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We have locations in Manhattan, and we offer virtual appointments.
Phone: 646-987-3850
Fax: 646-754-9803
At the Center for Midlife Health and Menopause, we help women manage their health and optimize their wellbeing during the menopause transition. Our clinicians provide treatment and support for symptoms related to menopause, as well as education about its impact on your overall health.
The menopause life stage starts with perimenopause, which usually begins in your 40s but can vary. The complete transition to menopause, defined as 12 months after a final menstrual period, happens over a decade or longer. The average age of menopause is 52.
We also provide treatment for induced menopause, in which the ovaries stop providing estrogen due to radiation therapy, certain drug treatments, or surgical removal.
During perimenopause, estrogen and progesterone levels become irregular. While these hormonal changes are completely normal, they can cause symptoms that vary in intensity and duration. Before your first visit, we ask you to fill out a detailed questionnaire to help us understand your symptoms and how the transition is affecting your everyday life. We ask about your experience with a variety of signs of the menopause transition, such as period changes, hot flushes, night sweats, sleep issues, difficulty concentrating, memory lapses, bone and joint issues, bladder and vaginal concerns, and changes in sexual health.
The decrease in estrogen that accompanies menopause increases the risk of certain health conditions. We provide screening and guidance to help you reduce the risk of these conditions, which include heart disease, osteoporosis, and urinary and vaginal issues.
Your first visit is a 45-minute consultation, held either in person or through a virtual visit. During this session, we review your symptoms, discuss treatment options, and create a customized care plan. Follow-up appointments are scheduled as needed to ensure that your symptoms have been addressed.
Each treatment plan is customized to your specific symptoms. Potential therapies include hormonal and nonhormonal treatments as well as complementary therapies such as lifestyle and dietary interventions. We rely on the latest scientific research regarding hormone therapy and prescribe it when it is the best treatment option, and individualize our therapies to maximize your health and wellbeing.
We also offer referrals to ºÙºÙÊÓƵ specialists for issues that often accompany menopause and are more likely to occur in midlife, including bone loss, urinary incontinence, depression, and pelvic floor disorders.
In addition, our Creating Healthy Activity and Nutrition Goals for Empowering CHANGE program explains how diet, exercise, sleep, and other lifestyle choices can help you deal with perimenopausal and menopausal symptoms. Each of its six sessions lasts 45 minutes.
Our program is led by Samantha M. Dunham, MD, Laurie S. Jeffers, DNP, and Emily Friedman, NP, who are Certified Menopause Practitioners by the North American Menopause Society. To schedule an appointment, please call 646-987-3850.
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