Perimenopause can begin years before your periods stop. Common symptoms include irregular periods, hot flashes, night sweats, poor sleep, brain fog, mood changes, fatigue, decreased libido, and changes in weight or body composition. Diagnosis is based on your symptoms, menstrual history, age, medical history, and clinical evaluation—not simply one hormone test.

Yes. Hormone therapy may include estradiol, progesterone, and, when appropriate, testosterone. Treatment is individualized based on your symptoms, health history, goals, and risk factors.

Yes. Midlife weight gain can be influenced by hormonal changes, loss of muscle mass, insulin resistance, sleep, stress, nutrition, and activity levels. My approach focuses on metabolic health, body composition, protein intake, strength training, and sustainable lifestyle changes rather than simply focusing on the number on the scale.

Yes, when clinically appropriate. Testosterone may be considered for certain women after a comprehensive evaluation. Treatment includes individualized dosing, monitoring, and a discussion of potential benefits and risks.

Laboratory testing may be recommended depending on your symptoms, medical history, and goals. Labs can help evaluate areas such as thyroid function, metabolic health, iron status, and selected hormone levels. Results are always considered alongside your symptoms and overall clinical picture.

KHB Women’s Health provides personalized women’s health care in Croton-on-Hudson, New York, serving women throughout Westchester County, Putnam County, and the Hudson Valley. Telehealth appointments are also available when appropriate.

KHB Women's Health is a cash-pay practice and does not participate directly with insurance companies.

Payment is due at the time of service. A superbill may be provided that you can submit to your insurance company for possible out-of-network reimbursement. HSA and FSA funds may also be used for eligible services.

Coverage and reimbursement depend on your individual insurance plan.

If you’re struggling with perimenopause, menopause, hormone changes, or stubborn midlife weight gain, schedule a consultation to learn how personalized care can help you reclaim your vitality and feel your best in midlife and beyond.