Perimenopause care that finally makes sense.

Hot flashes that arrive in your early forties. Sleep that never quite feels restful. Periods that change without warning, anxiety you do not recognize, and labs that come back “normal.” If this sounds familiar, you may be in perimenopause, and you deserve care from someone who understands it.

What is perimenopause?

Perimenopause is the transition before menopause, when hormone levels begin to fluctuate. According to Cleveland Clinic, it usually begins in your mid-forties but can start as early as your mid-thirties, and it lasts about four years on average, sometimes up to eight. You reach menopause once you have gone 12 months in a row without a period.

Because hormones rise and fall rather than drop steadily, perimenopause symptoms can come and go, and a single blood test often misses what is happening. That is why many women are told everything looks fine when it does not feel fine.

What are the signs of perimenopause?

• Irregular, heavier or lighter periods
• Hot flashes and night sweats
• Trouble falling or staying asleep
• Anxiety, irritability or low mood
• Brain fog and trouble concentrating
• Lower sex drive or vaginal dryness
• Weight changes, especially around the middle
• Joint aches, fatigue and low energy

Read our complete guide to perimenopause symptoms and the labs that explain them.

What does perimenopause care at Amsara include?

• An unhurried first visit to review your history, symptoms and goals, before any labs are ordered.
• Targeted lab testing through Sonora Quest or Quest, to look at hormones, thyroid, iron, metabolic markers and more.
• Hormone therapy options, including estrogen, progesterone and, where appropriate, testosterone, with the dose and delivery method matched to you.
• Sleep, mood and stress support, including counseling and EMDR therapy with our licensed counselor.
• Sexual wellness care for vaginal dryness, painful intercourse and low desire.
• Metabolic care, including GLP-1 medications when they are appropriate.
• A three-month review to adjust your plan based on how you actually feel.

Is hormone therapy safe during perimenopause?

For most healthy women, yes. The Menopause Society’s 2022 hormone therapy position statement concludes that the benefits outweigh the risks for most healthy women younger than 60 and within 10 years of menopause onset. Your provider reviews your personal and family history first, because hormone therapy is not right for everyone. Learn more in Is HRT Safe? What the Research Actually Says and How Long Does HRT Take to Work?

Who leads perimenopause care at Amsara?

Dr. Mia Chorney, DNP, FNP-BC, MSCP, our Cofounder and Chief Medical Officer, is a Menopause Society Certified Practitioner, a credential held by clinicians who have passed The Menopause Society’s competency exam in menopause care. She works alongside Dr. Tamara Djurisic, MD, a board-certified family and lifestyle medicine physician focused on menopause, hormone therapy and sexual health, and our wider care team.

How does perimenopause care work with Amsara?

1. Book a free 15-minute discovery call to see whether Amsara is the right fit.
2. Meet your provider for an unhurried telehealth visit about your symptoms, history and goals.
3. Complete your labs at a nearby Sonora Quest or Quest location.
4. Review your results and build your plan together at your follow-up visit.
5. Adjust at three months, with messaging support through the Amsara Patient Portal if you are a member.

How much does perimenopause care cost in Arizona?

Amsara Health is a direct-pay practice with transparent prices. An initial visit is $275 and a follow-up visit is $175. A membership includes your visits, prescription renewals, priority booking and messaging with your care team, and saves 20% on eligible tests. See membership and visit pricing and lab and test pricing. Amsara does not bill insurance, but your plan may still cover some prescriptions and lab work.

Where in Arizona is perimenopause care available?

Care is delivered by secure telehealth to adults located in Arizona, so you can see a menopause-trained provider from home in Phoenix, Scottsdale, Tucson, Mesa, Chandler, Gilbert, Tempe, Glendale, Peoria, Flagstaff, Prescott, Yuma or anywhere else in the state. Labs are drawn at Sonora Quest and Quest locations across Arizona.

Frequently asked questions about perimenopause care

Sources

• Cleveland Clinic. Perimenopause: age, stages, signs and treatment.
• The North American Menopause Society. The 2022 hormone therapy position statement. Menopause, 2022.
• Healio. Updated position statement confirms menopausal HT benefits outweigh risks for most women. July 2022.

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