Perimenopause & Menopause
Feel like yourself through every transition.
Perimenopause and menopause bring real changes — hot flashes, sleep disruption, mood shifts, irregular cycles, and more. These symptoms are common, but you don't have to just push through them. Menopausal care is one of Dr. Fan's core areas of focus.
Perimenopause is the transition leading up to menopause, and it can start years before periods stop. Understanding where you are helps explain what you're feeling and what to expect. Your visit starts with your symptoms and how they're affecting your daily life.
Treatment is individualized. For some, that means lifestyle and non-hormonal approaches; for others, hormone therapy is a good fit. Dr. Fan discusses the benefits and risks openly so you can make an informed choice that's right for your body and your health history.
Understanding perimenopause and menopause
Menopause is the point when your menstrual periods have stopped for twelve months. The years leading up to it — perimenopause — can begin in your 40s (or earlier) and often last several years. During this time, shifting hormone levels can cause a wide range of symptoms.
Every woman's experience is different. Some notice little; others find symptoms genuinely disruptive. Understanding where you are in the transition helps explain what you're feeling and opens the door to real options for relief.
Signs and symptoms
Common symptoms of perimenopause and menopause include:
- Hot flashes and night sweats
- Irregular or changing periods
- Sleep disruption
- Mood changes, irritability, or anxiety
- Vaginal dryness or discomfort
- Changes in libido
- Difficulty concentrating or 'brain fog'
If these symptoms are affecting your quality of life, effective help is available — you don't have to simply endure them.
How we evaluate it
Diagnosis usually begins with your symptoms and history rather than a single test. Dr. Fan will talk through what you're experiencing, where you are in the transition, and how it's affecting your daily life. In some cases, lab work helps clarify the picture or rule out other causes.
Many symptoms of perimenopause overlap with other conditions, so part of the visit is making sure you get to the real source of how you're feeling.
Treatment options
Treatment is individualized and may include:
- Lifestyle strategies for symptom relief
- Non-hormonal treatment options
- Hormone therapy, with an honest discussion of benefits and risks
- Targeted care for specific symptoms like vaginal dryness or sleep
- Ongoing adjustment as your needs change
Dr. Fan helps you make an informed choice that fits your body, your preferences, and your health history.
Menopause is a transition, not a decline. With the right care, you can feel like yourself through it.
When to see Dr. Fan
Make an appointment if you're experiencing:
- Hot flashes, night sweats, or sleep disruption
- Irregular periods or changes in your cycle
- Mood changes or brain fog
- Any symptoms that are affecting your daily life
Your visit, step by step.
- Step 1
Review
Review your symptoms and history.
- Step 2
Locate
Discuss where you are in the transition.
- Step 3
Explore
Explore treatment options and trade-offs.
- Step 4
Plan
Build a plan you're comfortable with.
Perimenopause & Menopause: your questions.
Ready to take the next step?
Call us or request an appointment online — we'll match you with the right visit type.