Menopause

Menopause

A New Chapter, Guided With Clarity and Care – Dr. Brenda Marshall, MD

Menopause is a powerful biological shift—not a medical failure. But without the right support, it can bring waves of symptoms that disrupt sleep, mood, intimacy, and energy.

Dr. Brenda Marshall helps women navigate this phase with personalized hormone evaluation, bioidentical therapy when appropriate, and integrative strategies to support long-term health, vitality, and peace of mind.

What Is Menopause?

Menopause is defined as 12 months without a menstrual period, marking the end of reproductive years. For most women, this happens between ages 45–55, though some experience it earlier due to surgery or other health conditions.

While menopause is a normal phase, it’s often accompanied by symptoms that signal deeper hormonal imbalances or inflammation—especially if the transition hasn’t been well-supported.

Common Menopause Symptoms

• Hot flashes and night sweats
• Vaginal dryness or discomfort
• Low libido or painful intimacy
• Mood changes, anxiety, or irritability
• Sleep disruption or early waking
• Brain fog or forgetfulness
• Fatigue or loss of motivation
• Weight gain, especially around the midsection
• Joint pain or muscle stiffness
• Loss of skin elasticity or thinning hair

Many of these overlap with thyroid dysfunction, depression, sleep issues, and fatigue—which Dr. Marshall evaluates and addresses as part of your personalized plan.

Dr. Marshall’s Approach to Menopause

Menopause care is more than just hormones—it’s whole-body care that evolves with you.

1. Comprehensive Hormone Testing

• Estradiol, progesterone, testosterone, DHEA
• Thyroid function and adrenal rhythm
• Inflammatory and cardiovascular markers
• Nutrient levels (vitamin D, magnesium, B12, iron)

2. Tailored Treatment Options

• Bioidentical hormone replacement therapy (BHRT)
• Herbal or nutritional support for lighter transitions
• Vaginal estrogen or DHEA for urogenital health
• Stress and sleep support for nervous system resilience

3. Lifestyle & Long-Term Support

• Bone health, cardiovascular risk, and metabolic care
• Sleep and circadian rhythm coaching
• Libido, intimacy, and relationship support
• Empowered aging strategies for vitality and confidence

“Menopause is not the end—it’s a transition into wisdom, power, and renewal. My job is to help your body feel as strong and steady as your spirit.” – Dr. Brenda Marshall

🌀 Understanding the Different Types of Menopause

Menopause isn't a one-size-fits-all experience. Recognizing the distinct types can help tailor support and interventions effectively:

1. Natural Menopause

• Description: Occurs naturally, typically between ages 45–55, marking the end of menstrual cycles.
• Hormonal Changes: Gradual decline in estrogen and progesterone.
• Symptoms: Hot flashes, mood swings, sleep disturbances, and vaginal dryness.

2. Premature Menopause

• Description: Onset before age 40.
• Causes: Can be due to genetics, autoimmune disorders, or medical treatments.
• Implications: Increased risk of osteoporosis and cardiovascular diseases due to prolonged estrogen deficiency.

3. Induced Menopause

• Description: Resulting from medical interventions like surgery (e.g., oophorectomy) or chemotherapy.
• Onset: Sudden, leading to abrupt hormonal changes.
• Symptoms: Often more severe due to the rapid decline in hormone levels.

4. Perimenopause

• Description: Transitional phase leading up to menopause.
• Duration: Can last several years.
• Symptoms: Irregular periods, hot flashes, and mood fluctuations.

5. Postmenopause

• Description: The phase after menopause has occurred.
• Health Focus: Monitoring bone density, cardiovascular health, and managing lingering symptoms.

❓ Frequently Asked Questions (FAQs)

Q: How do I know which type of menopause I'm experiencing?
A: Dr. Marshall conducts comprehensive evaluations, including hormonal assessments and medical history reviews, to determine your specific menopausal type and tailor a suitable care plan.

Q: Is hormone replacement therapy (HRT) suitable for all menopausal types?
A: HRT can be beneficial, especially for premature or induced menopause. However, suitability varies based on individual health profiles. Dr. Marshall discusses the risks and benefits to make informed decisions.

Q: Can lifestyle changes alleviate menopausal symptoms?
A: Absolutely. Diet, exercise, stress management, and sleep hygiene play crucial roles in managing symptoms. Dr. Marshall integrates these aspects into her holistic approach.

Q: Are there non-hormonal treatments available?
A: Yes. Options include herbal supplements, acupuncture, and cognitive-behavioral therapy, among others. Dr. Marshall explores these alternatives based on patient preferences and needs.

Q: How often should I have follow-up visits during menopause?
A: Regular check-ins are essential to monitor progress and adjust treatments. Dr. Marshall typically recommends visits every 3–6 months, but this may vary based on individual circumstances.

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