Home - Medical Conditions - Menopause & Perimenopause Care at Neurvana Health

Understanding the Transition

Menopause is a natural biological process—but for many women, it comes with changes that can impact daily life, long-term health, and emotional wellbeing. At Neurvana Health, we take an integrative, evidence-based approach to supporting women through perimenopause (the years leading up to menopause) and menopause itself.

Perimenopause: Often begins in the late 40s, but can start earlier. Hormones fluctuate significantly, cycles may shorten or become irregular, and symptoms like hot flashes, heavy bleeding, mood swings, and sleep disturbances often appear.

Menopause: Officially diagnosed after 12 consecutive months without a period. Estrogen, progesterone, and testosterone drop to consistently low levels, which can contribute to bone loss, cardiovascular changes, and other symptoms.

Common Symptoms We Address

  • Hot flashes and night sweats
  • Sleep disturbances and insomnia
  • Mood changes, anxiety, or brain fog
  • Heavy or irregular bleeding during perimenopause
  • Vaginal dryness or pain with intercourse
  • Weight changes, especially around the abdomen
  • Low libido
  • Bone density concerns and cardiovascular risk changes

Why an Integrative Approach Works

Hormonal changes are only part of the story. At Neurvana Health, we also assess:

  • Stress hormones (cortisol), which can influence how symptoms show up.
  • Gut and liver function, which play a role in processing and metabolizing hormones.
  • Nutrient status, as deficiencies can amplify common menopause concerns.
  • Genetic factors, which may affect how hormones are broken down in the body.

This whole-body approach allows us to identify underlying contributors to your symptoms and create a targeted plan that goes beyond simply “balancing hormones.”

Our Treatment Approach

  1. Comprehensive Testing
    Hormone panels, cortisol mapping, nutrient testing, and liver/gut assessments help us pinpoint root causes
  2. Nutrition & Phytoestrogens
    Certain plant-based foods—such as flax seeds, legumes, and sprouts—contain natural compounds known as phytoestrogens. These compounds interact with estrogen receptors in the body, and research suggests they may play a role in easing some menopause-related symptoms. Their effects can vary from person to person, so they’re best considered as part of a broader nutrition and lifestyle plan designed to support hormone balance.
  3. Supporting Progesterone & Testosterone
    Certain herbs, nutrients, and dietary compounds can mimic progesterone’s calming effects or support healthy testosterone levels, improving sleep, mood, and libido.
  4. Lifestyle & Stress Management
    Light exposure, physical activity, and sleep routines can help regulate the body’s natural rhythms and ease transitions.
  5. Advanced Therapeutics
    In some cases, targeted supplementation may be considered in consultation with a qualified practitioner.

Long-Term Health in Menopause

Even after the most noticeable symptoms fade, lower hormone levels can influence areas like bone strength, cardiovascular health, and metabolism. At Neurvana Health, our focus is not only on symptom relief today, but also on strategies to help protect long-term health and quality of life.

Your Next Step

If you’re experiencing symptoms of perimenopause or menopause—or simply want to prepare your body for a smoother transition—book a consultation with Dr. Alexandra Smith at Neurvana Health. Together, we can create a plan that helps you feel more like yourself again.