribed treatment can make a meaningful difference.
Many women have understandable concerns about hormone therapy, but modern bioidentical formulations differ significantly from the medications studied decades ago.
Treatment is individualized because every woman’s physiology is different.
You May Be Experiencing
sleep disruption or night sweats
brain fog or mood changes
weight gain or metabolic shifts
declining libido or energy
changes in recovery, resilience, or motivation
These symptoms often reflect natural changes in estrogen, progesterone, and testosterone during midlife.
The Sex Hormones
estradiol
cardiovascular health
bone density
metabolic regulation
cognitive and vascular function
progesterone
sleep quality
mood
uterine protection
testosterone
body composition
physical resilience
cognition
energy and recovery
bone density
Although currently FDA-approved primarily for improving libido in women, clinical experience and emerging research suggest testosterone is useful for other things as well.
When appropriate, testosterone therapy may be incorporated into a carefully monitored hormone strategy.
Modern Hormone Therapy
Much of the concern surrounding hormone therapy comes from early 2000s studies that evaluated older estrogen formulations and synthetic progestins in women many years past menopause.
Today, physicians more commonly prescribe:
• transdermal bioidentical estradiol
• oral micronized progesterone
These medications behave differently from earlier preparations and may offer a favorable safety profile when prescribed thoughtfully in appropriate patients.
For many healthy women near the onset of menopause, the risks of breast cancer and blood clots have been significantly overstated in public discussion.
Careful evaluation and individualized risk assessment remain essential.
Individualized Treatment
Hormone therapy is never one-size-fits-all.
Symptoms, physiology, medical history, and risk factors all shape treatment decisions. Dosing and monitoring evolve over time.
Integrated Care Matters
Hormone health intersects with cardiovascular risk, metabolic health, bone density, sleep quality, and preventive screening.
At Metronome Family Medicine, hormone therapy is delivered within comprehensive primary care, allowing coordinated monitoring and long-term oversight.
One physician.
One strategy.
Longitudinal care.
Schedule a Consultation
If you are navigating perimenopause or menopause and want a thoughtful, physician-led approach to hormone therapy, you are invited to begin the conversation.
