The average age of menopause in the U.S. is 51.4 years with the range being 40 – 59 years. The 5 – 10 years prior to your final menstrual period is known as perimenopause. There is often hormone fluctuation during this time which often causes symptoms such as hot flashes, night sweats, mood swings, poor sleep and vaginal dryness that may be noticed at this time.

You officially reach menopause when you haven’t had a menstrual period for 12 straight months.

Please contact office for appointment.

Please contact office for appointment.

What symptoms develop during menopause?

All symptoms typically associated with menopause can begin during the perimenopause phase. For many women, the same symptoms continue to years after menopause. The classic menopause symptoms include:

  • Hot flashes and night sweats
  • Vaginal dryness
  • Mood swings
  • Pain during intercourse
  • Low sex drive
  • Frequent urination

Are you at risk for other health problems following menopause?

Estrogen plays a vital role in many systems throughout your body, so you’re at risk for a variety of health concerns when these hormone levels decline. Common problems than can develop include:

  • Osteoporosis
  • Cardiovascular disease
  • Heart arrhythmias
  • Urinary incontinence
  • Vaginal atrophy

How is menopause managed?

Dr. Starke works with each woman, developing a customized treatment plan that meets their needs. If you’re considering hormone replacement therapy, the doctor may begin by testing your hormone levels.

Dr. Starke prescribes bioidentical hormone therapy, which are plant-derived hormones that have the same molecular structure as the ones naturally produced in your body. Bioidentical hormones are available commercially, or a compounding pharmacy can formulate them. They’re also available in diverse forms, including topical creams, capsules, injections, troches and pellets.

Pellets are injected under your skin, where they deliver continuous and consistent levels of hormones for 3 – 6 months.

As your hormone levels return to normal, the treatment will help relieve menopause symptoms and prevent problems like osteoporosis.

Additionally, Dr. Starke offers cutting-edge treatment for vaginal atrophy; laser treatment with MonaLisa Touch. This gentle laser produces long-lasting rejuvenation of vaginal tissues, including more vaginal moisture.

Dr. Starke helps you manage the physical and emotional changes that occur during menopause. Get the treatment you need by scheduling an appointment online or calling the office today.

Our Services

Pellet Therapy
Vaginal Dryness
Low Sexual Desire / Low Arousal
Nutritional Counseling / Weight Loss
Polycystic Ovarian Syndrome
Vulvodynia /
Urinary Incontinence / Pelvic Floor Therapy
Botox / Fillers
Hypothyroid / Hashimotos
Lichen Sclerosus
Contraception /
IUD / Nexplanon

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