Perimenopause, menopause and postmenopause

Understand the changes
of your body and return
to feel like yourself
The transition to menopause can begin years before your period stops.
Changes in sleep, weight, mood, energy, skin, or intimate life can be part of a new hormonal stage.
At Elán Med Center, we evaluate your symptoms, medical history, and needs to help you understand what's changing and create a personalized plan to help you feel better at every stage.

Doctors specializing in hormonal health

Functional and integrative medicine

Bioidentical hormones

Customized and evidence-based protocols
Symptoms of peri-menopause and menopause
You don't have to wait until the symptoms are severe.
Perimenopause can begin as early as age 40—and in some women even earlier—as estrogen and progesterone levels begin to change.
Every woman experiences this transition differently. Some have few symptoms, while others notice significant changes in their physical, emotional, and sexual well-being.

Hot flashes and sweating

Low Sexual Desire

Mood swings

Vaginal Dryness

Memory Loss

Weight Gain
What stage are you at?

Perimenopause
This is the transitional stage before menopause. Hormone levels begin to fluctuate, and changes in the menstrual cycle, sleep, mood, energy, and other symptoms may occur.


Menopause
Post-menopause
A woman is considered to have reached menopause when she has gone 12 consecutive months without menstruation and there is no other cause to explain it.
It is the stage after menopause. Although some symptoms may lessen, it remains important to take care of your hormonal, cardiovascular, neurological, metabolic, intimate, and bone health.
Your treatment should adapt to you, not the other way around.
Not all women need the same treatment
At Elán we begin with a comprehensive medical assessment to understand your symptoms, history, goals and possible risk factors.
Depending on each case, your plan may include:
Hormonal and metabolic evaluation
Changes in diet and lifestyle
Strategies to improve sleep and energy
Support for weight management and body composition
Personalized supplementation
Treatments for intimate health
Hormone therapy when medically indicated
Bioidentical hormone therapy when appropriate
Medical monitoring and adjustments according to your progress

How can we help you at Elan?
1
Medical Examinations
We analyze all hormonal systems and metabolism; this is the first step toward personalized treatment. We'll fill out your insurance form for the labs or advise you on the best option for your budget.
2
Symptom Analysis
In the first consultation we listen to all the symptoms and discomforts you present, we analyze your lifestyle, we evaluate your biomarkers such as % of body fat, visceral fat, muscle mass, hydration, blood pressure, height and metabolic age.
3
Treatment and Follow-up
We explain each of your diagnoses and provide you with a treatment plan including bioidentical hormones, supplements, nutrition, and lifestyle recommendations to ensure a healthy life for years to come. We schedule follow-up appointments.
Bioidentical hormones:
an option that requires medical evaluation
For women, hormone therapy can help manage certain menopausal symptoms and may even prevent menopause altogether. However, it's not a universal treatment. Before recommending any hormone therapy, we evaluate your medical history, symptoms, personal and family history, available tests, and potential risks to determine if it's a suitable option for you. Our goal is to find the safest and most appropriate option for your situation.

Learn more about bioidentical hormone therapy

Our Team
Experts committed to your well-being
Since 2013, at Elán Med we have been focused on improving the quality of life
of our patients, through hormonal balance, prevention and comprehensive well-being.
Perimenopause, Menopause and Post-menopause
Frequently Asked Questions
At what age does perimenopause begin?
Perimenopause usually begins in the 40s, although some women may experience changes earlier. Its duration and symptoms vary considerably from person to person.
How do I know if I'm in perimenopause?
Changes in the menstrual cycle are often one of the first signs, but other possible symptoms include sleep disturbances, mood swings, weight changes, difficulty concentrating, libido changes, or changes in body temperature. A medical evaluation can help determine the cause of the symptoms.
What is the difference between perimenopause and menopause?
Perimenopause is the transitional period during which hormone levels fluctuate due to the drop in progesterone. Menopause is when estrogen levels decline and manifests in symptoms such as hot flashes and night sweats, irregular periods, insomnia, etc.
Do the symptoms continue after menopause?
They can do it. Some women continue to experience symptoms during postmenopause, while others experience a decrease. Furthermore, during this stage, prevention related to bone, cardiovascular, and metabolic health becomes more important.
Is hormone therapy safe?
The safety and convenience of natural hormone therapy is greater than that of chemical hormone therapy, although it also depends on individual factors such as age, symptoms, medical history, and risk factors. Therefore, it should be prescribed and supervised by a medical professional after a proper evaluation.









