Perimenopause & Menopause

Experience compassionate care and expert guidance with our comprehensive services to support your unique women’s health journey.

At St. Elizabeth Women’s Health, we understand that perimenopause and menopause mark significant transitions in your life. Our compassionate experts provide evidence-based care to meet your unique needs and manage your symptoms. From weight gain to hot flashes to mood swings and memory loss, we’re right here to help you successfully navigate this phase of life.

We’re by your side, offering unwavering support, guidance and the best treatment options so you can thrive during this transition.

Why Choose St. Elizabeth for Menopause Care?

Right here, you’ll find our team offers specialized knowledge and expertise in managing perimenopause and menopause. We ensure you receive the most up-to date and comprehensive therapies available. Your journey and goals throughout menopause are unique to you. That’s why we prioritize personalized care. Our dedicated providers take the time to listen, understand and create an individualized treatment plan to address your symptoms and concerns.

Have questions? Schedule an appointment today.

Call 1 (800) 737-7900 or log into MyChart to schedule an appointment with one of our specialists.

What are Perimenopause and Menopause?

Perimenopause and menopause are natural phases in a woman’s life when hormone levels change, and menstruation stops.

Perimenopause is the transitional phase leading up to menopause. A woman who has not had a menstrual period for 12 consecutive months is in menopause. You can navigate these hormone level changes and maintain a positive well-being with proper management and support.

Symptoms of perimenopause and menopause

All women experience the natural phases of perimenopause and menopause, but they affect each woman differently. Most symptoms will impact your physical and emotional well-being. Some common symptoms women experience during these phases include:

  • Disrupted sleep and night sweats
  • Dry skin
  • Gynecologic changes
  • Hair Loss
  • Hot Flashes
  • Irregular periods
  • Mood changes
  • Weight changes

Causes of perimenopause and menopause

Many perimenopause and menopause symptoms happen because your body makes less estrogen and progesterone hormones during these phases. It’s a time when these hormone levels are naturally lower after your childbearing years. Fewer hormones in your body puts your system out of balance and causes uncomfortable symptoms that can impact your daily life.

Perimenopause and menopause risk factors

Several risk factors can make you more likely to experience the bothersome symptoms of perimenopause and menopause. Smoking can worsen symptoms and lead to the earlier start of perimenopause. If you’ve had a hysterectomy, you may start menopause sooner. And a history of cancer may impact your hormone balance.

Perimenopause and menopause treatment options

You may feel frustrated, uncomfortable and irritable when you experience symptoms that won’t go away or are difficult to manage. The good news is we have treatment options to lessen your symptoms, making your days and nights more enjoyable. Our team will review your symptoms, address your concerns and create a personalized treatment plan specific to your needs. Some common treatments include:

  • Hormone Replacement Therapy (HRT): Estrogen and progesterone can help regulate hormone levels and reduce symptoms.

  • Selective serotonin reuptake inhibitors (SSRIs): These medications can effectively manage hot flashes.

  • Vaginal estrogen: Creams and suppositories treat dryness and urinary issues by restoring moisture and elasticity to the vaginal tissues.

  • Lifestyle changes: Daily exercise and increased water intake can help lessen symptoms.

Meet Your Certified Menopause Doctors

Abby Loftus-Smith, MD

Dr. Abby Loftus-Smith

Dr. Michael Gerwe

Dr. Michael Gerwe

Dr. Meredith Donnelly

Dr. Meredith Donnelly

Frequently Asked Questions About Perimenopause and Menopause

Perimenopause is usually diagnosed based on your symptoms and menstrual changes. There isn’t one single test that confirms it. Your menopause specialist may review your medical history, check hormone levels when appropriate and rule out other causes. We’re here to help you understand what these changes mean for you.

Most women reach menopause when they’ve gone 12 consecutive months without a period. Blood tests aren’t always a necessary test for menopause, but we may use them in certain situations — especially if your symptoms are unclear or you’ve had a hysterectomy. Your provider will guide you on whether testing makes sense.

Perimenopause can last anywhere from a few months to several years. Symptoms may come and go as hormone levels shift. If your symptoms affect your daily life, our team can help you find relief and support during this next phase of life.

It’s a good time to schedule a menopause visit if your symptoms interfere with your sleep, work or your wellbeing — or if you’re not sure whether what you’re feeling is normal. Our team offers personalized treatment options, including hormone and nonhormonal therapies, to help you feel your best.

Hormonal changes during perimenopause and menopause can affect mood, memory and emotional wellbeing. If you have increased anxiety, irritability or low mood, you’re not alone. We can connect you with treatment options and supportive services to help you feel more like yourself.

Lower estrogen levels can increase the risk of heart disease and bone loss over time. That’s why proactive care, such as heart health assessments and bone density screening, is important during and after menopause. Our team can help you understand your risk and stay ahead of potential changes.

HRT can be a safe and effective option for many women. Your provider will talk with you about your health history, symptoms and personal risk factors to help determine whether HRT is right for you. We offer only FDA-approved treatment options and do not use hormone pellets or non-approved therapies.

Experiencing menopause before age 40 is sometimes called premature or early menopause. It can happen for several reasons, including genetics, medical treatment or surgery. Early menopause may affect bone, heart and reproductive health. It’s important to talk with a specialist about your symptoms and treatment options.

Hormonal changes can affect your sexual health. These changes can lead to vaginal dryness, discomfort during intercourse and changes in libido. Treatments such as vaginal estrogen, lubricants and pelvic floor therapy can help relieve symptoms and improve sexual health and comfort.

Your first menopause visit includes a conversation about your symptoms, menstrual changes, lifestyle and goals. You may also discuss treatment options, testing recommendations and supportive therapies. We take the time to listen and create a personalized care plan that fits your needs.

Make an Appointment Today!

If you are experiencing symptoms related to perimenopause or menopause, call today to schedule an appointment at (800) 737-7900.