resources
for optimal health
women’s health Longevity
Longevity is about more than just living longer—it’s about living well. At EnVie Wellness, our concierge model focuses on preventive care, proactive screening, and strategies to reduce long-term health risks. We create individualized care plans designed to help you maintain strength, resilience, and quality of life at every stage.
Whole-Person WELLNESS
Managing your postmenopausal health is more than just treating symptoms. It requires a comprehensive understanding of hormonal balance and lifestyle medicine. We help translate scientific insights into personalized plans, empowering you to manage natural changes, reduce health risks, and maintain vitality. Feeling empowered transforms how you engage in every area of your life, leading to greater fulfillment and connection.
Why Hormones Matter
Hormones are essential for numerous bodily functions, including brain health, muscle maintenance, and energy regulation. Declining estrogen levels during perimenopause and after menopause significantly impact many symptoms and long-term health.
Metabolic Health & Hormone Balance
Your metabolism affects everything from energy and weight to cardiovascular and bone health. We take a comprehensive approach—evaluating hormonal and physiological function, nutrition, movement, and lifestyle—to optimize metabolic health. By addressing root causes rather than just symptoms, we help you build a strong foundation for lasting vitality.
Defining Perimenopause and Menopause
Perimenopause: This transitional phase can last up to 10 years, with an average duration of about 4 years. It often begins 8-10 years before menopause, marked by fluctuating hormone levels.
Menopause: Defined as having not had a menstrual period for 12 consecutive months, menopause often presents intensified symptoms.
Postmenopause: After menstruation ends, some symptoms may subside, while others can persist indefinitely.
Understanding the Menstrual Cycle & Hormones
The menstrual cycle involves key hormones—estrogen, progesterone, testosterone, and thyroid hormones—that regulate reproduction and various bodily systems.
Hormonal changes:
Estrogen rises early to build the uterine lining
Ovulation triggers a surge in both estrogen and progesterone
Progesterone dominates the latter half of the cycle to support potential pregnancy
Testosterone enhances libido, energy, and cognition during ovulation
Thyroid hormones influence metabolism and mood
Changes during perimenopause
During perimenopause, egg supply decreases, leading to erratic hormone levels that affect multiple body systems, including libido, mood, body temperature, sleep, weight, digestion, and muscle/bone strength. Common symptoms include:
Hot flashes and night sweats
Decreased libido and vaginal dryness
Genitourinary symptoms including painful urination and UTI
Mood swings and anxiety
Brain fog and concentration difficulties
Weight gain and muscle loss
Irregular periods
Progesterone declines first, estrogen fluctuates, then estrogen drops sharply after menopause. These shifts affect every system: brain, mood, sleep, metabolism, muscle, bone, cardiovascular health, and genitourinary tissues. Bottom line: loss of estrogen is the primary driver of both symptoms and long-term disease risk.
Common symptoms include:
Hot flashes, night sweats
Sleep disturbance, anxiety, mood changes
Brain fog and impaired focus
Weight gain, muscle loss
Decreased libido, vaginal dryness, recurrent UTIs
Bone loss, joint pain, increased cardiovascular risk
Managing Menopause Symptoms
Medications, including Menopausal Hormone Therapy (MHT), can help manage symptoms such as hot flashes and night sweats. Additional strategies include dietary adjustments, lifestyle changes, and supplements tailored to individual needs.
Hormone therapy: Helps to control hot flashes and night sweats.
Vaginal moisturizers and lubricants: Address discomfort during sexual activity.
Lifestyle modifications: Focus on nutrition, exercise, and holistic strategies tailored to each individual's needs.
Why So Many Women Go Without Help
In 2002, a major study caused panic about menopausal hormone therapy (MHT), leading many doctors to stop offering it — even though the risks were misunderstood. Since then, new research has shown that hormone therapy can be safe, effective, and life-changing for many women.
The problem? Most doctors still receive little training in menopause care. That’s why so many women go untreated.
Women often feel overwhelmed and confused about where to start. There is a social stigma around hormonal health and the menopausal transition. Yet, 51% of the global population are women and 100% of women will go through menopause! It is time to talk about it.
You can find more information on hormone therapy for menopause at the American College of Obstetricians & Gynecologists—hormone therapy for menopause page.
Bottom line
Menopause is a biological transition with real health consequences—not something women should “power through.” With informed care, lifestyle optimization, and appropriate hormone therapy, women can protect long-term health and vitality rather than lose it.
Because mIDLIFE IS NOT THE END. THIS IS YOUR POWERFUL NEW BEGINNING.
Request a consultation today
If you're experiencing any of these symptoms or seeking to understand more about your health journey, EnVie Wellness is here to help. Together, we can create a personalized health plan that supports your goals and enhances your quality of life.