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Treatments/Menopause & Hormone Therapy
Menopause & Hormones · 01 of 06

Menopause &
hormone therapy.

Hot flashes, sleep loss, brain fog, mood, libido, weight changes — all downstream of one diagnosable, treatable system. We test it. We read the labs in the room. We write a real plan.

What it treats

Six clusters of symptoms most clinicians dismiss as “normal aging.”

01

Hot flashes & night sweats

Vasomotor symptoms — frequent, disruptive, often months or years before periods change. Treatable with hormonal and non-hormonal protocols.

02

Sleep loss

3 a.m. wake-ups, fragmented sleep, daytime fatigue. Often the first perimenopause symptom — and the one most ignored.

03

Mood & anxiety shifts

New-onset anxiety, low mood, irritability, panic in your forties or fifties. Hormonal — not “just stress.”

04

Brain fog

Word-finding trouble, concentration loss, executive function changes. Estradiol-mediated and reversible in most cases.

05

Libido & arousal

Reduced desire and arousal that started with perimenopause, postpartum, or after stopping contraception. Testosterone and estradiol both matter.

06

Skin, hair, weight

Thinning hair, dry skin, abdominal weight gain, body composition changes — measurable changes with measurable causes.

How it works

A real diagnostic process, not a sales funnel.

Intake & history

60–90 min first appointment with Dr. Berman. Detailed reproductive, surgical, medication, and symptom history.

Diagnostics

Comprehensive hormone panel — estradiol, progesterone, testosterone (total + free), DHEA, thyroid, cortisol, vitamin D. Symptom-mapped, not boilerplate.

Treatment plan

Bioidentical estradiol, progesterone, testosterone where indicated. Delivery method matched to your physiology — patch, gel, pellet, or oral. Non-hormonal options if needed.

Follow-up

Re-evaluation at 4–6 weeks, then quarterly. Plans adjust based on labs, symptom response, and patient preference.

What to expect

The first ninety days, in honest detail.

  1. Week 0

    Booking & intake

    Detailed health intake (~30 min) submitted online before the first visit so the appointment isn’t spent paperwork-ing.

  2. Week 1

    Initial consultation

    60–90 min in-person or telehealth. Full history, hormone panel ordered, treatment plan drafted on the spot.

  3. Week 2–3

    Lab review

    Brief virtual review once labs are back. First prescriptions written and dosing protocol started.

  4. Week 6

    First follow-up

    Symptom review. Lab recheck where applicable. Adjustments to dosing, modality, or delivery method.

  5. Week 12

    Plan optimization

    By this point most patients have a clear sense of what’s working. Focus shifts to maintenance and long-term plan.

Menopause & Hormone Therapy — clinical reference
FAQ

Questions most patients ask.

Is bioidentical hormone therapy safe?

Bioidentical estradiol and progesterone, prescribed appropriately and monitored, have a strong safety profile for most women. The Women’s Health Initiative findings have been substantially re-evaluated and the modern indication-based approach is well-supported. We discuss your specific risk profile in the first visit.

Will hormones cause weight gain?

No — the opposite is more often true. Untreated estradiol decline is associated with abdominal weight gain and body composition changes. Properly dosed BHRT is generally weight-neutral or weight-favorable.

Do you take insurance?

The practice operates out-of-network. We provide superbills you can submit to your insurance for partial reimbursement under your out-of-network benefits. We accept HSA/FSA cards.

Will I see Dr. Berman herself, or a nurse practitioner?

Every initial consultation is conducted by Dr. Berman. Follow-ups may be conducted by Dr. Berman or a member of the clinical team based on the visit type, but Dr. Berman remains the supervising physician for every patient on the panel.

How long until I feel different?

Sleep and vasomotor symptoms often improve within 2–4 weeks. Mood and energy at 4–8 weeks. Skin, libido, and body composition shift over 3–6 months. Dosing adjustments are normal at every check-in.

Ready to be heard?

N° 01 · Beverly Hills

In‑person consultation

WhereThe Berman Women's Wellness Center, Beverly HillsLength60–90 min new-patient consultIncludesWorkup · plan · in-clinic procedures available same visit
N° 02 · Anywhere

Telehealth visit

WhereSecure video · your phone or laptopLength45 min consultBest forHormones, supplements, follow-ups, second opinions
— not sure which? — or .
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