Perimenopause and Menopause
Informed, Personalized Hormone Support
Perimenopause and menopause are natural life transitions, but the hormonal shifts that occur during this time can bring challenging symptoms such as irregular cycles, hot flashes, night sweats, mood changes, sleep disruption, brain fog, and changes in weight or metabolism. When left unaddressed, these changes can also impact bone health, cardiovascular risk, and overall quality of life.
​
As a Naturopathic Doctor, I am trained to support women through this transition using a comprehensive, individualized approach. This may include prescribing bioidentical hormone therapy when appropriate, alongside evidence-based botanical medicine, targeted nutritional supplements, and personalized lifestyle counseling. By addressing symptoms, hormone balance, and long-term health together, naturopathic care aims to help you feel supported, informed, and well throughout every stage of this transition.
Key Areas Assessed:
-
Primary concerns and symptom patterns, such as fatigue, weight changes, mood shifts, menstrual irregularities, fertility concerns, acne, hair changes, libido, or sleep disturbances
-
Timeline of hormonal symptoms, including onset, cyclical patterns, life transitions (puberty, pregnancy, postpartum, perimenopause, menopause), and stressors
-
Menstrual and reproductive history, including cycle regularity, bleeding patterns, PMS, contraceptive use, and pregnancy history (when applicable)
-
Thyroid-related symptoms, including temperature regulation, energy, cognition, hair, and bowel patterns
-
Stress load and resilience, evaluating HPA axis function and nervous system regulation
-
Dietary intake and blood sugar regulation, including cravings, energy fluctuations, and meal timing
-
Medication, supplement, and hormone therapy history
-
Environmental and lifestyle exposures, including endocrine-disrupting chemicals, sleep patterns, and physical activity
-
Family history of endocrine, metabolic, or autoimmune conditions
Functional Testing
-
Sex hormones (e.g., estrogen, progesterone, testosterone) and their ratios
-
Thyroid function, including markers of conversion, autoimmunity, and tissue-level activity
-
Adrenal and stress hormones, including cortisol rhythm
-
Blood sugar regulation and insulin sensitivity
-
Metabolic markers, such as lipids and inflammatory indicators
-
Nutrient status essential for hormone synthesis and detoxification
-
Markers of inflammation or immune involvement
-
Hormone metabolism and clearance pathways, including liver support markers​​
Individualized Treatment Plan
-
Personalized nutrition strategies, emphasizing blood sugar stability, anti-inflammatory foods, and hormone-supportive nutrients
-
Targeted supplementation, such as adaptogens, micronutrients, and glandular or botanical supports =
-
Botanical medicine, selected to support hormonal balance, stress response, thyroid function, and/or reproductive health
-
Lifestyle interventions, focusing on sleep quality, stress management, movement, and circadian rhythm alignment
-
Support for detoxification and hormone metabolism, particularly hepatic and gut pathways
-
Cycle-based or phase-specific care, when applicable, to align treatment with physiological rhythms
-
Ongoing monitoring and adjustment, ensuring care evolves with symptom changes, life stages, and patient goals​