Concierge Medicine
Menopause Symptoms Treatment by Telehealth
You don't have to just push through.
Understanding Menopause Symptoms
Hot flashes, sleep disruption, mood, and changes in body and energy.
Menopause is a hormonal transition with real, treatable symptoms. We use labs to guide bioidentical hormone therapy when appropriate, alongside lifestyle and mood support — so this season doesn't mean suffering through it.
What's actually happening
Menopause is a hormonal transition with real, treatable symptoms — hot flashes, sleep disruption, mood changes, and shifts in body and energy. It's not a season to simply push through.
How it progresses
Symptoms can last years and, untreated, erode sleep, mood, bone, and body composition. The hormonal shift is the cause — and it's addressable.
When lifestyle isn't enough
Sleep and stress habits help, but when symptoms are significant, labs-guided hormone therapy — alongside lifestyle and mood support — is what makes this season manageable rather than something to endure.
Who We Typically See
A woman in her 40s or 50s dealing with hot flashes, night sweats, broken sleep, brain fog, anxiety she never had before, joint aches, or low desire. Many have been told it's just part of aging or offered an antidepressant. She wants real answers and real options.
Treatment Options at a Glance
You have more options than pushing through.
Hormone therapy and non-hormonal treatments for hot flashes, sleep, mood, and body changes.
Estradiol therapy
What it targets
Hot flashes, night sweats, bone loss, brain fog.
Transdermal patches or gels carry a favorable safety profile for most women.
Micronized progesterone
What it targets
Uterine protection, sleep, and calm.
Often taken at night for its sleep benefit.
Testosterone for women
What it targets
Libido, energy, and muscle.
Dosed at a fraction of men’s dose.
Vaginal estrogen
What it targets
Dryness, pain with sex, urinary symptoms.
Local, low-dose, and safe for most women long term.
Non-hormonal options
What it targets
Hot flashes when hormones aren’t right for you.
Newer targeted medications offer real relief.
Options are prescribed only when clinically appropriate, after evaluation by a licensed provider.
The Roadmap
What working with us actually looks like.
01 — Deep diagnostics
Full hormone panel and a real conversation about your symptoms.
02 — Personalized plan
Bioidentical therapy and lifestyle targeted to your transition.
03 — Active treatment
Begin therapy, track symptoms, and recheck labs.
04 — Sustain
Ongoing adjustment so this season is manageable, not something to endure.
Why PracticeRx
Conventional care vs. the PracticeRx approach.
Conventional care
- 10-minute visits and TSH-only labs
- “Your levels are normal” — even when you don’t feel normal
- Treats the symptom: a prescription or “lose weight”
- One specialist per system, none talking to each other
- Reactive — wait until something breaks
- Generic protocols based on demographics
PracticeRx
- 100+ biomarker bloodwork and full hormone & thyroid panels
- Hormones, peptides, and metabolic medicine guided by your data
- Integrated mental and physical care in one practice
- Preventative — full-body MRI screening and early detection
- 7-day access to your care team — no waiting until Monday
- A plan built around your biology, not a protocol
The evidence
Vasomotor symptoms (hot flashes, night sweats) affect up to 80% of menopausal women; hormone therapy is the most effective treatment for most.
Source: NAMS; The Menopause Society
Menopause Symptoms — Frequently Asked
Common questions about Menopause Symptoms.
When does perimenopause start?
Often in the early to mid 40s, sometimes earlier. Irregular cycles, sleep disruption, mood changes, and hot flashes can appear years before periods stop.
What is the most effective treatment for hot flashes?
For most women, hormone therapy is the most effective treatment for hot flashes and night sweats. Non-hormonal options exist when hormones are not a fit.
Do I have to just push through menopause?
No. Menopause symptoms are real and treatable, and a labs-guided plan can meaningfully improve sleep, mood, energy, and body composition.
Medically reviewed by
Joe Brooks, MD
PRX Physician · OB/GYN & Women’s Health
Board-trained OB/GYN with 20+ years in practice, recognized as an Arizona Top Doctor continuously since 2013.
Stop guessing. Start with the labs.
You don't have to keep guessing what's wrong. We'll run the deep labs, find what's actually driving this, and build a plan around your biology.
100+ biomarker bloodwork
The labs conventional care usually skips.
Integrated care, one team
Mental and physical health under one roof.
7-day access
Your care team, when you actually need them.