MENOPAUSE & PERIMENOPAUSE CARE
Perimenopause and menopause care that finally listens.
You’re Not Imagining It.
Perimenopause can start in your late 30s or 40s, often years before your last period. As estrogen and progesterone rise and fall, it can affect your sleep, mood, brain, heart, bones and more. Too many women are told it’s “just stress” or “just aging.” It’s not, and you don’t have to wait until your periods stop to get help.
Common symptoms we help with include:
- Hot flashes and night sweats
- Trouble falling or staying asleep
- Brain fog and trouble focusing
- Anxiety, irritability or low mood
- Irregular or heavy periods
- Weight gain, especially around the middle
- Low libido and vaginal dryness
- Joint aches and fatigue
- Heart palpitations or a racing heartbeat
- Needing to pee often or frequent UTIs
If this sounds familiar, you are not alone, and you deserve real answers.
Perimenopause Care That Helps You Feel Like Yourself Again
Your perimenopause care starts with a thorough telehealth visit where we take time to understand your symptoms, history and goals. When helpful, we order targeted labs to look at your hormones, metabolic health and nutrients.
From there, we build your plan together. We explain all of your options clearly, and you choose what feels right for your body. Your plan may include:
- Hormone replacement therapy (HRT), such as estradiol (patch, gel or pill), progesterone and testosterone when it fits your goals
- Vaginal estrogen for dryness, painful sex and urinary symptoms
- Non-hormonal treatment options
- Support for sleep, mood and energy through our root-cause care
- Nutrition and strength training guidance to protect your muscles, bones and heart
- Ongoing follow-ups to adjust your plan as your body changes
How It Works
1
Schedule Your Visit
Choose a time that fits your life with simple, flexible self-scheduling designed for your convenience.
2
Meet Virtually
Connect securely from the comfort of your home through a telehealth visit focused on your concerns, symptoms, and goals.
3
Get A Personalized Plan
Get a customized plan built around your symptoms and goals, integrating lab testing, evidence-based therapies, medications, supplements, and lifestyle optimization. Together, we create a clear path forward so you can start feeling like yourself again.
4
Continue With Ongoing Support
Your plan will evolve with you over time, with follow-ups and adjustments based on how you feel and how your body responds—so your care always meets your needs.
Common Questions About Perimenopause Care
Perimenopause is diagnosed mainly by your symptoms, age and changes in your cycle. Hormone levels swing from day to day, so a single blood test can’t rule it in or out. We look at the whole picture. You don’t have to wait until your periods stop to get help. Treatment, including hormone therapy, can start in perimenopause.
For many women, yes. Newer research shows the risks of hormone therapy were overstated for years, and in 2025 the FDA removed the “black box” warning from most hormone therapy labels. There is no one-size-fits-all age cutoff. Whether hormone therapy is right for you depends on your health, your personal and family history and your risk factors, not your age alone. Besides easing hot flashes and night sweats, it can help protect your bones and improve sleep, mood and vaginal health. It’s your body and your choice. We give you clear, honest information about the benefits and risks, and we support the decision you make.
No. There is no set age when you have to stop. If hormone therapy is still helping you and the benefits still outweigh the risks for you, you can keep taking it. We check in with you over time, and you decide what’s next with our support.
Yes. Nova Vida Wellness accepts Medicare, Maryland Medicaid, Aetna, Cigna, UnitedHealthcare and CareFirst BlueCross BlueShield. Your coverage depends on your plan.
Yes. We see patients by telehealth across Maryland, Washington, DC, and Virginia.