Menopause is a transition, not an endpoint. With the right support, the years that follow can be your best.
Menopause is technically defined as twelve months without a menstrual period. The average age of menopause in the US is 51, though it can occur anywhere from the early forties to mid-fifties. After menopause, estrogen and progesterone production from the ovaries permanently ceases.
The years following menopause are sometimes called postmenopause. They can be the most vibrant phase of life with the right support, or significantly burdened by hormonal symptoms without it.
Clients come in dealing with symptoms that affect daily life: hot flashes, sleep disruption, mood changes, vaginal symptoms. Many have been told to just deal with it or that hormones are dangerous. We provide evidence-based BHRT and long-term wellness support.
Menopause is a natural transition driven by:
Ovarian aging. Ovaries gradually run out of viable follicles, leading to permanent cessation of cyclic hormone production.
Surgical menopause from removal of ovaries causes immediate menopause regardless of age.
Medical menopause from chemotherapy, radiation, or certain medications can induce menopause.
Premature ovarian insufficiency (menopause before 40) can occur from genetic, autoimmune, or unknown causes.
Hot flashes and night sweats, which may continue for years. Sleep disruption. Vaginal dryness and discomfort during intercourse. Mood changes including irritability and anxiety. Brain fog and memory concerns. Weight gain, particularly around the midsection. Joint aches and stiffness. Skin changes including dryness, thinning, and slower healing. Bone density loss accelerating after menopause.
Symptoms typically begin in perimenopause and continue through the first several years after menopause. Hot flashes and sleep disruption often continue for 7 to 10 years on average without treatment.
Bone density loss, cardiovascular changes, and other long-term effects of estrogen loss continue throughout the postmenopausal years and require ongoing attention.
Menopause care involves several modalities.
BHRT with bioidentical estrogen, progesterone, and sometimes testosterone, addresses symptoms and provides long-term protective effects.
Vaginal estrogen for local symptoms is highly effective and very safe.
Non-hormonal medications (SSRIs, gabapentin, clonidine) for hot flashes in clients who can't use hormones.
Lifestyle support including exercise, nutrition, sleep, and stress management.
Bone health through adequate calcium, vitamin D, weight-bearing exercise, and bone density monitoring.
Cardiovascular monitoring as cardiovascular risk increases after menopause.
The Women's Health Initiative findings from the early 2000s caused widespread fear about hormone therapy that lingers today. The current evidence is much more nuanced. For most healthy women within ten years of menopause, the benefits of appropriately prescribed hormone therapy outweigh the risks.
We use bioidentical hormones in physiologic doses. Estradiol patches, oral progesterone, and sometimes testosterone, dosed and monitored individually. We follow current guidelines from the Menopause Society.
For clients with contraindications to systemic hormone therapy, we discuss alternatives including vaginal estrogen (very safe even with most contraindications) and non-hormonal options.
Beyond hormones, we focus on long-term wellness: bone health, cardiovascular health, weight management, and lifestyle factors that compound through the postmenopausal years.
We coordinate with primary care for ongoing health monitoring.
At RN Esthetics, every treatment starts with listening. We are nurse practitioners, registered nurses and estheticians who treat every client as the hero of their own story.
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Had my first blood draw today with it was INCREDIBLE!!! Also the front desk were all so pleasant especially Kelsie! I highly recommend RN Esthetics!!
I was truly blown away after my appointment here. Every single person I interacted with, from the front desk to the providers who handled my treatments, was incredible! They made me feel so welcomed and cared for, and were both informative and genuinely kind. The space itself is spotless, cozy, and easily the most inviting place I’ve ever been for Botox. Michelle did my Botox and she was amazing! I also had a hydrafacial and dermaplaning, and I already can’t wait to come back again and again.You will not regret booking here!
I highly recommend RN Esthetics! The staff is welcoming, knowledgeable, and helpful without making you feel rushed. The facility is spotless and clean, which made me feel even more comfortable and confident being there. Great experience overall!
