Menopause marks the end of a woman's menstrual cycles and fertility. The transition to menopause, known as perimenopause, usually begins in a woman's 40s with changes in menstrual bleeding and fluctuating hormone levels. As the ovaries gradually produce less estrogen and progesterone, symptoms like hot flashes, trouble sleeping, vaginal dryness, and mood changes often occur.
While menopause is a natural part of aging, it can significantly impact one's physical health and quality of life when hormone levels drop below optimal ranges. Getting adequate medical care and hormone therapy as needed can help alleviate uncomfortable symptoms and reduce long-term health risks like heart disease and osteoporosis.
Comprehensive menopause care involves tracking symptoms, testing hormone levels with bloodwork, developing personalized treatment plans, and ongoing monitoring and support.
Since perimenopause can begin years before a woman's final period, accurately diagnosing its onset can be difficult. Key aspects include:
Repeating bloodwork over time is often needed to confirm menopause as cycles become more irregular.
Once diagnosed, the following evidence-based treatment options can provide relief:
The risks and benefits of each option are unique to the individual patient. An experienced menopause specialist can provide personalized recommendations.
Since a woman’s needs may change over time, regular follow-up is key. Blood levels of hormones can be rechecked annually and medications adjusted accordingly under medical supervision for optimal safety and efficacy throughout menopause and beyond.
As the leading menopause and hormone therapy clinic in Greensboro, Optimal Health Hormone Clinic boasts particular expertise in this area of women’s health.
Our compassionate physicians, nurse practitioners and staff provide thoughtful guidance and support as patients navigate every aspect of menopause – from early perimenopause through postmenopause.
With our holistic approach focused on each woman’s unique health profile and needs, we're fully equipped to deliver individualized menopause care including:
In partnering with Optimal Health Hormone Clinic, patients gain access to the convenience of a full-service menopause clinic offering comprehensive care all under one roof:
We also provide compassionate listening, answers to all your menopause questions, and practical lifestyle guidance. Our goal is equipping patients to make the best self-care choices while aging gracefully.
With deep menopause expertise spanning over two decades in practice, Optimal Health Hormone Clinic supports women throughout the metro area in fully embracing this next life stage. Contact us today to learn more or schedule your first appointment.
While each woman’s experience is unique, the most common menopausal symptoms stem from declining estrogen levels and include:
- Hot flashes - sudden feelings of body heat accompanied by sweating and flushing, lasting from 30 seconds up to several minutes
- Night sweats - hot flashes occurring at night leading to sleep disruption and fatigue
- Vaginal dryness, irritation, itching or discomfort during intercourse
- Increased urinary tract infections due to changes in vaginal bacteria and pH levels
- Irritability, anxiety, sadness, trouble concentrating, memory lapses
- Joint pain or muscular discomfort
- Changes in weight and fat distribution
- Hair thinning/loss
- Headaches
- Heart palpitations
- Changes in libido
Keeping track of symptoms and their severity will allow your provider to best address your individual needs. We encourage maintaining a symptom diary and bringing it to all appointments.
In addition to bothersome menopausal symptoms, falling estrogen levels negatively impact women’s health in other significant ways long-term.
Estrogen plays an important protective role in bone health. Without adequate levels, bone loss accelerates significantly after menopause putting women at heightened risk of fractures. Getting at least 1,200 mg of calcium and 800-1,000 IU of Vitamin D per day alongside weight-bearing and muscle-strengthening exercise provides key foundations of bone health. For moderate to high-risk patients, bone density monitoring and prescription medical therapy are often warranted.
Natural estrogen helps dilate blood vessels and maintain elasticity which benefits cardiovascular function. Menopause hormones therapy when properly prescribed and monitored may reduce a woman’s risk of heart disease by keeping vessels supple. Controlling other cardiac risk factors – blood pressure, cholesterol, blood sugar, smoking, weight – also remains critical.
