What Is Perimenopause?

Perimenopause is the hormonal transition that occurs before menopause, often beginning in the late 30s to mid-40s and sometimes earlier. Hormone levels fluctuate unpredictably, which can lead to symptoms even while periods are still occurring.

Common perimenopause symptoms include:
• Irregular or unpredictable cycles
• Worsening PMS or mood swings
• Anxiety or new-onset depression
• Sleep disruption or insomnia
• Brain fog or difficulty concentrating
• Weight gain or changes in body composition
• Fatigue or low motivation
• Hot flashes or night sweats
• Decreased libido

Many women are told their labs are normal even though symptoms persist. At Lotus Health, we treat the patient, not just the lab value.

What Is Menopause?

Menopause is defined as 12 consecutive months without a menstrual period and marks the end of ovarian estrogen production. The years following menopause, also known as postmenopause, can bring ongoing or new symptoms, especially if hormonal changes were never addressed earlier.

Menopause-related concerns may include:
• Hot flashes and night sweats
• Sleep disturbance
• Vaginal dryness or painful intercourse
• Urinary symptoms
• Bone loss or osteoporosis risk
• Changes in cardiovascular risk
• Cognitive changes
• Metabolic slowing and insulin resistance

Evidence-based care during this stage can dramatically improve quality of life and long-term health outcomes.

Our Approach to Menopause Care at Lotus Health

Menopause care is not one-size-fits-all. At Lotus Health, we provide individualized, data-driven treatment plans grounded in current clinical guidelines and tailored to your goals, medical history, and risk profile.

Our care model includes:
• Comprehensive symptom assessment
• Detailed medical and hormonal history
• Thoughtful lab interpretation 
• Risk-benefit counseling for all treatment options
• Ongoing follow-up and dose optimization
• Clear education so you understand why each approach is chosen

We focus on clarity, safety, and shared decision-making.

Treatment Options We May Offer

Depending on your symptoms, history, and preferences, care may include the following.

Hormone Therapy When Appropriate

• Estrogen therapy using transdermal, oral, or vaginal routes

• Progesterone support

• Careful use of testosterone or DHEA when indicated

• Risk-stratified prescribing based on current evidence

Non-Hormonal Options

• FDA-approved non-hormonal therapies for hot flashes

• Sleep and circadian rhythm support

• Mood and anxiety management

• Metabolic and weight-focused strategies

Whole-Person Support

• Sleep optimization

• Stress and nervous system regulation

• Bone, cardiovascular, and metabolic health guidance

• Sexual health and vaginal wellness care

Your plan evolves as your body changes because menopause is not static.

Menopause Society Certified Care

Dr. Chan is a Menopause Society Certified Practitioner. This credential reflects advanced training in evidence-based menopause care, including hormone therapy, risk assessment, and management of complex midlife cases.

Certification indicates that care aligns with the most current clinical guidelines rather than outdated myths or blanket recommendations.

Why Women Choose Lotus Health

Many patients come to Lotus Health after feeling unheard elsewhere. What they find instead is:
• Longer visits with time to listen
• Clear explanations without condescension
• Thoughtful and appropriate prescribing
• A physician who specializes in midlife women’s health
• Care that respects both science and lived experience

We work with women who want medical expertise without rushed or assembly-line medicine.

Is This Right for You?

You may benefit from perimenopause or menopause care at Lotus Health if:
• You feel off but have not received clear answers
• You are unsure whether hormone therapy is safe for you
• You want expert guidance rather than internet guesswork
• You value evidence-based medicine with individualized care
• You want a physician who understands the nuance of menopause

You do not have to suffer quietly, and you do not have to navigate this alone.

Schedule a Consultation

If you are experiencing symptoms of perimenopause or menopause, or if you simply want expert guidance on what comes next, we are here to help.

Schedule a visit with Lotus Health and take the next step toward clarity, balance, and feeling like yourself again.