Menopause

What is Menopause?

Menopause is a natural biological transition that marks the end of a woman’s reproductive years. It is officially defined as the point when you have gone 12 consecutive months without a menstrual cycle, but the changes leading up to menopause — known as perimenopause — can begin years earlier. During this time, levels of estrogen, progesterone, and other hormones fluctuate and gradually decline.

 

Menopause is not a disease — it is a normal life transition. However, the symptoms it brings can significantly impact daily functioning, emotional wellbeing, and overall quality of life.

 

At First Call DPC, we approach menopause with respect, clarity, and compassion. Your symptoms are real. Your experience matters. And this phase of life can be one of renewal, strength, and deeper self-understanding — when you receive the right support.

What Causes Menopause?

Menopause occurs as the ovaries gradually produce fewer reproductive hormones, particularly estrogen, progesterone, and testosterone. These hormones play roles beyond reproduction — they influence:

Metabolism

Bone strength

Brain function and memory

Mood regulation

Skin and hair health

Sleep cycles

Sexual function

As hormone levels change, your body goes through a neuroendocrine adjustment process — essentially, your biological systems are learning to function in a new hormonal environment.

Perimenopause (the years before menopause) is where symptoms often begin. Hormones can swing high one day and low the next, creating unpredictable changes in mood, energy, sleep, and cycles.

This is not your imagination and you are not “just emotional.”
Your body is adapting — and it deserves support through that transition.

What Symptoms Will I Experience With Menopause?

Symptoms vary from person to person, but common experiences include:

Physical Symptoms

Hot flashes or night sweats

Irregular or heavier/lighter periods in perimenopause

Slower metabolism

Fatigue or low energy

Weight gain (especially around the midsection)

Joint or muscle discomfort

Vaginal dryness

Emotional & Cognitive Symptoms

Mood swings or irritability

Anxiety or tension

Low motivation or apathy

Brain fog or reduced mental clarity

Difficulty concentrating or remembering words

Sleep-Related Symptoms

Trouble falling asleep

Waking during the night

Non-restorative sleep

Sexual Health Changes

Reduced libido

Changes in orgasm response

Increased sensitivity or discomfort during intimacy

Many women express:

  • “I don’t feel like myself anymore.”
  • “My energy, mood, and body don’t respond like they used to.”
  • “I want to feel balanced and confident again.”

These symptoms are real, common, and highly treatable.

What Should I Try at Home Before Seeing a Provider for Menopause?

Certain foundational habits may help stabilize symptoms:

Prioritize Sleep Hygiene

A consistent sleep schedule supports hormonal regulation.

Strength Training 2–3x Weekly

Helps maintain metabolism, bone density, and energy.

Reduce Processed Sugar and Alcohol

These can worsen hot flashes, sleep disruption, and mood swings.

Increase Daily Protein Intake

Supports muscle tone and metabolic stability.

Practice Nervous System Regulation

Deep breathing, walking, mindfulness, yoga, or quiet breaks help reduce cortisol-related symptoms.

However — if symptoms feel disruptive, overwhelming, or persistent — it’s time for clinical support. You do not need to struggle through this on your own.

Best Treatment Options for Menopause

At First Call DPC, treatment is personalized based on your symptoms, labs, goals, and lifestyle. Options may include:

Bioidentical Hormone Replacement Therapy (BHRT)

Supports balance of estrogen, progesterone, and/or testosterone to restore mood, energy, metabolism, and sexual wellness.

Peptide Therapy for Emotional Resilience & Nervous System Repair

May help support sleep quality, tissue recovery, cognitive clarity, and nervous system stability

Nutritional & Metabolic Support

We help stabilize blood sugar, inflammation, and gut function — all of which strongly influence symptoms.

Supplements for Mood, Bone Health, and Recovery

Magnesium, vitamin D, omega-3s, adaptogenic herbs, and targeted nutrients that support hormone communication pathways.

Lifestyle Support Plans

Exercise, sleep, stress management, and movement guidance tailored to your capacity and needs.

Sexual Wellness Therapies

Options to improve comfort, arousal, and libido when desired.

The goal is not to mask symptoms — but to restore clarity, comfort, confidence, and vitality.

Our Process for Treating Menopause

Comprehensive Consultation

We take time to understand your symptoms, lifestyle, emotional experience, and goals — without rushing or minimizing.

Detailed Lab Evaluation

We examine hormone levels, thyroid function, inflammation markers, metabolic signaling, and nutrient status.

Personalized Treatment Plan

You receive a plan created just for you — not a generic hormone template.

Support & Adjustment Over Time

Your needs may shift — and we shift with you. You have direct access to your provider for ongoing support.

Menopause is not something to simply “get through.”
It is a stage of life that can be supported, balanced, and empowering.

At First Call DPC, we walk through this transition with you — with clarity, confidence, and care. When you’re ready to feel strong, grounded, vibrant, and yourself again — we’re your first call.