Women's Hormones: Perimenopause and Menopause Care

Care for Perimenopause and Menopause

This page is for women with perimenopause or menopause symptoms who want relief.

We treat hormone symptoms by telehealth for women across Washington and Idaho. Our clinic is in Spokane.

Perimenopause is the years before your periods stop. Menopause is when they stop. Both are natural changes. They can still bring hard symptoms. We provide personal care to manage symptoms, restore energy, and protect long-term health. For some, that means treating a deficiency. For others, we aim to optimize hormone levels.

What Does Optimizing Hormones Mean?

This is one thing that sets us apart from most practices. Optimizing hormones means finding and correcting imbalances. We use personal treatment based on research. We guide your levels toward an optimal range. The goal is better energy, mood, metabolism, and well-being.

It is not only about fixing a deficiency. It is careful fine-tuning based on your labs, symptoms, age, and goals. We aim for optimal, not just "normal."

Trained by Leaders in Hormone Care

WorldLink Medical Advanced BHRT certified clinician badge

Your care follows the latest research from WorldLink Medical. It is an industry leader in hormone education based on science. Dr. Milani is board-certified in anti-aging medicine (ABAAHP) and advanced hormone therapy (ABHRT). He completed strict training in advanced hormone protocols and clinical safety. Your care is grounded in science, not stories.

Bioidentical Hormone Replacement Therapy (BHRT)

BHRT is the core of our treatment. It uses hormones that match the ones your body makes. It can restore balance. It can ease the hardest symptoms of perimenopause and menopause, such as:

  • Hot flashes and night sweats
  • Insomnia, fatigue, and low energy
  • Brain fog, memory issues, anxiety, and irritability
  • Weight gain, joint pain, and headaches
  • Urinary issues and frequent infections
  • Low sex drive (libido), vaginal dryness, and painful intercourse
  • Bone and muscle loss

What to Expect

  • In-depth consultation. Your first visit is 90 minutes. We listen to your full health history, your symptoms, and your goals.
  • Advanced lab testing. We use full lab panels, including advanced hormone testing. This gives a clear picture of your hormones and overall health.
  • Personal treatment plan. Your plan may include BHRT and targeted supplements. It is based on your visit, symptoms, and labs.
  • Ongoing monitoring and support. Hormone care is not one and done. We keep checking in and adjust your plan as needed. The goal is to keep you balanced and feeling your best.


Ready to Live Evergreen?

You do not have to live with these symptoms. Schedule a free 15-minute call with a clinician. We serve adults in Washington and Idaho by telehealth.

Call or Text 509-720-6314 Email Care@evergreenmed.health

Request a Free Discovery Call