Hormonal changes during perimenopause and menopause can affect nearly every aspect of how you feel—from sleep, mood, and cognition to weight, sexual health, energy, and quality of life. At NOVEL, we take the time to understand your symptoms, health history, risk factors, preferences, and goals before developing an individualized treatment plan. Care may include hormonal and non-hormonal therapies, with access to multiple formulations and routes of treatment when clinically appropriate.
Symptoms + Concerns We Evaluate
- Hot flashes and night sweats
- Sleep disruption
- Brain fog and difficulty concentrating
- Mood changes, anxiety, and irritability
- Fatigue and decreased energy
- Menstrual and cycle changes
- Weight and body-composition changes
- Decreased libido and changes in sexual function
- Vaginal dryness and painful intercourse
- Urinary symptoms and recurrent urinary tract infections
- Bone, cardiovascular, and metabolic health concerns related to the menopause transition
Treatment Options May Include
Estrogen Therapy
- Transdermal estrogen patches
- Topical estrogen gels and sprays
- Injectable estrogen when clinically appropriate
- Vaginal estrogen for genitourinary symptoms
Progesterone Therapy
- Oral micronized progesterone
- Other progesterone formulations when clinically appropriate
Testosterone + Androgen Therapy
- Testosterone when clinically appropriate and permitted by state regulations
- Vaginal DHEA
Other Hormonal Options
- Hormonal contraception, including combined and progestin-only options when appropriate for symptoms, cycle management, or contraception
Non-Hormonal Options
- Non-hormonal prescription medications for hot flashes and other menopausal symptoms
- Individualized lifestyle, nutritional, sleep, and metabolic strategies
Please note: Treatment is individualized based on symptoms, medical history, risk factors, preferences, and applicable state laws. Certain medications, including testosterone and injectable hormone therapies, may not be available in every state.
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