Support at Every Stage of the Transition
Perimenopause can begin in your late 30s or 40s, years before your last period. Cycles become irregular, sleep gets lighter, and mood or energy may shift as hormone levels rise and fall. Menopause is confirmed after 12 months without a period, and the years that follow are known as postmenopause, when hot flashes, vaginal dryness, joint aches and changes in bone and heart health can continue.
Because each stage looks different, there is no one-size-fits-all menopause treatment. Some women need relief from hot flashes and night sweats, others want help with weight gain, low libido or brain fog. We build your plan around the stage you are in and the symptoms that affect your daily life most, and review it regularly so it keeps working as your body changes.
Menopause Treatment FAQs
Answers to the questions women ask most before starting menopause care.
Early signs often start in perimenopause: irregular periods, hot flashes or night sweats, lighter or interrupted sleep, mood changes, brain fog, lower libido and weight gain around the middle. Many women notice these in their 40s, sometimes earlier.
For many healthy women within about 10 years of menopause, hormone therapy is considered a reasonable option for moderate to severe symptoms. Safety depends on your personal and family history, so we review both carefully and monitor your labs and symptoms throughout treatment.
Options include bioidentical hormones as creams, patches or pellets, medical weight loss and GLP-1 support, practitioner-guided supplements, and support for sleep and stress. Your plan is based on your symptoms, labs and preferences.
Yes. Falling estrogen changes where the body stores fat and can slow metabolism, which is why many women notice more weight around the middle. Balancing hormones and adding a medically guided weight plan can help.
Many women notice better sleep, fewer hot flashes and steadier mood within a few weeks of starting hormone therapy. We check your labs and symptoms at follow-up and adjust your plan as needed.
No referral is needed. You can book a consultation directly with Nicole Taylor, ANP-BC, at our Okemos clinic, serving patients from East Lansing and the greater Lansing area.
Most women enter perimenopause in their 40s, and some notice changes in their late 30s. The first signs are often shifts in cycle length, sleep and mood.
On average perimenopause lasts about four years, but it can range from a few months to ten years. It ends once you have gone 12 months without a period.
Yes. Ovulation becomes irregular but can still happen, so pregnancy is possible until you have gone 12 months without a period. Talk with us about contraception if pregnancy is not your goal.
Menopause itself is a single point in time, 12 months after your last period. Symptoms such as hot flashes can continue for several years afterward, which is why ongoing support matters.
Personalized menopause treatment that combines lab precision with the symptoms you feel every day, so you can feel like yourself again.
How We Test for Perimenopause and Menopause
A single at-home menopause test only measures one hormone on one day, and in perimenopause those levels change from week to week. That is why we look at the whole picture: your symptoms, cycle history and targeted lab work, including hormone, thyroid and metabolic markers that can cause similar symptoms.
Menopause is confirmed after 12 months without a period. Whether you are just starting perimenopause or are years past your last period, your results guide a treatment plan that may include bioidentical hormone therapy, metabolic support and practical lifestyle changes.
What Our Patients Say
Book Your Menopause Consultation in Okemos, MI
Tell us what you are experiencing and we will guide you through testing, treatment options and next steps. Most patients start with a single consultation.
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