Perimenopause & Menopause
Hormonal changes during midlife can affect everything from mood and sleep to weight, energy, brain fog, and intimacy. We help identify the root causes of your symptoms and develop a personalized plan to help you feel like yourself again.

Perimenopause and menopause are natural transitions, but that doesn’t mean you have to simply “live with” symptoms that affect your quality of life. Hormonal changes can impact nearly every system in the body, influencing energy, sleep, mood, metabolism, cognitive function, bone health, and sexual wellness.

At Coles Integrative Medicine, we take a comprehensive approach to helping women navigate this stage of life. Rather than simply treating symptoms, we work to understand the underlying hormonal and metabolic changes contributing to how you feel. Our goal is to help you restore balance, improve vitality, and support long-term health.

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Common Symptoms

Hormonal changes during perimenopause and menopause may contribute to:

  • Hot flashes and night sweats
  • Irregular or changing menstrual cycles
  • Fatigue and low energy
  • Brain fog and difficulty concentrating
  • Mood changes, anxiety, or irritability
  • Sleep disturbances
  • Weight gain or changes in body composition
  • Vaginal dryness and discomfort
  • Pain with intimacy
  • Decreased libido
  • Joint aches
  • Reduced bone density

Our Integrative Approach

Every woman experiences menopause differently. We develop personalized treatment plans that may include:

  • Comprehensive hormone evaluation
  • Bioidentical hormone replacement therapy (when appropriate)
  • Nutrition and lifestyle optimization
  • Targeted supplementation
  • Acupuncture
  • Stress management
  • Exercise recommendations
  • Regenerative therapies to support vaginal and pelvic health

Why Choose Coles Integrative Medicine?

Our goal isn’t simply to replace hormones—it is to help you feel healthy, strong, and confident throughout every stage of life using an evidence-informed, personalized approach.

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Our goal is for you to leave our office with a memorable and enjoyable experience, which is why our welcoming and compassionate staff will do everything they can to make you feel right at home.

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