Perimenopause and Menopause Support

Personalized Care for Every Stage of Your Hormone Journey

Perimenopause and menopause are natural transitions, but they can bring significant changes that affect nearly every aspect of your health. Fluctuating hormone levels can impact energy, sleep, mood, metabolism, cognition, cardiovascular health, bone density, sexual wellness, and overall quality of life.

At Peninsula Integrative Medicine, we take a personalized, root-cause approach to helping women navigate these hormonal transitions with confidence. Rather than simply managing symptoms, we evaluate the many factors influencing your health, including hormones, thyroid function, metabolism, nutrition, stress, sleep, and lifestyle, to develop an individualized treatment plan that helps you feel your best during this stage of life.

Whether you’re just beginning to notice changes or have been struggling with symptoms for years, we’re here to help you restore balance and thrive through every phase of the menopause transition.

What Is Perimenopause & Menopause Support?

Perimenopause and menopause support focuses on helping women navigate changing hormone levels while promoting long-term health and wellbeing. Our providers evaluate the interconnected systems that influence hormone health, including:

• Estrogen and progesterone balance
• Thyroid function
• Adrenal health and stress response
• Metabolic health
• Nutrition and nutrient status
• Sleep quality
• Gut health
• Cardiovascular health
• Bone health
• Lifestyle factors

Treatment plans are personalized and may include nutrition, lifestyle medicine, targeted supplementation, botanical medicine, bioidentical hormone replacement therapy (BHRT) when clinically appropriate, and ongoing support throughout your hormone journey.

Why Women Seek Perimenopause & Menopause Support

Hormonal changes can begin years before menopause and often affect much more than your menstrual cycle. Women commonly seek care for:

• Hot flashes and night sweats
• Irregular or changing menstrual cycles
• Fatigue or low energy
• Poor sleep
• Brain fog or memory concerns
• Mood changes, anxiety, or irritability
• Weight gain or difficulty losing weight
• Low libido
• Vaginal dryness or discomfort
• Joint aches
• Changes in metabolism
• A desire to optimize long-term health during menopause

Conditions We Commonly Support

Our providers help women experiencing a wide range of hormone-related concerns, including:

• Perimenopause
• Menopause
• Hormone imbalance
• Hot flashes and night sweats
• Sleep disturbances
• Weight gain and metabolic changes
• Anxiety and mood changes
• Brain fog
• Low libido
• Vaginal and urinary symptoms
• Osteopenia and bone health support
• Cardiovascular wellness during menopause

Advanced Diagnostic Testing

A comprehensive evaluation helps us understand the factors contributing to your symptoms and guides personalized treatment recommendations.

Testing may include:

Hormone Testing

• • Comprehensive hormone panels
  • DUTCH hormone testing
  • Estrogen and progesterone evaluation
  • Testosterone and DHEA assessment

Thyroid & Metabolic Testing

• • Complete thyroid panel
  • Blood sugar and insulin markers
  • Lipid evaluation
  • Cardiometabolic assessment

Nutritional & Functional Testing

• • Vitamin and mineral assessment
  • Inflammatory markers
  • Cortisol and stress hormone evaluation
  • Additional testing based on your symptoms and health history

Personalized Treatment Plans

No two women experience menopause the same way. Your treatment plan is tailored to your symptoms, health history, laboratory findings, and personal goals. Recommendations may include:

• Personalized nutrition plans
• Lifestyle medicine
• Targeted supplementation
• Botanical medicine
• Stress management
• Exercise recommendations
• Sleep support
• Bioidentical hormone replacement therapy (BHRT) when appropriate
• Ongoing monitoring and hormone optimization

Our goal is to help you reduce symptoms, support healthy aging, and feel your best during every stage of the menopause transition.

Which Provider Should I See for Perimenopause & Menopause Support?

Our providers have different areas of expertise and can help you find the approach that’s right for you.

If you’re experiencing perimenopause, menopause, or changing hormone symptoms:

• Dr. Rebecca Green, ND
  • Best fit for: Complex hormone concerns, healthy aging, metabolism, longevity, and bioidentical hormone therapy.
  • Dr. Green develops comprehensive treatment plans that support hormone balance while promoting long-term cardiovascular, bone, and cognitive health.

• Dr. Meghan Kemnec, ND
  • Best fit for: Perimenopause, menopause, hormone balance, menstrual changes, and women’s wellness.
  • Dr. Kemnec takes a personalized, root-cause approach to helping women improve energy, sleep, mood, metabolism, and overall health through every stage of the menopause transition.

• Dr. Nicole McCarter, ND
  • Best fit for: Fatigue, mood changes, weight fluctuations, metabolic health, and hormone optimization.
  • Dr. McCarter helps women restore balance through individualized care that addresses the many factors influencing hormone health.

• Dr. Tediana Torrens, ND
  • Best fit for: Hormone transitions, fatigue, sleep concerns, stress, and overall wellness.
  • Dr. Torrens works with women to address the underlying causes of hormone-related symptoms and improve quality of life through personalized integrative care.

• Dr. Rebecca Moragne, ND
  • Best fit for: Women’s hormone health, reproductive wellness, and personalized hormone support through every stage of life.
  • Dr. Moragne provides individualized care that helps women navigate changing hormones while supporting long-term health and wellbeing.

• Dr. Alicia Masiulis, DACCHM, L.Ac.
  • Best fit for: Perimenopause and menopause symptoms, stress management, sleep concerns, and women seeking acupuncture as part of their care.
  • Dr. Masiulis integrates naturopathic medicine, acupuncture, and Traditional Chinese Medicine to help reduce hot flashes, improve sleep, support emotional wellbeing, and promote hormone balance throughout the menopause transition.

Not sure who is the right fit?

Our team is happy to help match you with the provider whose experience best aligns with your health goals. Contact our office and we can help guide you toward the right next step.

Call (650) 485-2758, Monday through Friday 9:00 a.m.-5:00 p.m. or send us a message!