
Perimenopause & Menopause Therapy

At Sage Willow Midwifery, we provide individualized, evidence-based care to support women through perimenopause and menopause. Hormonal changes during this stage of life can affect physical, emotional, and cognitive wellbeing, and our goal is to help patients feel informed, supported, and balanced throughout the transition. Common symptoms may include hot flashes, night sweats, brain fog, fatigue, vaginal dryness, low libido, mood changes, sleep disturbances, and more.
Care is tailored to each patient’s individual symptoms, health history, and goals. We offer hormone replacement therapy (HRT), including estrogen, progesterone, and testosterone replacement when appropriate, to help restore hormonal balance and improve quality of life. Treatment options may include patches, pills, or other formulations based on each patient’s needs.
We also offer non-hormonal approaches, including nutritional and dietary guidance, lifestyle recommendations, and lab evaluation when necessary. Ongoing follow-up and symptom management are an important part of our care, allowing treatment plans to evolve throughout this transition.
Our approach combines holistic support with current evidence-based treatment options to promote long-term health, wellness, and quality of life during perimenopause and menopause.

We have exciting news! Our midwife, Michelle, has completed specialized training through the Heather Hirsch Academy, founded by Dr. Heather Hirsch, a leading expert in FDA-approved hormone therapy for perimenopause and menopause.
She is specially trained to help women understand their options, including the benefits and risks of hormone therapy and non-hormonal approaches.
If you’re navigating perimenopause or menopause and looking for personalized, informed care, come see us! Schedule an appointment with Michelle to discuss your journey and find an approach that’s right for you.