Estrogen receptors are found throughout the brain and likely influence areas responsible for memory. Hormone therapy initiated within a few years of menopause may help slow cognitive decline that becomes more common with older age.
By understanding how low hormones amplify health risks and working closely with your menopause specialist, many long-term consequences can be prevented through appropriate screening and early interventions.
Accurately assessing patients’ hormonal status provides vital data guiding safe, effective treatment plans. At Optimal Health Hormone Clinic, we utilize advanced medical technologies alongside thorough histories and exams.
Specific reproductive hormone tests useful in menopause include:
Tracking levels over time determines perimenopause onset and monitors hormone therapy efficacy.
Other helpful blood tests include:
We develop personalized testing plans based on risk factors and symptoms.
For patients who prefer not to have frequent blood draws, saliva testing allows convenient tracking of hormone changes. Serial saliva samples are easily collected at home then mailed to specialized labs. Saliva and serum results correlate strongly.
DXA bone density scans every 1-5 years screen for diminishing bone mass. They precisely, painlessly measure bone mineral density in hips and spine to assess fracture risks.
Optimal Health Hormone Clinic utilizes state-of-the-art DXA scanners in our office for patient convenience. We interpret results and recommend appropriate osteoporosis prevention/treatment when needed.
Once the gold standard treatment for menopause symptoms, hormone therapy (HT) fell out of favor after questionable studies linked it to health hazards like breast cancer. However, data evolving over the past 15 years from more rigorous clinical trials better defines HT's safety and effectiveness when properly managed.
Today, medical societies endorse hormone therapy for symptom relief in most newly menopausal, healthy women under 60. Individualizing therapy type, dose, and duration minimizes risks based on each woman's needs and health profile.
If you are suffering moderate to severe symptoms negatively impacting work, relationships or quality of life, hormone therapy may help get you back on track.
Ideal candidates for hormone therapy include:
Women under age 60 or within 10 years of menopause onset\
Suffering moderate to severe hot flashes, night sweats, sleep disruption, vaginal atrophy\
Without major contraindications like estrogen-sensitive cancer, uncontrolled high blood pressure, uncontrolled diabetes, blood clots, liver disease, coronary artery disease
The therapy regimen prescribed depends on symptoms and health profile:
Optimal Health Hormone Clinicians carefully guide patients through these choices for optimal customized relief.
To ensure treatment safety, patients on hormone therapy require consistent medical oversight including:
By closely tracking one’s response to therapy and modifying the approach over time, Optimal Health Hormone Clinic supports patients in using hormone treatment as a helpful bridge during the menopausal transition without extended risks.
Contact us today to explore whether hormone therapy is right for managing your menopause symptoms so you can feel like yourself again.
While hormone therapy serves as the most effective medical treatment for moderate to severe menopause symptoms, making certain lifestyle adjustments can meaningfully complement medication relief.
Optimal Health Hormone Clinic’ clinicians provide personalized guidance regarding evidence-based strategies across key areas:
- Emphasize fruits, vegetables, whole grains – high fiber foods help remove excess estrogen
- Avoid potential hot flash triggers - spicy foods, caffeine, alcohol
- Meet daily calcium, Vitamin D needs
- Achieve/maintain healthy body weight
- Practice relaxation techniques - deep breathing, yoga, mindfulness meditation
- Make time for socially connecting activities
- Get adequate sleep
- Seek support for mood issues like anxiety or depression
- Incorporate both cardio and strength training most days
- Kegel exercises improve bladder control issues
- Consider acupuncture - shown to lessen hot flashes
- Practice good posture to prevent back pain
While unable to treat severe vasomotor symptoms on their own, such positive lifestyle measures magnify benefits attained from medical therapy. Our nurses educate and encourage women to implement feasible, sustainable changes meeting their individual needs and preferences.
At Optimal Health Hormone Clinic, we support patients in navigating menopause from all angles – combining hormone medications as needed with nutrition guidance, stress reduction practices and sensible fitness goals. Contact us today to learn more and get started optimizing your menopause action plan!
