What menopause is (peri vs post)
Perimenopause is the transition with fluctuating cycles; postmenopause begins 12 months after the final period. Symptoms vary widely and often respond to targeted therapy and lifestyle strategies.
Common symptoms
Hot flashes/night sweats, sleep disruption, mood/focus changes, vaginal dryness/ discomfort (GSM), reduced libido, joint aches—addressable with the right plan.
HRT options
We favor transdermal estradiol with micronized progesterone when the uterus is present. Local vaginal therapies help GSM. Dose and route are individualized.
Who should/shouldn’t use HRT
Suitability depends on age, timing, risk factors, and preference. Non-hormonal approaches remain available.
Monitoring & safety
Early check at 6–12 weeks for symptom relief/tolerability; ongoing screening per age/risk. Adjust route/dose over time.
Sleep & CBT-I basics
Consistent wake time, morning light, wind-down routine, right-sized sleep window. CBT-I reduces insomnia and improves quality.
When to talk to a clinician
- When to talk to a clinician: If symptoms impact daily life, there’s bleeding after menopause, or severe mood/sleep issues. Emergencies → 911.
- Medication & sourcing policy: FDA-approved products via licensed pharmacies; meds are pharmacy-billed.
FAQs
No—non-hormonal options exist.
VMS often improve within weeks; sleep quality follows with CBT-I.
No; pharmacy-billed.