Plaza Menopause Care
Midlife, understood.
Perimenopause and menopause affect far more than hormones. We take the time to understand what you’re experiencing and help you feel better, function better and understand your options.
01. Perimenopause
Changes can begin years before your last period.
Perimenopause is the transition into menopause, and it can start in your early forties or even your late thirties. It is defined by change rather than by an endpoint: cycles shift, hormones fluctuate, and symptoms appear that were not there before.
Because estrogen rises and falls unpredictably during this stage, symptoms come and go. You may have a difficult six weeks followed by two normal months. That inconsistency is one of the main reasons perimenopause is missed, and it is also why a single hormone test on a single day rarely settles the question.
Many women tell us they raised these changes and were told they were too young. Perimenopause can run for years before menopause is confirmed. We take it seriously, and we start with your history rather than a lab slip.
02. Menopause
Menopause, and the years that follow.
Menopause is confirmed after twelve consecutive months without a period. What follows is a long stage of life in which lower estrogen affects far more than cycles: bone density, cardiovascular risk, sleep, cognition, body composition, and vaginal and sexual health all shift.
For some women the transition is mild and brief. For others it is genuinely life-altering, affecting work, relationships and sleep for years. Both are normal, and neither should be dismissed. What matters is what it is costing you, and what can reasonably be done about it.
03. Symptoms
Does any of this sound familiar?
Hot flashes
Night sweats
Sleep changes
Fatigue
Mood changes
Brain fog
Changes in weight
Changes in body composition
Vaginal dryness
Pain with intercourse
Changes in sexual wellness
Decreased energy
Changes in menstrual patterns
If several of these sound familiar, you don’t have to simply live with them.
04. Hormone therapy
Hormone therapy, explained honestly.
For many women the relief is real and substantial. It is not right for everyone, and it is not one-size-fits-all. We review your history, your risks and your preferences, and we decide together.
01
Conventional hormone therapy
Well-studied estrogen and progestogen regimens, in the forms and doses the evidence supports.
02
Bioidentical hormone therapy
Hormones structurally identical to your own, discussed with an honest account of what is and isn’t established.
03
Hormone pellet therapy
Long-acting implanted pellets, where they suit your situation and your preferences.
Every treatment decision is individualized. We never assume one approach is right for every woman.
05. Weight & metabolism
Why weight feels different in midlife.
Changes in estrogen, muscle mass, sleep, metabolism and body composition can make weight management different during midlife. It isn’t a lack of willpower, and the old rules often stop working.
Our medically supervised approach
01
Evaluate
Metabolic and hormone labs, thyroid function, medications, sleep and a realistic look at your week.
02
Explain
What the results mean for you, in plain language, including what is and is not driving the change.
03
Treat
A plan built on protecting muscle, restoring sleep and, where appropriate, medication.
04
Follow
Regular review measured in energy, strength and lab values as well as weight.
06. Vaginal & sexual wellness
Comfort and confidence are part of your health.
These are among the least-raised and most treatable concerns of midlife. Lower estrogen changes vaginal tissue, and the effects are physical, not imagined.
What women describe
Vaginal dryness
Vaginal atrophy and thinning tissue
Pain or discomfort with intercourse
Changes in desire and arousal
Recurrent irritation or urinary symptoms
Options we may discuss
Local vaginal hormone therapy
Non-hormonal moisturizers and treatments
Systemic hormone therapy where appropriate
The O-Shot, where it is a suitable option
MonaLisa Touch, where it is a suitable option
07. Quality of life
The goal isn’t simply to treat menopause. It’s to help you feel better, function better and understand your options.
Most women don’t have someone to counsel them through this stage of life. We’d like to be that someone.
[Placeholder: a real review about care through menopause at Plaza.]
[Patient name], Plaza patient
Request a consultation
Tell us what you’re noticing.
You do not need to have it all worked out before you call. A first conversation is enough.
You don’t have to navigate this alone.
Midlife care at Plaza starts with a conversation about what has actually changed.