MUKILTEO, WA

Perimenopause & Menopause Symptoms

Personalized care for perimenopause and menopause symptoms, with laboratory evaluation and hormonal or nonhormonal options based on your needs.

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Woman sitting peacefully beside the water, representing balance and well-being during menopause care

Choose Hagen Health & Absolute Aesthetics

Because I Believe You

When you tell me that something has changed—that you no longer feel like yourself, your sleep is disrupted, your mood or concentration is different, your body is changing, your energy has disappeared, or symptoms are beginning to affect your work, relationships, confidence, or quality of life—I believe you. You know your body, and you know when something feels different.

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Perimenopause can begin years before the final menstrual period. Shifting estrogen, progesterone, and testosterone may affect temperature regulation, sleep, mood, cognition, sexual health, and body composition.

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Hormone deficiencies categorized as perimenopause and menopause are expected, but now we know that hormone replacement and optimization can greatly improve quality of life. These hormonal changes affect much more than menstrual periods and hot flashes. Women may experience changes in sleep, mood, memory and concentration, energy, sexual function, vaginal and urinary health, body composition, weight gain, bone loss, increase cholesterol, anxiety, muscle loss, skin laxity and hair loss, temperature regulation, and other aspects of physical and emotional health. Symptoms can also change over time, and every woman experiences this transition differently.

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Thoughtful care means listening to what you are experiencing, reviewing your medical and menstrual history, considering other possible causes, and using examination or laboratory testing when clinically appropriate.

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At Hagen Health, menopause care is individualized. We discuss what is bothering you, what you want to improve, your health history and risk factors, previous treatments, and your preferences. When treatment is appropriate, options may include education and lifestyle strategies, treatment of specific symptoms, nonhormonal medications, vaginal hormone therapy, or systemic menopausal hormone therapy. The benefits, limitations, risks, and alternatives should be considered for you as an individual.

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Most importantly, the goal is help you feel like yourself again.‍

Ready to Discuss Perimenopause & Menopause Symptoms?

Schedule a personalized consultation to review your concerns, goals, and appropriate treatment options.

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