What we treat
Menopause and perimenopause
We manage menopause and perimenopause as a normal part of primary care: symptoms, risk, and hormone therapy where it is appropriate. The visit is long enough to go through it, and you leave with a plan for the symptoms affecting you most.
Common situations
What people bring us
- Being told your results are normal when you do not feel well.
- Perimenopause attributed to something else for years because you are "too young", while sleep, mood, and cycle all change at once.
- A decision on hormone therapy made without explanation, in either direction, and without monitoring afterward.
- Symptoms treated separately by different clinicians when they share a single cause.
How we approach it
What your care includes
We take the symptoms seriously first
Sleep, mood, cognition, cycle, temperature, libido, joints. Written down and treated as data.
An honest hormone therapy conversation
What the evidence says now, what your own risk picture looks like, and what we would monitor.
Bone, heart and metabolic changes
Bone health, cardiovascular risk, and metabolic changes all shift here. This is the moment to get ahead of them rather than to only treat the hot flashes.
Lifestyle from the same physician
Sleep, movement, nutrition and alcohol all affect these symptoms, and the doctor who discusses them with you also knows your labs.
When to come in
If your sleep, mood, or cycle has changed and you have been told it is nothing, or if you have been offered hormone therapy without anyone explaining the trade-offs.
Questions
What people ask about menopause and perimenopause
Do you prescribe hormone therapy?
Where it is appropriate, yes, with proper evaluation and ongoing monitoring. It is a conversation about your own risk picture rather than a yes or no we apply to everyone.
I think I am in perimenopause but I am only in my forties.
That is squarely the usual age, and it is worth a full evaluation rather than a wait.
Related reading
This page is general health information, not medical advice, and reading it does not create a physician-patient relationship with Naples Concierge Health or any of its physicians. Talk to a qualified clinician about your own health. If this is an emergency, call 911.
Start here
What is your medical care missing?
A short conversation with our member liaison about the care you have now: who follows up, who keeps your care coordinated, and where the gaps are. We will tell you if there are no gaps.