Menopause

What are my options?

Menopause can be confusing to navigate. Let North Star help you make informed decisions about your options for hormone therapy and more!

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Menopause

Menopause marks the transition out of menstruation and fertility typically between ages 45–55.

It is defined as 12 consecutive months without a menstrual period and a FSH above 30.

It occurs due to a natural decline in ovarian function and significant drop in reproductive hormones - estrogen, progesterone, and testosterone.

Common Symptoms of Menopause

  • Hot flashes and night sweats (vasomotor symptoms)

  • Vaginal dryness and discomfort during sex

  • Sleep disturbances

  • Mood changes, anxiety, or depression

  • Brain fog or memory issues

  • Joint pain or stiffness

  • Fatigue and low libido

  • Increased risk of bone loss (osteopenia/osteoporosis), cardiovascular changes, and metabolic shifts

  • Heart Palpitations

  • Vertigo

  • Weight Gain

  • Ostoeporosis/Osteopenia

Who Benefits Most from HT

  • Women who are experiencing symptoms of menopause

  • Women at risk for osteoporosis or experiencing early menopause

  • Women who would like to prevent cardiovascular disease

  • Women who have had a hysterectomy

bio-identical Hormone Therapy

  1. Estrogen - Estradiol and Estirol

    • Routes: Transdermal, vaginal, injectable

    • Improves energy, sleep, mood, urinary adn sexual health, bone density, cognitive function, cardiovascular health, weight management, improves joint and muscle pain and more.

  2. Progesterone

    • Routes - Oral - capsule or dissolve tablet

    • Used alongside estrogen for uterine protection

    • Improves sleep, mood - called the “rest and digest” hormone

  3. Testosterone Therapy

    • Routes - Injectable or topical

    • Improves low libido, urinary symptoms, muscle loss, weight management, bone density, sexual function, motivation and much more.

Benefits of Hormone Therapy (when used appropriately)

  • Significant reduction in hot flashes and night sweats

  • Improvement in sleep, mood, energy, and sexual function

  • Prevention of bone loss and reduced fracture risk

  • Possible protection against type 2 diabetes, colon cancer, and early cardiovascular disease if started early

  • Improved quality of life for symptomatic women

Personalized Care is Key

Modern guidelines emphasize individualized treatment based on:

  • Age and time since menopause

  • Symptom severity

  • Personal and family medical history

  • Preference for route of administration (oral vs. transdermal vs. local)

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