Welcome. Navigating perimenopause and menopause can be challenging – but you don’t have to do it alone. Our team of healthcare provider experts offers comprehensive, compassionate and evidence-based care to support your individual health and well-being.
Our dedicated center offers you:
You will receive care from board-certified physicians and our nurse practitioners, including Susan Angelicola, MSN, APN-C, WHNP, MSCP who is certified by The Menopause Society. They are truly passionate about menopause care and understand this stage of your life.
We’ll seamlessly collaborate with you and our expert providers in gynecology, endocrinology, cardiology, nutrition, behavioral health, and more— because menopause symptoms can impact you in many ways.
We look beyond your symptoms. We review your health and family history and create an individualized and evidence-based plan for symptom relief and long-term health and wellness.
There is not a one-size-fits all solution. Your care plan may include hormone and non-hormonal therapies and nutrition counseling, appropriate bone and heart screenings, sexual health support, and mental health referrals.
We are eager to see patients experiencing early, medically, or surgically induced menopause. We also can support and treat women for whom hormonal treatment may not be an option due to cancer or other medical comorbidities.
We’re here for you on this journey.
Stages of Menopause
Menopause is a natural transition that marks the end of a woman's reproductive years and the last menstrual period. It occurs when the ovaries no longer produce enough estrogen and progesterone and is typically accompanied by a series of physical and emotional changes, which can be divided into three stages:
Perimenopause (early menopause transition)
- Occurs about 4-8 years before menopause
- Characterized by irregular periods – periods that are closer together, heavier or lighter flow and/or farther apart. Hot flashes and night sweats may occur, as may mood changes.
Menopause and Post Menopause
- Occurs when a woman has not had a period for 12 consecutive months
- Estrogen levels decline significantly
- Symptoms may include hot flashes, night sweats, vaginal dryness, and mood changes
- Estrogen levels remain low
- Symptoms may continue, but they typically become less severe over time
- Other health risks, such as osteoporosis and heart disease, may increase
The age at which menopause occurs is typically between 45 and 55, with the average age being around 51. Some women may experience menopause earlier or later, depending on factors such as genetics and overall health.
Common Perimenopausal and Menopause Symptoms
- Hot Flashes and Night Sweats: The most common hallmark symptoms, characterized by sudden feelings of warmth, redness, and sweating.
- Sleep Problems: Disrupted sleep and fatigue may occur and may or may not be related to hot flashes.
- Mood Changes: Fluctuations in mood, such as irritability, sadness, anxiety, or even depression, may be linked to declining estrogen.
- Cognitive Changes: Difficulty with memory and concentration, sometimes described as "brain fog," can occur, though it is often temporary.
- Changes to the Vaginal and Urinary Tracts: Estrogen loss can cause vaginal dryness, pain during sex, and increased risk of urinary infections.
- Irregular Periods: During perimenopause, you may experience changes in your menstrual cycle, such as longer or shorter cycles, or differences in flow.
- Physical Aches and Pains: Some women report increased muscle and joint aches.
Recent Webinar: Thrive in Menopause and Beyond
Menopause can be challenging and affect your whole body — but you don’t have to face it alone. Join Dr. Laura Zimmermann and Susan Angelicola, a Women’s Health Nurse Practitioner (WHNP) and Menopause Society Certified Practitioner (MSCP), for a free, empowering webinar designed to give you the knowledge, tools, and confidence to navigate this important stage of life.
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