Menopause is diagnosed when a woman has gone 12 months without having a menstrual period. This means that her ovaries have stopped releasing fertile eggs. Perimenopause is the period of time leading to a woman’s menopause. It can last for 8-10 years and typically begins in a woman’s 40s. During perimenopause, a woman’s body begins to slow and reduce its production of some of the hormones essential to fertility, including hormones like estrogen. The decrease in estrogen levels increases during that last 12-24 months of perimenopause. During this time, the woman begins to experience some of the uncomfortable and disruptive symptoms of menopause including mood swings, night sweats, hot flashes, insomnia, weight gain, and changes to libido. During perimenopause, women still experience menstrual cycles and can become pregnant.
Dr. Jehangir provides customized treatment plans for her patients to manage their individual menopause experiences. While the symptoms of menopause can be similar, each woman has her own unique menopause experience. Some women don’t experience much disruption to their normal lives, while others live with significant changes. Dr. Jehangir takes a holistic view of health and helps her patients to protect, maintain, and improve their overall health and wellbeing. For example, some patients benefit from some simple lifestyle changes to adjust their diet, exercise, and sleep habits. Other women may benefit from talk therapy or practicing relaxation techniques. In some cases, the symptoms caused by the hormone changes lead the patient to have bioidentical hormone replacement therapy to even out her hormone levels and reduce some of the disruptive menopausal symptoms. Dr. Jehangir offers her patients BioTe®, a bioidentical hormone replacement therapy provided in a slow-release subdermal pellet form.
BioTe is a specific form of bioidentical hormone replacement therapy that provides a slow release of hormones manufactured to match the hormones of a specific individual patient. The bioidentical hormones are produced in a pellet, which is inserted underneath the skin in the patient’s upper hip or buttock. The slow release of the synthetic hormones helps the body to regain the balance and functionality lost due to the reduction of naturally produced hormones. Bioidentical hormones are effectively and efficiently absorbed and metabolized by the body and do not create a buildup of chemicals and agents sometimes associated with some non-identical forms of hormone replacement therapy.