Kim Brasure, NP-C

What is Menopause Management?

Hormones play a very important role in vitality, as

  • They effect lean body mass
  • They effect mood
  • They effect sexual function in males and females

They are also naturally protective for osteoporosis. There are theories that they are also protective against cardiac events as well as non-estrogen sensitive cancers.

What Do Menopause Management Services Entail?

Initial evaluation for symptoms (covered by insurance)

  • Complete Packet with detailed Questionnaires
  • Discussion to identify most distressing symptoms

Laboratory Studies (covered by insurance)

  • To evaluate current hormone levels and make recommendations for treatment levels

Hormone Replacement Therapy begins (very few covered by insurance)

  • Bioidentical Compounded Creams
  • Bioidentical Pellet Therapy

Monitoring every 3-6 months (covered by insurance)

  • Repeat laboratory studies
  • Discussion of symptom reduction

What Are Benefits of Receiving Treatment?

  • Taking your life back.
  • Enjoying a new/old relationship with my partner
  • Feeling energetic

Signs You May Need Menopause Management

Decreased Libido

  • Little or no interest in sex or your partner.

Pre, Peri and Post-menopausal alterations in mood

  • Irritability
  • Lack of tolerance for others
  • Depression
  • Anxiety

Hot Flashes

  • May initially begin in the evenings only
  • May begin to occur after alcohol consumption


  • Loss of energy
  • Loss of desire in participating in activities
  • Loss of desire to exercise

Weight gain, Inability to lose weight

  • Abnormal or quickening heart rate

Thinning Hair
Painful sexual intercourse due to dryness and atrophy

How Is It Treated?

  • Bioidentical Compounded Creams
  • Bioidentical Pellet Therapy
  • Estrogen/Progesterone Patches

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