Menopause | Nore Women's Health



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.


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, co-workers and friends.


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.

 Common Symptoms

Your provider will ask you to fill out the Menopause Rating Scale (MRS) to rate the severity of many common symptoms.

Hot Flashes
Vaginal Dryness
Night Sweats
Difficulty Concentrating

Irritability & Mood Swings
Memory Lapses
Trouble Sleeping

Irregular Periods
Joint & Muscle Aches
Loss of Libido

 Lifestyle Tips

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.

STOP SMOKING. Women who smoke are more likely to have moderate to severe hot flashes

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

EXERCISE. 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.

Types of Menopause

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 as a short-term side effect to some cancer treatments. More commonly this occurs during a hysterectomy when the ovaries are removed.

Diagnostic Testing

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.

FSH. Follicle Stimulating Hormone determines the functioning of the pituitary gland that regulates ovarian secretion of estrogen. When elevated, FSH determines your menopausal status.

ESTROGEN. Evaluating your level of estrogen that when abnormal (high or low) may be responsible for your symptoms.
DRINK PLENTY OF WATER. Staying hydrated promotes digestion, joint lubrication, and healthier-looking skin.

TOTAL TESTOTERONE. Determines the total testosterone that is in your bloodstream.

FREE TESTOSTERONE. Determines the amount of testosterone that your body has available to use.

PROGESTERONE. This hormone is also produced by the ovaries and may aid with sleep.

SHBG. Sex Hormone Binding Globulin (SHBG) determines the blood’s capacity to “bind” to your hormones possibly causing difficulty with absorption through your body.

DHEA-S. Evaluating your adrenal gland production and its role in fatigue.

TSH. Thyroid Stimulating Hormone determines thyroid function. Abnormalities can result in symptoms similar to menopause.

Treatment Options

BIOIDENTICAL HORMONE REPLACEMENT THERAPY. Thyroid Stimulating Hormone determines thyroid function. Abnormalities can result in symptoms similar to menopause. Learn more about Nore’s bioidentical hormone replacement therapy.

CONSERVATIVE TREATMENT. Largely focused on lifestyle changes and non-hormonal medications to address menopause symptoms.

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