Private Perimenopause Care for a Body in Transition
Perimenopause can make a familiar body feel suddenly unpredictable. Sleep changes. Cycles shift. Mood, temperature, energy, and sexual health can feel different. We help you make sense of the transition and decide what is worth addressing
The Transition Before Menopause
Perimenopause is the transition leading to menopause. Hormone levels can fluctuate, menstrual patterns may change, and symptoms may come and go. Pregnancy can still occur during this stage.
Changes Worth Discussing
- Hot flashes or night sweats
- Changes in cycle timing or flow
- Sleep disruption
- Mood or concentration changes
- Vaginal or urinary symptoms
- Changes in desire, arousal, or comfort
How We Evaluate Perimenopause
Your visit reviews cycle pattern, symptoms, medical history, medications, pregnancy possibility, and other potential causes. Laboratory testing can answer specific questions, but one hormone value may not capture a fluctuating transition.
Personalized Options
Treatment may include:
- Hormone or nonhormone options
- Care for specific symptoms
- Changes involving sleep, nutrition, movement, or stress
The plan is based on the symptoms that matter to you and the risks identified during evaluation.
Provider Identity
Melissa Markel, FNP-C, ABAAHP, FAAMFM
Florida license: APRN11019655
Melissa is a board certified functional medicine nurse practitioner. She specializes in male and female hormone replacement, medical weight optimization, and longevity medicine.
Telehealth Designed Around Your Life in Miami, Florida
Umber Health was designed for adults who value discretion, time, and close attention. Private virtual visits bring that experience to eligible adults in Miami and throughout Florida. Umber Health does not operate a walk-in or patient-facing physical clinic.
Frequently asked questions
Can perimenopause begin while I still have regular periods?
Yes. Symptoms and cycle changes can begin before periods stop. Other conditions can cause similar changes, so an individualized evaluation matters.
Can one blood test diagnose perimenopause?
Not always. Hormones can fluctuate during the transition. Testing is selected and interpreted in the context of age, cycle pattern, symptoms, and other factors.
Does perimenopause care replace contraception?
No. Pregnancy can still occur. Discuss contraception and pregnancy goals with an appropriate clinician.
Related Services
Perimenopause Care
Get a personalized evaluation and a plan built around the symptoms that matter to you.
Female Hormone Optimization
Let's find out what is changing and what may help.
Bioidentical Hormone Therapy
Find out what may fit your symptoms and history
Testosterone Therapy
Restore energy, strength, libido, and mental clarity with clinically guided TRT.
Ready to feel like yourself again?
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