Concierge
Menopausal
Service
Concierge
Menopausal
Service
Long Beach community since 2007.
WHY I STARTED
Beyond My Menopause
Patients often come to me in tears as their day to day stressors have left them imbalanced preventing them from effectively managing their daily life. They have difficulty sleeping, report low energy and libido, poor memory and concentration and emotional lability.
Medical school and residency never prepared me for this challenge even though it affects all women eventually. Unhappy with conventional therapy,
I threw myself into a more integrative approach.
Having experienced
I dove into menopause
therapy and how best to
manage these changes.
Whether you are perimenopausal or in menopause,
my goal is to provide personalized therapy that will allow you
to regain your life back and help you to feel balanced.
We Will Reach
Your Goals together
Perimenopause is the time around menopause that begins on average
The complex balance of estrogen and progesterone in our body is shifting leading to a disruption in our normal physical and mental state leaving us to feel “unbalanced”.
Such symptoms often include:
- Hot flashes and night sweats
- Vaginal dryness and painful intercourse
- Absent or irregular cycles
- Heavier cycles
- Skin changes
- Poor libido
- Depression
- Irritability and anxiety
- Fatigue
- Poor memory
- Increase in abdominal fat
- Insomnia
- Joint pain
Although we can get an idea of where the problem lies through careful assessment of history and symptoms, blood tests give us more information about exactly what is going on with each patient.
Blood tests:
- Give a detailed analysis of specific hormones.
- Ensure an accurate diagnosis.
- Allows us to ensure the amount of hormones in your body are not higher than what is physiologically appropriate, and to know that the prescribed treatment is working effectively.
- Help us to understand if any changes to your medication are required.
- Are essential for monitoring your safety.
Hormones are best drawn between 8-10 AM
- For a topical hormone cream or gel applied once daily, testing should be done approximately 10-12 hours after the last application.
- If the topical cream or gel is used twice a day or every 12 hours, testing should be done approximately 6-8 hours after the last application.
When you first begin your journey with Beyond Menopause, we may conduct blood tests fairly regularly. But once hormone levels are stabilized, we move to more infrequent testing.
Concierge
Menopausal Service?
Sample Report
Understanding Lab Results
For women who have monthly menstrual cycles, we check the blood hormone levels on day 21 of their cycle and analyze the estrogen-to-progesterone ratio. For longer or shorter cycles, count 8 days back from the day your next menstruation would start.
Ideally, the ratio should be 10:1. Day 21 progesterone ( in a 28 day cycle) is indicative of whether a woman is ovulating.
The pattern of hormone change varies from woman to woman, and in perimenopause, estrogen levels can spike and fluctuate.
In menopause, both estrogen and progesterone are low. When looking at testosterone, this is usually the last hormone to deplete. However, in some women, testosterone can decline before estrogen, and this can occur because there is decreased production of testosterone from the adrenal glands.
We need to measure free testosterone because this tells us how much testosterone is bioavailable (available for the body to use).
DHEA is an adrenal hormone. It is a precursor to the sex hormones and gradually declines with age. Some women have a low DHEA if they have had chronic stress or trauma.
Still Have Questions?
Discover more about our services. Don’t hesitate to
3655 Lomita Blvd Suite 321
(310) 325-1198
