Menopause: Navigating the Change with Care
At Parfaire Health, we know menopause isn’t just a milestone—it’s a profound shift that can leave you feeling unsettled and unheard. For many women, this begins with perimenopause, often starting between ages 45 and 50, bringing symptoms that disrupt your daily life in ways you didn’t expect. We understand how frustrating it can be when these changes are overlooked or poorly managed. Our mission is to listen, provide real solutions, and help you regain your energy and confidence—because this stage of life should be about thriving, not just surviving.
When It Begins: Perimenopause Hits Around 45–50
Menopause doesn’t happen all at once. For most women, the transition starts with perimenopause between 45 and 50, when hormones like estrogen and progesterone begin to waver. You might notice your periods getting unpredictable, or maybe it’s the sudden hot flashes or sleepless nights that tip you off. These early signs can creep up quietly, and too often, they’re dismissed by traditionally trained doctors as “normal aging” or something to push through. We see it differently—this is when you need real attention and care, not shrugs or quick fixes.
Symptoms You Might Be Facing
Perimenopause and menopause bring a range of symptoms that can stretch on for years—even decades—without the right support. Here’s what many women experience:

Hot Flashes and Night Sweats
Sudden heat waves or waking up soaked—these can throw your whole day off.

Mood Swings
Feeling irritable, anxious, or low for no clear reason, making it tough to stay steady.

Sleep Issues
Trouble falling asleep or staying asleep, leaving you worn out.

Fatigue
Top killer—small LDL particles choke arteries, not just “bad” cholesterol.

Weight Gain
Extra pounds that settle in, especially around your midsection, despite your efforts.

Brain Fog
Forgetting names or losing focus—annoying when you’re used to being on top of things.

Low Libido
A drop in desire that can affect your relationships or how you feel about yourself.

Joint Pain
New stiffness or aches that slow you down.

Dry Skin and Hair Changes
Dry Skin and Hair Changes:

Vaginal Dryness
Discomfort that makes intimacy harder and chips at your confidence.
These aren’t just small hassles—they stack up, dimming the quality of life for so many women after their childbearing years. You shouldn’t have to face them alone.
Why Traditional Care and Testing Fall Short
It’s disheartening when you seek help and come away empty-handed. Traditionally trained doctors often miss the mark for women in perimenopause and menopause, and here’s why:
Inadequate Testing
Standard blood tests—like checking FSH (follicle-stimulating hormone) or basic estrogen levels—only catch a snapshot. They don’t account for the wild hormone swings of perimenopause or how your body’s responding day to day. A “normal” result might mask the chaos you’re feeling, leaving you dismissed with no answers.
Narrow Focus
Many doctors fixate on one symptom—like hot flashes—and ignore the bigger picture. They might not connect joint pain, brain fog, or fatigue to the same hormonal root, so you’re left piecing it together yourself.
Misinformation on BHRT
Bioidentical hormone replacement therapy (BHRT) gets a bad rap from outdated studies tying hormones to cancer risk. Modern research shows BHRT can be safe and effective when tailored right, but fear and myths still steer doctors away, robbing you of a solid option.
Over-Reliance on SSRIs
Feeling moody or anxious? Too often, you’re handed an antidepressant like an SSRI, as if it’s all in your head. Hormonal shifts—not just emotions—are driving this, and masking them with pills doesn’t fix the source.
One-Size-Fits-All
Traditional care leans on generic protocols—wait it out, try this pill—ignoring how unique your body and symptoms are. That leaves you stuck, managing a decade or more of discomfort on your own.
We’ve seen it time and again: women past their childbearing years deserve better than half-measures and outdated advice. You’ve given so much—now it’s your turn to feel supported.
How We Help at Parfaire Health
At Parfaire Health, we’re here to do things differently. Led by Dr. Winnie Moses, a physician with roots in emergency medicine and a passion for functional care, we look beyond the surface. Our approach is built on understanding your whole story:
- Comprehensive Testing: We go deeper with advanced hormone panels, tracking estrogen, progesterone, cortisol, and more over time—not just one-off checks—to see what’s really shifting.
- Personalized Solutions: From BHRT to targeted therapies, we craft plans that fit you, based on science and your specific needs, not myths or guesswork.
- Real Relief: We target the root to ease hot flashes, lift fatigue, clear brain fog, and more—so you can feel like yourself again.
We’re not about pushing pills or brushing you off. We’re here to hear you out, dig into what’s happening, and guide you with care that makes sense.

Why Choose Parfaire Health?
Menopause can feel like a lonely road, especially when traditional care leaves you hanging. At Parfaire Health, we see you—your challenges, your resilience, and your right to feel good again. Whether you’re just noticing changes around 45 or wrestling with symptoms years later, we’re in your corner. This isn’t about enduring—it’s about embracing this next chapter with strength and clarity.
Take the Next Step
You don’t have to keep guessing or toughing it out. Contact us for a consultation at Parfaire Health. Let’s sit down, talk about what you’re experiencing, and find the path that works for you. Menopause isn’t the end of your story—it’s a new beginning, and we’re here to help you make it a strong one.