Make Sense of Your Symptoms
Discuss menstrual changes and midlife concerns while considering other possible contributors.
Treatments at Transformity Health
Menopause & Hormones
Not "Just Getting Older." Let's Find Out What's Really Changing.
Weight Gain, Hot Flashes, Poor Sleep or Brain Fog? You Don't Have to Push Through It. A Plan Built on Your Hormones, Thyroid and Metabolism.
Women’s Health & Midlife Care
What Is Menopause & Hormones?
Menopause is the point reached after 12 consecutive months without a menstrual period, when no other cause explains it. Perimenopause is the transition leading up to that point, when hormone fluctuations and symptoms may begin before periods stop.
Hot flashes, night sweats, sleep disruption, vaginal dryness and changes in mood or sexual comfort can affect quality of life. Not every symptom in midlife is caused by menopause, so your history and other health conditions still matter.
Care is individualized. Hormone therapy can help selected symptoms for appropriate candidates, while nonhormonal medicines, local vaginal treatments and everyday health strategies may also be considered. Treatment choices should reflect your risks, preferences and ongoing follow-up, not a one-size-fits-all promise to “balance hormones.”
Symptom Checklist
Does this sound familiar?
- Weight gain around the middle
- Hot flashes or night sweats
- Trouble sleeping
- Brain fog
- Low libido
- Irritability, mood swings or anxiety
- Fatigue
- Joint aches
- Vaginal dryness
If several sound familiar, your hormones are worth a closer look.
What we look at: Perimenopause can start in your early 40s, sometimes even your late 30s, years before your periods stop. And menopause isn't only about estrogen. Progesterone, testosterone, thyroid, cortisol, blood sugar and nutrient levels all affect how you feel, and so do sleep, stress, alcohol and smoking. We look at all of it together.
Your options: Every plan is personal and may include nutrition and lifestyle changes, targeted supplements, hormone therapy when it's appropriate for you, coaching, and regular re-testing. We discuss the benefits and risks of each option before anything starts.
We don't accept "normal labs" when you feel far from normal.
Personalized Care
Benefits of Menopause & Hormones Care
A careful evaluation helps connect your concerns with appropriate options. Here is what a personalized care conversation can focus on.
Explore Hot-Flash Relief
Compare hormonal and nonhormonal approaches based on symptom burden and personal suitability.
Address Vaginal & Sexual Comfort
Discuss dryness, discomfort and urinary symptoms, including local treatment options when appropriate.
Consider Sleep & Wellbeing
Review sleep disruption and mood concerns as part of a wider care conversation.
Weigh Hormone-Therapy Risks
Review medical history, treatment route and timing before deciding whether hormones are appropriate.
Plan Care Beyond the Symptoms
Include bone health, cardiovascular risk and periodic review of your treatment needs.
Ready to get started?
Harvard trained
Nearly two decades in medicine
Root-cause approach
A Note From Dr. Liv
Your Symptoms Deserve to Be Heard.
Midlife changes can affect how you sleep, work and feel in your body. Being told to simply put up with them is not the same as having an informed conversation about care.
Dr. Liv’s approach begins with your priorities and looks beyond a hormone number. Symptoms, medical history, medications, sexual comfort and long-term health all help shape the discussion.
Hormones may be appropriate for some women, while others benefit from different options. The goal is a clear understanding of benefits and risks, with a plan that can change as your needs change.
Dr. Liv Uslar, MD/PhD
Not Just Getting Older. Let's Find Out What's Really Changing, Starting With One Free Consultation.
Frequently Asked Questions