Menopause is a natural transition in a woman’s life, but too often, it comes with uncertainty, frustration, and unanswered questions. At Venustas Immortalis, we believe every woman deserves to feel informed, empowered, and supported through this stage of life. Whether you’re navigating perimenopause, menopause, or post-menopause, our Women’s Health Visits with Miranda Zuhlke, PA-C, NMCP, AASECT-certified Sexual Health Counselor provide expert guidance tailored to your unique needs.
Understanding Menopause & Perimenopause
Menopause is officially diagnosed after 12 consecutive months without a period, marking the end of reproductive years. The average age of menopause is 52, but some women experience it earlier. The years leading up to menopause—known as perimenopause—can last for a decade or more and bring fluctuating symptoms due to hormonal shifts. Common changes during this time include irregular periods, brain fog, mood swings, irritability, and anxiety.
Long-Term Health Risks of Menopause
The decrease in estrogen during menopause doesn’t just cause hot flashes and night sweats—it also increases long-term health risks, including:
Heart disease – Estrogen plays a protective role in heart health.
Osteoporosis – Bone density decreases, leading to a higher risk of fractures.
Genitourinary Syndrome of Menopause (GSM) – Vaginal dryness, irritation, and urinary symptoms.
Cognitive changes – Memory issues and brain fog.
Increased cancer risks – Breast and endometrial cancer risk factors shift with hormonal changes.
TREATMENT OPTIONS: FINDING WHAT WORKS FOR YOU
Every woman’s menopause experience is different, which is why we offer personalized treatment plans during our Women’s Health Visits. Options include:
Lifestyle Modifications: The First Line of Treatment
Strength training & exercise – Supports bone health and overall well-being.
Healthy diet – The Mediterranean diet can help balance hormones and reduce inflammation.
Sleep hygiene – Establishing a routine can help with menopause-related insomnia.
Stress management – Practices like yoga and mindfulness can ease anxiety and mood swings.
Limiting alcohol & caffeine – Helps reduce hot flashes and improve sleep quality.
Hormone Therapy: The Gold Standard for Symptom Relief
For many women, hormone therapy (HT) is the most effective treatment for hot flashes, night sweats, and bone health. It is considered safe for most women under 60 or within 10 years of menopause, and the type prescribed depends on medical history:
Estrogen alone – Recommended for women who have had a hysterectomy.
Estrogen + Progesterone – Necessary for women with a uterus to protect the endometrium.
Non-Hormonal Treatment Options
If hormone therapy isn’t the right fit, there are effective alternatives:
For hot flashes – SSRIs, SNRIs, and Veozah can help regulate temperature control.
For vaginal dryness – Vaginal estrogen and lubricants provide targeted relief.
For mood & sleep – Cognitive behavioral therapy (CBT), magnesium, and melatonin can help regulate mood and improve sleep.
Take Charge of Your Midlife Health
You don’t have to navigate menopause alone. Our Women’s Health Visits with Miranda Zuhlke, PA-C, NMCP, AASECT-certified Sexual Health Counselor offer expert guidance, personalized treatment plans, and compassionate care to help you thrive in midlife and beyond. Whether you’re seeking symptom relief, guidance on long-term health risks, or support for sexual health concerns, we’re here to help.
Book your Women’s Health Visit today and take the first step toward feeling your best!
