What is Menopause?3 Stages of Menopause – Perimenopause is the time leading up to menopause. It describes a time when hormones start to decline, and menstrual cycles become erratic and irregular. Your ovaries are making very little of both estrogen and progesterone. You may start to experience side effects of menopause, like hot flashes or vaginal dryness. Menopause occurs when you’ve stopped producing the hormones that cause your menstrual period and have gone without a period for 12 months in a row. Once this has occurred, you enter postmenopause. Postmenopause is the time after menopause has occurred. Once this happens, you’re in postmenopause for the rest of your life. Left untreated, your hormone levels will remain low. Estrogen influences how your body uses calcium and maintains cholesterol levels in the blood and keeps the lining of your bladder and urethra healthy. People in postmenopause are at an increased risk for certain health conditions like osteoporosis and heart disease. On average, people go through menopause around 51 years of age; Menopause that occurs at 40 or younger is considered premature menopause. As time passes, the ongoing lack of hormones can cause the body to slow down and even deteriorate faster than it really should.


Feel supported and get the care you need from Optimal Bio’s Care Team, led by Dr. Brannon. With appropriate lab testing, we can help you identify the specific cause of your disruptive symptoms and design a treatment plan that best suits you as an individual. The key to your optimal health is balancing hormones at the ideal levels, adding high-quality nutraceuticals, and adopting a healthy diet. Bioidentical Hormone Replacement Therapy (BHRT) boosts your hormone levels, naturally, and can help relieve some symptoms of menopause. It’s also used as a preventative measure for osteoporosis.We can help you feel better than you ever dreamed possible at any age! Perimenopause, Menopause and Postmenopause treatments are provided at all locations. Schedule a Consult Today (CONTACT US Button)


  • Initial consultation and ongoing consultation with your Optimal Bio Care team, led by Dr. Brannon
  • Comprehensive lab testing to determine key hormone levels for optimal health
  • Prescriptions for replacement hormones or other medications you may require
  • Recommendations for a proper diet to best address your individual needs
  • The best possible supplements for your condition will be recommended
  • Detox information to clean and heal the body from the inside out



BHRT PelletAt Optimal Bio, pellets are the preferred method of hormone replacement delivery. Small pellets, roughly the size of a grain of rice, are placed in fatty tissue of the buttocks or lower back area. The pellet we use for women will contain both testosterone and estrogen. For progesterone doses, women are able to ingest orally as it does not affect the liver.



People in various stages of Menopause can feel:
Breast tenderness.
Worsening of premenstrual syndrome (PMS).
Irregular periods or skipping periods.
Periods that are heavier or lighter than usual.
Racing heart.
Joint and muscle aches and pains.
Difficulty concentrating, memory lapses (often temporary).
Weight gain.
Hair loss or thinning.
Hot flashes and night sweats.
Vaginal dryness and sexual discomfort.
Changes in sex drive.
Dry skin.
Weight changes.
Hair loss.
Urinary incontinence.
A loss of energy and insomnia.
A lack of motivation and difficulty concentrating.
Anxiety, depression, mood changes and tension.
Aggressiveness and irritability.

Perimenopause treatments, Menopause treatments, and Postmenopause treatments are provided at all Optimal Bio locations. Schedule a Consult with our BHRT Experts Today!

SOURCE: https://my.clevelandclinic.org/health/diseases/21841-menopause

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