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Menopause

Hormonal changes are a natural part of life, but that doesn’t mean you have to navigate them alone. At Monarch Healthcare, we provide compassionate, expert care to help you understand and manage the changes that occur during perimenopause and menopause, tailoring treatment plans to your unique symptoms, goals, and lifestyle.

Perimenopause is the transition leading up to menopause and can begin several years before your final menstrual period. During this time, fluctuating hormone levels may cause a wide range of physical and emotional changes that can vary from person to person.

Common symptoms include:

  • Irregular or changing menstrual cycles
  • Hot flashes or night sweats
  • Mood changes, anxiety, or irritability
  • Sleep disturbances or fatigue
  • Brain fog or difficulty concentrating
  • Weight changes or shifts in metabolism
  • Decreased libido
  • Vaginal dryness or discomfort

Because symptoms can be subtle at first, many women don’t realize perimenopause is the cause. Our providers take the time to listen, evaluate your symptoms, and help you understand what your body is experiencing.

Menopause is defined as the point when you have gone 12 consecutive months without a menstrual period. While this marks a new stage of life, hormonal changes continue to affect your overall health and well-being.

Menopause-related symptoms may include:

  • Persistent hot flashes and night sweats
  • Vaginal dryness, irritation, or discomfort
  • Changes in sexual health or libido
  • Sleep disruption
  • Mood changes or emotional shifts
  • Joint aches or muscle discomfort
  • Changes in bone or cardiovascular health

We understand that every woman’s experience is unique. That’s why our approach combines medical expertise with compassionate support. Heidi Gregersen, NP, MSCP, has received extensive training in menopause management and is certified by The Menopause Society reflecting her advanced knowledge in evidence-based menopause care and hormone management.

At Monarch Healthcare, we offer:

  • Comprehensive laboratory testing, including complete hormone panels, to better understand your hormonal profile
  • Individualized treatment options, which may include lifestyle guidance, non-hormonal therapies, or menopausal hormone therapy delivered via oral, vaginal, or transdermal methods. Treatments are tailored to your symptoms and adjusted over time based on your response
  • Ongoing support and education, helping you make informed decisions about your care and navigate this life stage with confidence

Menopausal hormone therapy can significantly relieve moderate to severe symptoms such as hot flashes, night sweats, vaginal dryness, and mood changes. It may also help slow estrogen-related bone loss. Before starting therapy, our specialists review all potential benefits and risks so you can make the choice that is right for you.

Our team works closely with you to develop a personalized plan that aligns with your symptoms, health history, and goals, ensuring you feel supported every step of the way. If you’re experiencing changes and wondering what’s next, we’re here to help you navigate this transition with clarity, confidence, and compassionate care.