Menopause and Peri-Menopause

Menopause and peri-menopause are natural events all women experience.

menopause can be masteredRecognizing that many women experience disturbing side-effects at menopause and during peri-menopause, we provide sensitive and skillful care to address all of their problems.

Acknowledging that there can be adverse physical and emotional consequences for women once menopause arrives, we evaluate and treat each woman as the unique individual she is.

Bio-identical hormones are strongly recommended in place of standard pharmaceutical products and we utilize the most expert compounding pharmacies. Hormone therapy is thoroughly discussed , including all therapeutic options, and each woman is guided towards making her own decisions.

Many factors must be considered when determining how to use hormones in the menopause, including how the patient metabolizes her estrogen, her GI function, her lifestyle, her family history and other risk factors, and her desires. We strongly believe that it is inappropriate for doctors to take a weekend course and then begin prescribing hormones, as they are not qualified to treat the side-effects and complications.

Only a skilled gynecologist, with expertise in the use of hormones, is competent to deal with all of the issues. Although we believe that most women benefit from bio-identical hormone therapy, those who must or prefer to avoid hormones can be managed in many alternative ways, including Acupuncture, Reiki, Aromatherapy, Meditation, Hypnosis, Homeopathy, and with herbal remedies.

A new area of hormone use in menopause entails the use of cream versions of estradiol and progesterone given in a manner to replicate a natural menstrual cycle. This approach is not mainstream, but is used by thousands of women who believe that mimicking nature is always the best approach. Dr. Gersh is trained and skilled in the use of Rhythmic Hormones and prescribes them to women who wish to go that route and are fully aware of the unorthodox view taken on it by “conventional” doctors.