Perimenopause and menopause bring changes that go far beyond hot flashes: sleep disruption, mood shifts, weight changes, brain fog, and a decline in libido that’s rarely discussed as openly as it should be.
At Denver Wellness & Aesthetics Center (DWAC), women’s hormone optimization is led by Dr. Michael Young, built around your specific symptom pattern and labs rather than a generic menopause protocol.
Hot flashes and night sweats.
Sleep disruption.
Mood changes, including increased anxiety or irritability.
Weight changes, particularly around the midsection.
Brain fog and reduced mental clarity.
Reduced libido and vaginal dryness.
Fatigue and low energy.
A full evaluation helps confirm what’s actually driving how you feel.
Your program starts with a thorough hormone panel, looking at estrogen, progesterone, and testosterone, since all three affect how you feel during perimenopause and menopause, not just estrogen alone. From there, your protocol is built around the specific pattern of symptoms and labs you present with.
Women in perimenopause or menopause experiencing any combination of the symptoms above are common candidates for an evaluation.
Because these symptoms can overlap with other health conditions, a full evaluation helps confirm what’s actually driving how you feel, rather than assuming it’s hormonal by default.
A detailed conversation about your symptoms, cycle history, and a full hormone panel, not just a single marker.
Your specific hormones, doses, and delivery method are set based on your labs and symptom pattern.
Regular follow-up and retesting let your provider adjust your protocol as you move through different stages.
Perimenopause involves fluctuating hormone levels and often needs a different approach than the more stable decline seen after menopause. Your evaluation determines where you are in this transition and what protocol fits.
Estrogen, progesterone, and testosterone all play a role in how you feel during this transition. Your program addresses whichever combination your labs and symptoms indicate.
Bioidentical hormones are plant-derived and structurally identical to what your body naturally produces, dosed specifically for you. Learn more about bioidentical hormone replacement.
Hormone optimization addresses many of the underlying factors behind reduced libido during this transition. For some patients, additional options like PT-141 therapy may also be part of the conversation.
Many patients notice improvements in sleep and mood within the first several weeks, with other changes developing over a longer period. Your provider will discuss a realistic timeline for your specific protocol.
Your provider will set a monitoring schedule based on your protocol, with adjustments made as your hormone levels and symptoms change over time.
Yes. Many patients combine hormone optimization with peptide therapy, sexual wellness treatments, or broader longevity diagnostics as part of a complete plan.
No. Perimenopause, the transition period before menopause, often benefits from evaluation and treatment, since symptoms frequently begin well before periods stop entirely.
Start with a full hormone panel and a physician evaluation. Call (303) 347-2000 or request a consultation below.
(303) 347-2000 · 500 E Hampden Ave, Suite 206 · Englewood, CO 80113
