Understanding Your Changing Hormones
From irregular periods and PMS to PCOS, perimenopause and menopause, HM Medical offers testing, answers and personalized treatment plans — including care from a Menopause Society Certified Practitioner.
WHAT WE OFFER
Answers and Relief for Hormone Changes
Hormones affect your periods, sleep, mood, energy and sexual health. We listen, test when it helps, and build a plan around your symptoms and your goals.
Hormone Level Testing
Testing, when it is helpful, to look for hormonal causes of your symptoms.
Polycystic Ovary Syndrome (PCOS)
Evaluation and treatment of irregular cycles and other symptoms of PCOS.
Perimenopause Support
Help with irregular periods, hot flashes, sleep changes and mood shifts in the years before menopause.
Menopause Care
Personalized treatment options for menopause symptoms, from lifestyle changes to medication.
Premenstrual Tension Syndrome
Support for the monthly mood, energy and physical symptoms that can disrupt your life.
Sexual Health
Compassionate care for changes in desire, comfort or function.
Support Through Every Change
Personalized care for the hormonal transitions that come with midlife.
Signs Your Hormones May Be Changing
Hormone changes can show up in many ways. If any of these sound familiar, you do not have to simply put up with them.
Changes in Your Periods
Cycles that are irregular, heavier, lighter or more frequent than usual.
Hot Flashes & Night Sweats
Sudden warmth and sweating, and sleep that is interrupted.
Mood & Energy Changes
Irritability, anxiety, low mood or fatigue that feel out of character.
Body & Intimacy Changes
Vaginal dryness, changes in desire, weight changes or thinning hair.
- YOUR CARE PLAN
Your Path to Feeling Like Yourself Again
We start by listening, then use testing and a clear plan to help you feel better. Here is how care typically unfolds.
1. We Listen
Your symptoms, cycle history, sleep, mood and health goals — your story guides everything.
2. Exam & Testing
A physical exam and, when helpful, hormone level testing and other labs.
3. Understanding Your Results
We explain what is going on — whether it is PCOS, PMS, perimenopause or menopause — in plain language.
4. A Personalized Plan
Lifestyle and nutrition support, supplements and, when appropriate, medication or hormone therapy, decided together.
5. Follow-Up
We check how you are feeling and adjust your plan as your body changes.
6. Ongoing Support
Continued care through midlife and beyond, including bone health and sexual health.
YOUR CARE TEAM
Support From a Menopause Specialist
Our team is here to help you understand your options — with care from a provider who has earned a specialized menopause credential.
Menopause Society Certified Practitioner
Dr. Candace Howe holds the Menopause Society’s certified practitioner credential.
A Whole-Person Approach
Nutrition, lifestyle and integrative support, including professional-grade supplements, alongside medical treatment.
Treatment Options, Explained
We talk through the benefits and risks of each option, including hormone therapy, so you can decide what is right for you.
Open, Private Conversations
Hot flashes, sleep, mood and intimacy are all fair topics. You will never be rushed or judged.
Care for Every Stage of Life
Personalized support from pregnancy through postpartum care.
WHEN TO CALL
When to Call Us
Contact our office if you notice any of the following. For a medical emergency, call 911.
- Very heavy bleeding, or bleeding between periods or after menopause
- Hot flashes, sleep problems or mood changes that disrupt your daily life
- Pain with intercourse, or new vaginal dryness
- Periods that stop for several months when you are not pregnant
If you are having thoughts of harming yourself, call or text 988 or call 911 right away.
Hormone & Menopause Questions
Answers to common questions about hormone health at HM Medical.
What is perimenopause?
Perimenopause is the transition leading up to menopause, often beginning in a woman’s 40s. Periods may become irregular, and symptoms such as hot flashes, sleep changes and mood shifts can begin.
How do I know if I am in menopause?
Menopause is reached after 12 months in a row without a period. Many women notice symptoms for some time before and after. We can talk through what you are experiencing and what testing, if any, would help.
Do I need hormone testing?
Not always. Your symptoms and history often tell us a lot, but testing can help when your cycles or symptoms are unclear. We recommend it when it will help guide your care.
What treatments are available for menopause symptoms?
Options range from lifestyle and nutrition changes to non-hormonal medications and hormone therapy. We review the benefits and risks of each so you can choose what fits you.
What is PCOS?
Polycystic ovary syndrome (PCOS) is a common hormone condition that can cause irregular or missed periods and, for some women, acne, extra hair growth or trouble ovulating. We evaluate your symptoms and build a plan for you.
Can you help with PMS?
Yes. We help women whose mood, energy or physical symptoms before their periods disrupt daily life, with practical strategies and treatment when needed.
Do you address sexual health concerns?
Yes. Changes in desire, comfort or function are common during hormonal transitions, and they are treatable. You can talk with us in confidence.
Does the practice have a menopause specialist?
Yes. Dr. Candace Howe is a Menopause Society Certified Practitioner.
Ready to Feel Like Yourself Again?
Schedule a visit to talk about your symptoms and your options — we are here to listen.