Menopause What Do We Do?

What Do We Do?


Assess And Reduce Risks Of Breast Cancer
We understand the constant worry and confusion regarding breast cancer, especially if you are contemplating menopausal treatments or if you have a family member who has breast or ovarian cancer. At Women’s Excellence in Menopause we use risk assessment models and genetic testing in order to identify our patients who are at risk for breast and ovarian cancer and subsequently provide counseling and intervention to decrease risk and aid in managing their general medical health while understanding any genetic predispositions they have to these cancers.

Hair Loss
We see many patients at Women’s Excellence in Menopause for concerns about hair loss. Although it is unclear about the etiology of hair loss, it is clear that there are environmental factors such as metabolism, nutritional deficiencies , thyroid abnormalities and fluctuations of hormone that can contribute. Since we offer a comprehensive approach to evaluating the metabolic, nutritional and hormonal aspects of the peri and post-menopausal woman, we can certainly help you find a cause for your problem.

Hormonal Balance/ In-depth Hormonal Assessment
Our goal is treating the whole person. All of our services reflect the comprehensive nature of our philosophies of treatment. Evaluation or standard laboratory data is important but we also employ in depth interpretation of symptoms, evaluation of a woman’s lifestyle, and physical examination to help to outline a patient’s goals for menopausal management.

Hot Flashes, Night Sweats And Headaches (Vasomotor Symptoms)
Vasomotor Symptoms are the most commonly reported menopausal symptoms. These symptoms include hot flashes, night sweats, and headaches. Generally, women experience these type of symptoms during their first few years of menopause. Women’s Excellence can help manage these symptoms with a customized plan for each individual patient.

Menopausal Symptomatology Using Traditional, Bioidentical And Micronutrient Treatments

Traditional Therapy

Although much is relayed to all of us on a daily basis about hormonal therapy, it is relatively safe. However, hormonal therapy is not for everyone, in fact, there are many women who choose not to use hormones and the specialists at Women’s Excellence in Menopause understand! If you have a history of estrogen dependent cancer, a contraindication for hormones secondary to a blood clotting disorder or previous thromboembolic event (blood clot) or you just don’t want to use hormones, we can help.

Women’s Excellence offers individualized programs that evaluate the hormonal needs of each woman, specializing in bioidentical hormones.

Bioidentical hormones are biochemically the same as those made by the ovaries during women’s reproductive years. This type of therapy for menopausal symptoms is adopted by more patients than traditional therapy.
Micronutrient Treatment

Women’s Excellence offers comprehensive micronutrient vitamin testing.  Our nutrition evaluation, testing and supplementation is designed to individually evaluate the right pharmaceutical choice for each patient.

Pelvic Physical Therapy
We have treatments that help to strengthen the pelvic floor, mild urinary leaking (incontinence) and also weakened pelvic floor muscles. With our comprehensive evaluations and treatment, we now have a Pelvic Physical Therapist in our office to help those patients with mild incontinence and mild pelc floor prolapse, cystocoele and rectocoele. This is a great non surgical option for those women who are motivated and want to avoid surgical intervention for mild pelvic floor relaxation. If you are menopausal and notice that you are feeling bulging around the bladder, have no control over your pelvic floor muscles and are getting mild incontinence, ask us about Pelvic Physical Therapy as an option.

Risk Assessments For Osteoporosis And General Skeletal Health
Assessment of skeletal integrity, interpretation of bone mineral density testing , identification of osteoporotic risks allow our providers to help you to modify your lifestyle to minimize skeletal complications and fractures often associated with aging.

Sex Drive Issues
In menopause many things occur that can disrupt a woman’s sex live. Decreased sex drive (libido) is a complex disorder that can be seen at any age but often is seen in menopause. The specialists at Women’s Excellence in Menopause know that decreased sex drive is complicated and involves the emotional, environmental, hormonal and physical body system.

Women’s Excellence is offering a NEW medication for female sexual disorder, Addyi. The first of it’s kind, Addyi is a non-hormonal prescription pill used to treat hypoactive sexual desire disorder in women who have not went through menopause, who have not had problems with low sexual desire in the past, and who have low sexual desire no matter the type of sexual activity.  For more information on Addyi, please click HERE.

Urinary Incontinence
Many women falsely believe that urinary incontinence is a normal part of aging and that little can be done to correct it. Our specialists understand that this can be embarrassing and can change ones activity and cause vulvar and vaginal irritation as well as diminish a woman’s sex life. Urinary incontinence can often be treated in an easy and simple way.

