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Menopause & Perimenopause Management

Bio-identical hormone replacement and more…

Our approach to your transition into and through menopause is unique because we address the underlying medical conditions, hormonal imbalances, and stress factors that are contributing to your symptoms in a holistic way.


This means that our board-certified physicians and nurse practitioners, who have a strong foundation in traditional medicine, integrate complementary medicine and lifestyle medicine into your care.


This integrative holistic approach, our years of experience, and the way we give our patients a voice in their own care allows us to achieve better outcomes than traditional medicine alone.


Symptoms Often Associated with Menopause & Perimenopause

Many women experience unwanted menopausal changes starting 8 to 10 years prior to menopause. This is referred to as the “perimenopausal period”.


During this time, women are still having menstrual cycles that may or may not be regular. Menopause officially begins when menstrual periods have stopped for one year (with hormone levels consistent with menopause). Women in this age range can also stop having periods for other reasons, reasons that will be revealed or ruled out during your evaluation.


Women struggling with menopausal symptoms often report, “I don’t feel like myself” and may experience any or all of the following:


  • Hot flashes

  • Sleep disturbances (including non-restorative sleep)

  • Weight gain

  • Vaginal dryness

  • Painful intercourse

  • Decreased libido or sexual satisfaction

  • Decreased memory

  • Cognitive impairment

  • Clouded thinking

  • Fatigue

  • Mood swings

  • Depression

  • Anxiety


Any of these symptoms can greatly impact your quality of life by affecting your job performance, your relationships, and your overall sense of wellbeing.

What to Expect

What to Expect

Our initial goal is to identify all unwanted symptoms and all possible contributing factors.


Step One: Establish Care

To begin, you will have a New Patient Visit with one of our board-certified medical providers.


At this visit, your provider will address your concerns and perform an assessment, including a physical exam when appropriate.


Labs and tests will be ordered at the end of this initial evaluation.


Step Two: Make a Plan

You will return for a Next Steps Visit where your provider will thoroughly review your labs and test results, answer your questions, and present treatment options.


Together, we decide on a plan that works best for you.


Once we have uncovered the issues that need to be addressed, recommendations may include bioidentical hormone replacement (BIHR) therapy tailor-made for your body’s needs, appropriate supplements and/or other medications.


For those women who do not desire (or who are not candidates for) BIHR therapy, alternative options are available directed toward your specific symptoms.


You will also leave with a personalized care plan that integrates the expertise of our multi-disciplinary team of professionals.


We combine this holistic medical treatment with lifestyle medicine practices known to improve the underlying hormonal, dietary, and stress factors contributing to your unwanted symptoms.


Our HolisticHealth™ classes are designed to educate and empower you in this area.

Step Three: Implement the Plan

In addition to participating in our provider-recommended HolisticHealth Services, most patients will follow-up with a provider every 3-4 months for the first year of care in order to:

  • check up on the original diagnosis (or diagnoses)

  • assess progress

  • review new symptoms

  • redraw labs if necessary

  • re-direct you toward an adjusted treatment plan

Care Team

Multi-Disciplinary Perimenopause/Menopause Care Team


Medical Providers

Uthman Cavallo, MD, Co-Founder and President of PHA (Read Bio)


Medical Support

Diane Griffin, RN

Contresse Harris, MT

Brooke Arnold, MA

Ultrasound Technologists

Krista Greaves, RDMS, RVT, RT(R), Director of Ultrasonography (Read Bio)

Julie Oblak, RDMS (Read Bio)

HolisticHealth™ Service Providers

Susan Hart-Cavallo, MD, Co-Founder of PHA and Director of Integrative Holistic Medicine, Class Instructor (Read Bio)

Call (574) 273- 3880 to learn more or schedule a New Patient Visit today!


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