Midlife Muscle Building




with Dr. Angela Hunt ND
6 Thursday classes, each held once a month, beginning October 2024

We use the term menopause to mark the end of hormone production by a woman’s ovaries and the permanent end of her menstrual cycle. Perimenopause precedes menopause, and is characterized by irregular periods, hot flashes, mood swings, and various other symptoms related to a decline in ovarian hormone production. Initially, progesterone levels decrease, followed by estrogen. This hormonal shift can make perimenopause symptomatic for many women. Let’s debunk some common myths about perimenopause:

After a decade of 1:1 patient care, I have recently started a group medicine program for women going through menopause. After four months working with these women I have made some discoveries about the power of community and the need for it in our healthcare systems.

with Dr. Angela Hunt ND
6 Thursday classes, each held once a month, beginning October 2023

I have women come to see me from 40 to 70 years of age asking about Hormone Replacement Therapy (HRT). Yet, hormones are not the right solution for every woman and not appropriate for all ages. Though every case must be treated individually (e.g. by exploring family history, personal history, and blood work results), there are some general guidelines for initiating HRT.
I have many women arrive at my office asking me to test their hormones in menopause. I often tell them that though I think blood work is a good idea, they may be surprised to learn that hormones aren’t on the top of my list. If a woman is menopausal, meaning it has been a full year without her period, then I can guess with good accuracy what her serum (blood) hormones are currently. Her estradiol (estrogen) and progesterone will both be low and her FSH and LH will be high. In complex hormone cases (e.g. endometriosis, PCOS, early menopause), I will sometimes order a comprehensive urine hormone test to get an overview of a woman’s hormone picture. This test is called a DUTCH test and is a topic for another article, but for most women it is fairly predictable where their reproductive hormones are at in menopause. Let’s break down these hormones for a better understanding.