STEP UP TO AWARENESS
Menopause officially occurs when a woman has gone 12 consecutive months without a menstrual period,
typically between the ages of 45 and 55. However, the transition can begin much earlier, in what’s known as
perimenopause—a phase that may start in the late 30s or early 40s.

During this time, hormonal fluctuations cause changes in menstrual cycles, mood, metabolism, and more.
While menopause itself is not a disease, the symptoms can have a significant impact on daily life.

PROACTIVE SCREENING Proactive health screening is designed to detect potential health problems earlier, so you have more options and potentially better outcomes. In addition to standard screening tests, I will individualize recommendations depending on health history and genomic profiles. The genomic profile is highly useful as it can provide important guidance for hidden health risks, along with dietary and supplement needs, enabling a much more focused use of resources for proactive screening strategies. That said, here are a few additions I commonly recommend for women as they enter menopause. All of these can be done through your regular ObGyn or PCP, but it’s important to understand that they are looking for disease, not imbalances that can lead to disease, so I will also interpret them through a different lens. • Bone Density Test • Request a bone density scan if you have not had one by menopause or age 50. • Blood Work • Get comprehensive blood work that goes beyond the basic CBC and chemistry panel, including vitamin D, omega 3 and 6 fatty acids, ferritin; hsCRP, homocysteine, fractionated lipid panel, uric acid; TSH, Free T4, Free T3, Reverse T3; HbA1c. • Pelvic Exam • Even though routine pelvic exams are no longer recommended for asymptomatic women, changes related to menopause such as atrophy and lichen sclerosus, both of which can contribute to painful sex, as well as skin cancer can be detected early.

Why Does Menopause Happen?
Menopause is primarily driven by a natural decline in estrogen and progesterone production from the
ovaries. This hormonal shift affects multiple systems in the body, leading to common symptoms such as:
✅ Hot Flashes & Night Sweats – Sudden feelings of heat, often disrupting sleep.
✅ Mood Changes – Increased anxiety, irritability, or depression.
✅ Sleep Disturbances – Trouble falling or staying asleep.
✅ Weight Changes – A shift in metabolism can lead to weight gain, particularly around the midsection.
✅ Brain Fog & Memory Lapses – Difficulty with concentration and recall.
✅ Vaginal Dryness & Low Libido – Changes in reproductive hormones impact intimacy and comfort.
✅ Bone & Heart Health Risks – Lower estrogen levels can lead to osteoporosis and increased
cardiovascular risk.

What to Expect: Every Woman’s Experience Is Unique
Menopause is not a one‐size‐fits‐all experience. Some women have mild symptoms, while others face
significant challenges. Genetics, lifestyle, and overall health play key roles in how your body adapts.
By understanding the biological, emotional, and lifestyle changes that occur, you can take proactive steps to
support your body through this transition.

How MENONEXT Can Help
We provide evidence‐based education, alternative care strategies, expert guidance, and a supportive
community to help you navigate menopause with confidence. Whether you’re in perimenopause,
postmenopause, or preparing for the transition, we’re here to empower you with knowledge and solutions
that fit your unique journey.

💡 Explore More:
�� Conventional Solutions – Learn about medical treatments and HRT.
�� Alternative Care – Discover holistic and functional health approaches.
�� Lifestyle Changes – Nutrition, exercise, and stress management tips.

The Role of Diet in Menopause
Nutrition plays a crucial role in managing menopause symptoms. A balanced diet rich in whole foods, healthy fats, and plant‐based proteins can help stabilize hormones and improve energy levels. Incorporating foods high in phytoestrogens—such as flaxseeds, soy, and legumes—may alleviate symptoms, while reducing processed sugars and caffeine can help prevent energy crashes and mood swings. MENONEXT offers meal planning guides and expert advice to help you make informed dietary choices. (See our complete section about LIFESTYLE CHANGES)