ERA Metabolic Medicine

Perimenopause and Menopause Treatment

Symptoms We Commonly Treat
  • Hot flashes and night sweats
  • Sleep disturbances and insomnia
  • Persistent fatigue and low energy
  • Weight gain or difficulty losing weight
  • Brain fog and difficulty concentrating
  • Low mood, anxiety, or irritability
  • Frequent headaches or migraines
  • PMS or PMDD symptoms
  • Mood changes throughout the cycle
  • Low libido
  • Irregular or changing menstrual cycles
  • Vaginal dryness or discomfort
  • Recurrent urinary tract infections (UTIs)

Extensive Lab Workup

  • Estrogen, progesterone, testosterone
  • Thyroid panel (TSH, Free T3, Free T4)
  • Cortisol
  • Insulin resistance markers
  • Vitamin D
  • Inflammatory markers

Treatment Options

  • Bioidentical hormone replacement
  • Progesterone supplementation
  • Thyroid optimization
  • Vitamin D correction
  • Nutritional + lifestyle guidance

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