Menopause & Perimenopause
Hormonal shifts affect physical, mental, and emotional health as a woman’s reproductive years come to an end. Symptoms such as hot flashes, mood changes, and fatigue can range from minor to almost debilitating for some women.
What is perimenopause and menopause?
As the ovaries gradually reduce estrogen and progesterone production, hormone fluctuations can trigger a wide range of symptoms from hot flashes, night sweats, and irregular periods to brain fog, sleep disturbances, and changes in mood. Some women may also experience new or worsening anxiety or depression, weight changes, or shifts in libido. For many, these hormonal changes can begin as early as the late 30s and continue for up to ten to twenty years.
Perimenopause and menopause are not the same for everyone. Genetics, environment, and lifestyle choices all shape how this transition unfolds, which is why every woman’s journey is unique. Beyond symptoms, declining hormone levels can also impact long-term health by increasing the risk of osteoporosis, cardiovascular disease, and cognitive decline.
Conventional medicine has historically offered women few options. These options were often limited to synthetic hormones and a “one-size-fits-all” approach to symptom management. At hol+, we see these hormonal shifts differently. Using advanced testing and a functional medicine approach, we uncover the root causes behind your symptoms and create a personalized plan. This may include diet and lifestyle changes, bioidentical hormone therapy, herbs and supplements, stress management tools, and integrative therapies like acupuncture or mind-body medicine.
Rather than viewing perimenopause and menopause as a disease, we support your mind and body as you move through this natural transition, helping you rediscover energy, vitality, and confidence in the next chapter of life.
Potential Early Warning Signs it May be Time to have Your Hormones Checked:
- Hot flashes or night sweats that are starting to disrupt sleep
- Changes in menstrual cycles (irregular, skipped, or heavier periods)
- Brain fog, forgetfulness, or difficulty concentrating
- Mood changes, increased anxiety, low mood, and irritability
- Gradual weight gain or trouble losing weight despite healthy habits
- Persistent fatigue or low energy
- Decreased libido or changes in sexual health
- Difficulty falling or staying asleep
- Subtle hair thinning, skin changes, or vaginal dryness
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Symptoms
Common symptoms that may begin during perimenopause and worsen as menopause progresses:
- Hot Flashes
- Missed or irregular periods
- Painful or tender breasts
- Brain fog
- Weight gain
- Vaginal dryness
- Excess urination
- New or worsening depression
- Anxiety
- Irritability
- Sleep disturbances
- Low libido
- Acne
- Hair loss
- Joint pain
Ready to do medicine differently?
The Integrative Medicine Approach to Menopause
With the right approach, you and your functional medicine provider can alleviate many of the symptoms associated with hormone fluctuations during menopause. With the support of an integrative team at CentreSpringMD, you can expect:
Personalized Care:
Integrative practitioners take a personalized approach, considering an individual’s unique hormone balance, genetics, lifestyle, and overall health. Treatment plans are tailored accordingly.
Comprehensive Testing:
Integrative medicine employs a wide range of tests, including hormone panels, thyroid function tests, adrenal function assessments, gut & liver function tests, and nutrient deficiency screenings. This thorough evaluation helps identify the root causes of menopausal symptoms.
Hormone Balancing:
Rather than relying solely on synthetic HRT, integrative medicine explores holistic ways to balance hormones.
Nutritional Guidance:
Integrative practitioners emphasize the importance of diet in managing menopausal symptoms. They recommend whole foods, and supplements like omega-3 fatty acids, vitamin D, and B vitamins.
Lifestyle Modifications:
Stress reduction techniques, exercise, and sleep optimization play crucial roles in managing menopause. Integrative medicine addresses these factors to improve overall well-being.
Bioidentical Hormones:
Integrative practitioners may use bioidentical hormones—which are molecularly identical to those produced by the body—as an alternative to synthetic HRT.
Learn more about the hol+ approach
Supports healthy hormone balance by lowering androgens, balancing estrogen, and promoting liver detoxification.
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Calcium supports bone strength and helps reduce osteoporosis risk. that can be associated with Perimenopause and Menopause
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Fiber helps maintain healthy digestion, blood sugar, and weight management.
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Hormone Replacement Therapy (HRT) for Perimenopause & Menopause
For women navigating perimenopause and menopause, hormone replacement therapy (HRT) can play a vital role in maintaining optimal health and quality of life. When administered thoughtfully, HRT can support brain health, preserve cognitive function, protect bone and joint health, maintain energy levels, support libido, and improve skin and hair health.
Not all hormones are created equal. Conventional prescription hormones, such as Premarin, come in standard doses that may not reflect the individual needs of each woman. In contrast, bio-identical hormones are chemically identical to the hormones your body naturally produces. They can be tailored precisely to your unique hormone profile, helping to restore balance safely and effectively.
At hol+, we combine the best of functional, integrative, and evidence-based medicine to guide HRT use. We don’t take a one-size-fits-all approach; instead, we begin with advanced hormone testing to understand your specific needs. From there, we integrate HRT with personalized nutrition, lifestyle strategies, stress management, and targeted supplements to address the root causes of symptoms and optimize overall wellness.
Our goal is not just to manage symptoms, but to help you thrive during this transition, supporting your mind, body, and spirit as you enter this next chapter of life.