Irritability, depression, anxiety, forgetfulness and “brain fog” are just a few of the feelings associated with hormonal imbalance. For some women, this really is no laughing matter. When sticky notes posted all around your house are needed to help you remember what time to get your kids from school, life can become a bit hectic.

Let’s face it…soaking your bed in the middle of the night with a pool of sweat isn’t sexy.Drenching a beautiful silk blouse while presenting your PowerPoint is embarrassing.Freezing cold one minute and feeling flushed with heat just isn’t fun.Probably the most recognizable and “stereotypical” of the perimenopause and menopause symptoms, hot flashes are a total drag.

Are you just plain exhausted throughout your day even when you get a good night’s sleep?Do you feel constantly stressed out? Out of control? Losing your swagger, confidence and motivation?Are headaches slowing you down?It’s tough to find joy in life when everything you do throughout your day has begun to feel like a “chore”.

Argh frustrating isn’t it?At one time or another most of us gain a few and want to lose a few pounds (with the exception of that annoying friend you’ve had since college who eats whatever she wants and is still skinny!). The reality is maintaining or losing weight at any age can be challenging. The bummer is the older you get the more difficult it can become. Research shows 90% of women gain weight between the ages of 35 and 55.

Do you ever look in the mirror and wonder “What is happening to my skin?” Increased wrinkles, thinning and dry itchy skin as well as adult acne are often experienced by women moving through perimenopause and menopause.The aging of skin (increased dryness, sagging and wrinkles) is attributed to several factors including time, free radical damage and hormone deficiency (declining estrogen levels).

Ok so you have done some research and feel bio-identical hormone replacement is something you feel comfortable exploring.Let’s begin the conversation like this. We know you. We may not know you by name and we don’t know what you look like, but we know women and we know what makes them tick. How do we know?

Well, you’re not alone. For a lot of women (and we mean a LOT) low libido, inability to orgasm or pain during sexual intercourse has become the norm. When a woman who once had a strong sex drive loses her desire for intimacy she may feel frustrated, embarrassed and generally disheartened.Unfortunately, this is an area most people do not feel comfortable discussing, so often women move through a slow demise in their relationships wondering “What is wrong with me?”

Discuss concerns with your doctors (rank each question on a scale from 0-4) 0-Never 4-Always