Your hormones, your cycles, your energy, and your plans for the future all belong in the conversation. Here is what we offer, and from there we build a plan that fits your life.
These are what women bring to me most often. If you see yourself here, it is worth a conversation.
Not just getting older. Worth understanding.
With Dr. Kim Pender, DNP, WHNP-BC, APRN
Estrogen, progesterone, and testosterone, tailored to where you are in perimenopause and menopause. For the hot flashes and night sweats, the sleep that stopped working, the dryness and discomfort, and the desire that seems to have gone quiet.
Care for PMOS, the updated name for what was traditionally called PCOS. We look at the whole picture, including irregular cycles, insulin resistance, androgen changes, weight and metabolic health, and your plans for the future, and build a plan that fits your life.
Contraception, cycles that changed the rules, PMS and PMDD, genitourinary symptoms of menopause, preconception counseling, and STI testing and treatment.
Your thyroid, your nutrition, your sleep, your stress, and the nutrients your body depends on all shape how you feel. They are part of your care here, with labs when they are clinically appropriate.
Ongoing care with your provider, with regular follow up and adjustments as your needs change. Ask about membership options at your consultation.
For most healthy women under 60, or within 10 years of menopause, the benefits of hormone therapy outweigh the risks. That is the position of The Menopause Society, and more than 20 medical organizations stand behind it.
Hormone therapy is the most effective treatment for hot flashes and night sweats. It is the most effective treatment for vaginal dryness and painful sex. It also helps prevent bone loss and fractures.
In 2025 the FDA began removing most of the black box warning from menopause hormone therapy. Warnings about heart disease, breast cancer and dementia are coming out of the box. That information still lives in the full label, and we walk through it with you.
Timing matters. Starting after 60, or more than 10 years after menopause, carries a higher risk of heart disease, stroke, blood clots and dementia. Type, dose, route and timing all change your risk. A patch is not the same as a pill. So we look at your age, your history and what you want to feel before we choose anything together.
Sources: The Menopause Society 2022 Hormone Therapy Position Statement; US Food and Drug Administration, 2025 and 2026 menopausal hormone therapy labeling updates; Global Consensus Position Statement on the Use of Testosterone Therapy for Women, 2019; Guidelines for the Evaluation and Treatment of Perimenopausal Depression, 2018.
Book a consultation, and we will talk about what you are feeling and what you want back.
