
Perimenopause Care & Treatment
Comprehensive Support for Your Peri- Menopausal Transition
Perimenopause marks the natural transition to menopause, typically beginning in your late 30 -40s. This phase can last 4-8 years and brings various physical and emotional changes. Are you confused about perimenopause and when it starts? Are you wondering if maybe you’re in it already, or you’ve asked your doctor and they brush you off or say “that’s just part of getting older”? Well, if you are over 35 you may have entered perimenopause.
When we hit 35 our ovaries start producing less progesterone in the second half of our cycle. When this happens other sex hormones like estrogen can exert their effort more freely leading to heavier cycles, worsening PMS symptoms leading up to your period, as well as changes in mood (did you think it was possible to be so irritated by something as simple as breathing?!). What’s more is that this is the time we start to see metabolic changes as well, cholesterol goes up, we start losing muscle mass and gaining more weight (especially if estrogen is dominant), and we start becoming less sensitive to insulin.
Whether you’re wading these waters while also trying to juggle your career, kids, or maybe aging parents, you deserve a team that can do a comprehensive and holistic assessment and make recommendations that will keep you feeling your best in this season of life.
Our Approach to Perimenopause
At Sayana Medical and Wellness Center, we provide comprehensive care to help you navigate this transition with confidence and comfort. We first try to determine where you are in your stage of perimenopause and address what symptoms bother you the most.
Our treatments include supporting diet and lifestyle, doing a deep dive with lab work, and creating treatment plans to optimize your hormones, which sometimes includes bioidentical hormone replacement therapy (BHRT).
Whether you are 35 or 45 it’s never too late to make this season of your life the best yet!

The Perimenopausal Journey
Early Stage
- Subtle changes in menstrual cycle
- Minor hormonal symptoms
- Initial body changes
Middle Stage
- More noticeable cycle irregularities
- Increased symptom intensity
- Changes in sleep patterns
Late Stage
- Significant cycle changes
- More pronounced symptoms
- Transition toward menopause
Common Symptoms We Address
Physical Changes
- Hot flashes and night sweats
- Changes in menstrual cycle
- Sleep disturbances
- Weight changes
- Vaginal dryness
- Joint and muscle discomfort
- Skin changes
- Headaches
Emotional & Cognitive Changes
- Mood fluctuations
- Anxiety and irritability
- Memory changes
- Difficulty concentrating
- Sleep-related mood issues
- Changes in libido
Our Comprehensive Treatment Approach
At Sayana Medical and Wellness Center, we implement a multi-faceted treatment strategy:
Hormone Optimization
- Bioidentical hormone therapy
- Hormone level monitoring
- Personalized treatment plans
- Regular adjustments based on response
Integrative Medicine
- Herbal supplements
- Natural remedies
- Nutritional support
- Mind-body techniques
Lifestyle Support
- Exercise recommendations
- Stress management
- Sleep optimization
- Dietary guidance
Emotional Wellness
- Mood support
- Anxiety management
- Relationship guidance
- Coping strategies
Ongoing Support
- Regular follow-up appointments
- Treatment adjustments as needed
- Continuous symptom monitoring
- Educational resources
Dr. Sayana MD, Serena Teddy PA-C, and Annie Shaltz, NP-C, are highly rated and trained medical practitioners that use the best in both conventional and functional medicine to partner with patients, helping them resolve or manage their perimenopause symptoms. These treatments are offered to residents of Los Angeles, Sherman Oaks, Studio City, Encino, Beverly Hills, Santa Monica, North Hollywood, Tarzana, Toluca Lake, Valley Village, Valley Glen, Burbank, Van Nuys, and surrounding areas in CA.
*If you live outside of CA you need to have your 1st appointment in person and the rest can be virtual.
Take the First Step Towards Managing Your Perimenopause Journey
Schedule a Free Discovery Call to begin your personalized treatment journey.
