Menopause & Hormones


You already know…

You don’t feel like “yourself” with hot flashes, irritability, loss of memory, night sweats, and sleepless nights. You can’t seem to find your libido or anything else for that matter.

You may not know…

Your symptoms can be indicators of perimenopause or menopause. Every woman who enters middle age is affected by menopause. Roughly 6,000 women in the United States reach menopause every day.

Many women transition without significant complications. However, countless others suffer from significant biological, cognitive, psychological, vulvovaginal, urinary, and sexual dysfunctions.

For many women, this time in life may represent a significant challenge. It may lead to problems in relationships with family, coworkers and friends.

You need to know…

Symptoms of menopause can be alleviated with many different therapy options. Our providers at NORE women’s health work with their patients in a partnership to treat women during this transition.

Menopause can cause wide variety of symptoms than can impact quality of life. The most common are:

  • Hot Flashes
  • Vaginal Dryness
  • Night Sweats
  • Difficulty Concentrating
  • Irritability & Mood Swings
  • Memory Lapses
  • Trouble Sleeping
  • Incontinence
  • Irregular Periods
  • Joint & Muscle Aches
  • Loss of Libido
  • Depression

Spontaneous Menopause
Naturally occurring onset of menopause begins on average at age 52. It typically lasts four to eight years prior to a final period.

Premature Menopause
When menopause occurs at age 40 or earlier, it’s premature. Early onset may be due to medical conditions such as autoimmune, thyroid, ovarian and metabolic disorders or resulting from a hysterectomy.

Induced Menopause
A temporary or permanent state, induced menopause may occur asa short term side effect to some cancer treatments. More commonly this occurs during a hysterectomy when the ovaries are removed

The key to your diagnosis is accurate menopause assessment.

We accurately assess your individual results to assure that your treatment plan is designed with your needs in mind. Several blood tests combined with your age, weight, personal symptoms and other factors are combined to determine the correct delivery method and dosage for you as an individual.

Blood Testing
Full hormone evaluation provides valuable information as to the cause of your symptoms and provides a direction in replacing what hormones your body needs. We take a very individualized approach and check an array of different blood values to make sure that you are getting customized care specific to your needs.

Bioidentical Hormone Replacement Therapy (BHRT)
Use of supplemental doses of hormones that have a chemical structure identical to the hormones that the human body naturally produces.

Hormone therapy is intended to be used at the lowest dosage that is appropriate physiologically and for the shortest amount of time to control the symptoms of perimenopause and menopause in women whose quality of life is negatively affected. Our providers will develop a program especially for you and, when appropriate, will work with you to decide on the safest dosage and duration and the best individualized plan possible.

Conservative Treatment
Largely focused on lifestyle changes and non-hormonal medications to address menopause symptoms.

Alternative Medicine
Naturally occurring herbal treatments using black cohosh, red clover, dong quai, evening primrose, and other vitamin therapies. Sometimes, massage, acupuncture or relaxation techniques may be recommended.

Pills or Capsules
These are available in many different dosages and brand names or can be compounded for you. Once your healthcare provider determines the dosage, the order is given to your pharmacist.

Troches are quite similar to a lozenge that you place between your cheek and gum and allow to dissolve.

Pellets are small (about the size of a grain of rice), cylinder-compressed medications inserted under the skin. Our team at Vivos Women’s Health is expertly trained in menopause hormone pellet therapy.

Creams are usually white in color and supplied to you in a jar or in a syringe. Your menopause specialist works with compounding pharmacies to determine a specific amount to be applied to the inner arms or thighs once or twice a day.

Vaginal Suppositories
Vaginal suppositories are compounded by your pharmacist by heating the ingredients into a liquid form and then they are poured into a mold to form a suppository.

Vaginal Rings
Vaginal rings are pharmaceutically prepared and come in predetermined dosages.

Hormone therapy is intended to be used at the lowest dosage that is appropriate physiologically and for the shortest amount of time to control the symptoms of perimenopause and menopause in women whose quality of life is negatively affected. Our providers will develop a program especially for you and, when appropriate, will work with you to decide on the safest dosage and duration and the best individualized plan possible.

During menopause, lifestyle changes including a healthy diet and exercise are recommended and may minimize symptoms. A balanced diet and adequate exercise are important to monitoring health and well-being.

Get Enough Calcium
Eating and drinking two to four servings of dairy products and calcium-rich foods a day will help ensure that you are getting enough calcium in your daily diet.

Pump Up Your Iron Intake
Eating at least three servings of iron-rich foods a day, such as dark leafy greens and iron-enriched cereals and grains, will help ensure that you are getting enough iron in your daily diet.

Get Enough Fiber
Help yourself to foods high in fiber such as whole-grain breads, cereals, pasta, rice, fresh fruits, and vegetables.

Drink Plenty of Water
Staying hydrated promotes digestion, joint lubrication and healthier-looking skin.

Reduce Foods High in Fat
Fat should be 25% – 35% or less of your total daily calories. Also, limit saturated fat to less than 7% of your total daily calories.

Maintain a Healthy Weight
Lose weight if you are overweight by cutting down on portion sizes and reducing foods high in fat, not by skipping meals.

Eat Fruits and Vegetables
Include at least 1 1/2 cups of fruit and 2 cups of vegetables each day.

Use Sugar and Salt in Moderation
Too much sodium in the diet is linked to high blood pressure. Drinking just one can of sugary soft drink a day can significantly increase your risk of type 2 diabetes.

Limit Alcohol Intake
Women should limit their consumption of alcohol to one or fewer drinks a day.

Exercising for 30 minutes at least 3 – 4 times a week will increase metabolism, improve your mood and increase bone and heart health and well-being.

Stop Smoking
Women who smoke are more likely to have moderate to severe hot flashes.


You already know…

You are not feeling your “most” with symptoms like hot flashes, vaginal dryness, irritability, painful intercourse, low libido, sleep disturbances, weight gain, and overactive bladder.

You may not know…

Women suffering from early menopause symptom are looking for treatments to help them “feel like me” again. Nore Women’s Health replaces your natural hormones with bioidentical hormones. Bioidentical hormones improve sexual desire, provide relief from anxiety and depression, stabilize moods, increase mental clarity, focus and memory, improve your energy, muscle mass, and stamina, and maintain bone strength. BHRT is more appealing to women because they are derived naturally, and our bodies can metabolize them properly. With natural bioidentical hormones, women can find relief from symptoms of hormonal imbalance without the risks that come along with synthetic hormones.

You need to know…

Hormone replacement therapy has been widely used for years. Conventional (non-bioidentical) hormone therapy side effects are well documented. There is an overwhelmingly large body of evidence that supports the claim that bioidentical hormone therapy is safer and more effective than synthetic hormone replacement. However, it’s important to remember that no drug, supplement or herb is 100% safe—there is always a chance that you may experience an adverse reaction. That’s why it’s critical for women to consult with a hormone specialist before beginning any hormone therapy regimen, to safeguard themselves from side effects.

To learn more about bioidentical hormone therapy and whether or not it may be right for you, consult the following resources:

Hormone Replacement therapy Safety Confirmed by Landmark Study:

This article is shared with permission from Well-Being Magazine. It was originally published in the magazine’s November/December 2017 issue. For more from Well-Being visit

Pellet Hormone Therapy Medical Course