Care through midlife change
Menopause care
Make sense of new symptoms and changing health needs with time to talk, a careful medical review, and options tailored to you.
Request a consultationUnderstanding the service
What it is—and how care is shaped.
Perimenopause and menopause can affect temperature regulation, sleep, mood, concentration, menstrual patterns, sexual health, and vaginal or urinary comfort. The experience—and the care that helps—can be very different from one person to the next.
Dr. Chang provides a focused evaluation of your symptoms, history, goals, and risk factors. Care may include practical lifestyle changes, nonhormonal treatments, or systemic or local hormone therapy when appropriate, with follow-up to reassess benefits and risks.
What to expect
A plan, not a preset.
- 01
Listen closely
Map your symptoms, cycle changes, health history, medications, priorities, and how this transition is affecting daily life.
- 02
Review options
Discuss what may help, what may not fit, and the benefits, risks, and alternatives that matter for your individual history.
- 03
Reassess
Follow up on symptom response, side effects, new health information, and whether the plan still fits your needs.
Frequently asked questions
Useful answers before you begin.
These answers are general information. Your consultation is where recommendations become specific to your health and goals.
Do I have to wait until my periods stop to seek care?
No. Perimenopause can begin while periods are still occurring, and bothersome symptoms deserve attention at any stage. Other possible causes should also be considered when appropriate.
Is hormone therapy the only treatment?
No. Depending on the symptom, options may include lifestyle adjustments, nonhormonal prescription treatment, local therapies, or systemic hormone therapy. Your preferences and medical history guide the discussion.
Is hormone therapy safe?
Hormone therapy can be effective, especially for hot flashes and night sweats, but it is not right for everyone. The safest choice depends on your age, timing, symptoms, personal and family history, and the type and route of therapy.
Will I need hormone testing?
Not necessarily. The menopause transition can often be assessed from age, symptoms, and menstrual history. Testing may be useful when the picture is unclear or another condition needs to be considered.
Can menopause care help with vaginal or urinary symptoms?
Yes. Dryness, discomfort with sex, and some urinary symptoms can be part of genitourinary syndrome of menopause. Local and nonhormonal options may be considered after an individualized assessment.
Start with a conversation
Curious whether this service fits?
Tell us what you’re noticing and what you hope will change. Dr. Chang will help you understand the appropriate next step.
Request a consultationExplore more