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Hormones

Menopause Care That Treats the Whole Woman

Hot flashes, sleepless nights, and mood changes are common, but you do not have to simply push through them. We help women in Utah find balance through perimenopause and beyond.

Springville (435) 210-0184 Moab (435) 259-4466 HSA and FSA Eligible All of our services are HSA and FSA eligible.
Menopause

Understanding Menopause

Menopause is the point when your periods have stopped for twelve months in a row, marking the end of your reproductive years. The transition leading up to it, called perimenopause, can begin years earlier and is often when symptoms are strongest.

During this time, your ovaries make less estrogen and progesterone, and testosterone tends to decline as well. Because these hormones affect your brain, bones, heart, skin, sleep, and metabolism, the changes can show up in places you would not expect.

Menopause can also arrive suddenly after a hysterectomy, removal of the ovaries, or certain cancer treatments. Whatever brought you here, you deserve care that takes your symptoms seriously and looks at the whole picture.

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What You May Notice

Common Signs and Symptoms

Every woman's experience is different. These are some of the changes we hear about most.

01
Hot Flashes and Night Sweats Sudden waves of heat, flushing, and sweating that can interrupt your day and your sleep.
02
Disrupted Sleep Trouble falling asleep, waking in the middle of the night, or never feeling rested, even after a full night in bed.
03
Mood Changes Irritability, anxiety, low mood, or a sense that you are not quite yourself.
04
Brain Fog Forgetfulness, trouble finding words, and a harder time focusing than you used to have.
05
Weight and Body Changes Weight gain, especially around the middle, along with loss of muscle tone and lower energy.
06
Intimacy Changes Lower libido, vaginal dryness, and discomfort during intimacy that can affect your relationship.
Looking Deeper

Root Causes We Look For

Menopause is natural, but how hard it hits often depends on what else is going on in your body.

01
Declining Estrogen and Progesterone The core shift of menopause and often the starting point for symptoms. The balance between the two matters as much as the levels.
02
Low Testosterone Women make and need testosterone too. Low levels can affect energy, drive, muscle, and mood.
03
Cortisol and Stress Long-term stress can disrupt your cortisol rhythm, which may make hot flashes, sleep problems, and fatigue worse.
04
Thyroid Imbalance Thyroid problems can mimic or worsen menopause symptoms, and they are easy to miss with limited testing.
05
Blood Sugar and Insulin Changes in insulin sensitivity can drive weight gain around the middle and energy crashes through the day.
06
Toxins and Gut Health Environmental toxins and an unhealthy gut can interfere with how your body uses and clears hormones.
How We Help

How We Help You Through Menopause

We start by listening. Then we look at your symptoms, history, and a complete set of labs to understand what is driving how you feel.

When hormone support makes sense, we use bioidentical hormone replacement therapy, with hormones that match the ones your body makes. We pay attention to the form and timing as well as the amount, because how you take a hormone can matter as much as which one you take.

We also address the factors that make symptoms worse, such as stress, sleep, blood sugar, gut health, and toxic burden, with options that may include nutrition and supplements, IV therapy, and detoxification.

If you have a history of breast cancer and have been told hormones are off the table, we are glad to talk through your situation with you.

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A New Chapter

Menopause Is a Transition, Not the End of Feeling Good

With the right support, many women find this stage of life brings renewed energy, clarity, and confidence.

Questions and Answers

Menopause FAQs

Perimenopause is the transition, when hormone levels begin to fluctuate and periods become irregular. Menopause is the point when you have gone twelve months without a period. Symptoms can begin in perimenopause and continue after menopause.

Bioidentical hormones have the same structure as the hormones your body makes, which is why we prefer them over synthetic substitutes. Like any treatment, they are not right for everyone. We review your history, labs, and risks with you before recommending anything.

No. Your body, your choices. Some women do well focusing on sleep, stress, nutrition, and other root causes. Others find hormone support makes a real difference. We will explain your options so you can choose what fits.

Women make testosterone too, and levels tend to decline with age. Low testosterone may contribute to low energy, low drive, and loss of muscle. We test for it and talk with you about whether support makes sense.

Yes. Surgical menopause can bring on symptoms quickly. Because your hormone production will not return on its own, hormone replacement can be an important option to discuss with us.

Your First Step

Ready to Feel Like Yourself Again?

Tell us what is going on, and we will help you find the right next step. We see patients from all over Utah and across the United States at our offices in Springville and Moab.