Perimenopause & Menopause
Care That Takes Your Symptoms Seriously
If you’re experiencing changes in sleep, mood, energy, weight, cycles, or cognition — and have been told your labs are “normal” or that this is just part of aging — you’re not alone. Many women enter perimenopause and menopause without clear guidance, leaving symptoms under-recognized and under-treated.
At Flourish Family Medicine, we recognize perimenopause and menopause as significant physiological transitions that deserve thoughtful, individualized care. Hormonal shifts during this time can affect nearly every system in the body, and symptoms can look different for every woman.
Our approach focuses on listening carefully, understanding the full picture of your health, and offering evidence-informed options that align with your goals and medical history. Care may include lifestyle and nutrition support, targeted supplementation, non-hormonal therapies, or hormone therapy when appropriate — with ongoing monitoring and adjustments over time.
This is not about pushing a one-size-fits-all solution. It’s about helping you feel informed, supported, and confident as you move through this stage of life.
Common Symptoms During Perimenopause & Menopause
Changes in menstrual cycles
Hot flashes and night sweats
Sleep disruption or insomnia
Fatigue or low energy
Brain fog, memory changes, or difficulty concentrating
Mood changes, anxiety, irritability, or low mood
Weight changes or changes in body composition
Decreased libido or vaginal dryness
Joint pain or muscle aches
Headaches or migraines
Palpitations or new-onset anxiety symptoms
Perimenopause and menopause can affect far more than menstrual cycles. Because hormones influence multiple systems in the body, symptoms often feel widespread, inconsistent, or difficult to explain.
Common concerns we support include:
Symptoms may begin years before the final menstrual period and can evolve over time. There is no single “right” way to experience this transition.
Why Symptoms Are Often Missed or Dismissed
Many women are told that their symptoms are simply part of aging, stress, or “normal,” even when those symptoms are significantly affecting daily life. Standard lab testing may not always reflect what is happening hormonally during perimenopause, which can contribute to confusion or dismissal.
At Flourish Family Medicine, we believe symptoms matter — even when lab results fall within a reference range. We focus on understanding patterns over time, listening carefully to lived experience, and evaluating health in context rather than in isolation.
How We Evaluate Perimenopause & Menopause
Care begins with a comprehensive conversation. We take time to understand your symptoms, health history, cycle patterns (when applicable), stress levels, sleep, nutrition, and overall well-being.
Evaluation may include:
- Detailed symptom review and timeline
- Review of menstrual history and life stage
- Conventional and functional laboratory testing when appropriate
- Assessment of metabolic, cardiovascular, bone, and thyroid health
- Discussion of personal and family health history
Lab testing is used as a tool — not the sole determinant of care. Results are interpreted alongside symptoms and clinical history to guide thoughtful decision-making.
Individualized & Evidence-Informed Treatments
There is no single approach that works for everyone. Treatment plans are tailored to your symptoms, preferences, medical history, and goals.
Options may include:
- Nutrition and lifestyle guidance to support hormonal balance
- Targeted supplementation
- Stress and sleep support
- Non-hormonal therapies
- Bio-identical hormone therapy (HRT) when appropriate
When hormone therapy is considered, we take a careful, informed approach — discussing benefits, risks, alternatives, and ongoing monitoring. Treatment is collaborative, and adjustments are made over time based on response and changing needs.