Vaginal Dryness And Atrophy
Our specialists evaluate vaginal symptoms, vaginal dryness and painful intercourse in order to develop the best treatment options for our patients. In menopause many things occur that can disrupt a woman’s sex live, even if a woman has a good sex drive physical problems can occur vaginally that cause pain and discomfort with intercourse. We realize, that after childbirth and the hormonal changes in menopause, the vagina can be dry and has less elasticity and lubrication during the sexual encounter which can make the sexual experience painful and unrewarding. Our specialists can help to provide specific hormonal and non-hormonal therapy to the vaginal tissue that can help with these symptoms. More importantly, we can prescribe options which are bio-identical in nature for those who are concerned with synthetic products. We can also recommend PH balanced products to restore a more normal vaginal lubrication which are similar in nature to the body’s own natural secretion and can remain undetected by a sexual partner. We look at the normal bacterial flora in the vagina and prescribe treatment alternatives to restore the natural PH and balance to the vaginal and vulvar tissue. Many women have underlying conditions such as bladder control problems or urinary incontinence that lead to vaginal and vulvar irritation that need treatment and we seek to identify them in order to ensure that we are correcting all the associated conditions. We can also offer treatments to the vulva and vagina to help with pain and discomfort during intercourse after the trauma of childbirth and loss of hormonal and collagenous tissue causes disruption to the configuration of the vaginal and vulvar tissue leading to more friction and discomfort during intercourse.


Administration and titration of Bio-identical Hormones for hormonal balance
Hormonal therapy is a very important decision for a woman and WE know this! Specialists at Women’s Excellence in Menopause deal with this issue everyday with our patients. Whether someone wants to start hormonal therapy, and whether hormonal therapy is best for them, is what we facilitate everyday.

Adrenal hormone supplementation
At Women’s Excellence in Menopause, we understand that there are many hormones in the body except estrogen and progesterone. So much is talked about these two hormones but WE realize that the adrenal and thyroid glands are very important in the hormonal balance and the evaluation of the glandular hormones produced by the thyroid and adrenals are imperative in any menopausal evaluation if the goal is to achieve a true biological hormonal balance.

Body fat analysis and Body Mass Index evaluation
There are many measures of health both objective and subjective. Obviously, although important, the appearance is not the only indicator of health. As a result we also provide objective measure such as laboratory analysis of hormonal deficiencies, micronutrient deficiencies as well as the measurement of health status by using height , weight and key factors to identify women at risk for chronic health conditions. Body fat analysis and Body Mass Index (BMI) evaluation are important indicators to other predisposed conditions that may be affecting a woman’s overall health and making them feel worse and exhibit more symptoms in the menopausal state.

Bone Mineral Density Testing
At Women’s Excellence in Menopause, we take your overall general health seriously. One of the most important processes that occurs in menopausal women is the loss of bone density. A woman’s bone changes when the effects of hormonal loss are realized and a condition called osteopenia or osteoporosis can occur.

Genetic Testing/BRCA Testing
Breast cancer and other cancers in women have been related to genetic markers. Fortunately, over the years scientific research has been able to identify these abnormalities. There are now ways to identify your risk of developing a feminine cancer. Women’s Excellence in Menopause offers an in-depth genetic evaluation in order to detect mutations of the BRCA1 and BRCA2 genes.

Comprehensive Micronutrient Testing
At Women’s Excellence in Menopause, WE realize that many complaints that attributed to menopause may be actually related to other causes. In the evaluation of menopausal complaints we often find other disease processes such as thyroid or diabetic conditions that ultimately are the cause of a patient’s menopausal complaints. Expanding that diagnostic process even more thoroughly, our specialists at Women’s Excellence in Menopause evaluate the patient for the things that aren’t so obvious such as metabolic deficiencies. We are pleased to inform you that we now can cost effectively provide you an evaluation of selected vitamins, minerals, antioxidants and other essential micronutrients at the cellular level to identify any deficiencies.

In Office Ultrasonography
At Women’s Excellence in Menopause, we have the ability to fully evaluate all the conditions that may be contraindicated for hormonal therapy and those conditions which may be causing symptoms in the menopause.

Urinary Incontinence Treatments
At Women’s Excellence in Menopause, we know that are many issues which face a menopausal woman, one of which is definitely urinary incontinence. We offer a wide range of treatments for incontinence and unwanted bladder leakage including vaginal repairs with transobturator sling, placement of periurethral collagen, pelvic floor strengthening techniques with pelvic physical therapy. For more information, please click HERE.

Vaginal Rejuvenation Programs
In menopause many things occur that can disrupt a woman’s sex live. Decreased sex drive (libido) is a complex disorder that can be seen at any age but often is seen in menopause. The specialists at Women’s Excellence in Menopause know that decreased sex drive is complicated and involves the emotional, environmental, hormonal and physical body system. WE, however, see many patients who have a sex drive (libido) but have a physical problem that causes pain with intercourse.

Weight loss management with pharmacologic and non-pharmacologic approaches
Metabolic changes and weight gain are very common events that happen during the menopausal time period. At Women’s Excellence in Menopause, WE understand this! WE offer a comprehensive solution to the menopausal issues through the addition of weight loss programs that are tailored to you!