Perimenopause and Menopause Issues

Perimenopause starts years before you actually stop having periods. True menopause only occurs when you have not had a period for over one year.

Perimenopause symptoms include:

Irregular periods
Heavier periods
Decreased libido

And Worsening of the follow pre-menstrual symptoms:

Bloating
Breast tenderness
Irritability

Options for Treatment

As you get closer to menopause you can also experience night sweats, hot flashes, dry skin and vaginal dryness. There are many options for treatment of menopause. Just because you are going thru menopause does not mean you require hormones. This is a very individual choice and hormone replacement should only be utilized once it is established that there is an actual hormone imbalance. If you choose hormone replacement, our recommended form is bioidentical estrogen, and progesterone and testosterone. In our opinion, both of these hormones are required for optimal balance whether you have a uterus or not.

Once the decision is made to treat your hormones, levels are followed to make sure your replacement is optimal. Patient education and informed decision making is the pillar of our practice.

Do you have an undiagnosed condition?

Have you been to every doctor and had “every” test run and still don’t know why you feel the way you do? Maybe it is time to start thinking out-of-the-box. Sometimes a new approach is needed to try and put the pieces of the puzzle together.

See how we can Help

Contact us today to determine your treatment for Menopause.

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What our Patients are Saying…

“Heidi helped me to realize better ways to control anxiety, establish good habits, as well as developing knowledge of how and why certain nutrients affect me. I loved that Heidi reviewed and shared with me many handouts, session notes, videos, and other healthy websites to review. But it was through our conversation in a session, that Heidi always listened and assigned activities and/or made nutrient recommendations that were extremely beneficial. I am grateful for her professionalism, compassion, and wealth of knowledge. My goal for healthy thoughts and decisions, and a healthy body without aches and pains has been accomplished. I’ve lost weight and inches and I feel stronger. She gave me the tools and showed me how to use the tools to be overall physically, mentally, and spiritually healthy!”
- Nancy

My experience with Dr. Miles and Laura Miles MD has been nothing but positive. Dealing with the effects of hypothyroidism was difficult and frustrating until I started seeing Dr. Miles. Dr. Miles explained in easy to understand terms the effect my condition has on my entire body and how it effects my overall health. Her treatment goes beyond just prescribing medication. Not only is my thyroid condition now under control but with Dr. Miles guidance I have healthier eating and lifestyle habits. I recommend Laura Miles MD to everyone.

Dr. Laura Miles is a knowledgeable and caring physician. She got to know me and really listened. She thinks “outside the box” and works to find an optimal, healthy solution. I have recommended Dr. Miles to several of my friends and believe in what she does!

I stuck to the detox program to the letter and can say that after a slump in energy the first couple of weeks I gained energy & my thinking seemed clearer. But the biggest benefit I experienced was reduced stiffness & soreness in my hand that has slight arthritis.

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- Christine

“When I started seeing Dr. Miles, diagnostic testing revealed that my body needed major dietary changes for healing. It would have been beyond overwhelming to begin such a monumental task without the excellent coaching I received from Heidi. Heidi embraces healing and wellness of the body, mind, and spirit. She is professional, focused, highly skilled – and most of all, compassionate. Her knowledge is incomparable. I urge anyone that is ready to experience optimum wellness, but needs help getting and staying the right track to work with Heidi. “
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“Heidi was incredible at creating a program that was unique to me. She listened to my concerns, helped me to build lifelong healthy habits, and never let me get down on myself when things were hard. Heidi is knowledgeable, encouraging, and was genuinely interested in setting me up for success. Besides my 30 lb weight loss, the biggest overall change has been having someone help me create, shape, and attain healthy habits that I’m proud to incorporate into my everyday life. I am a better Christian, wife, coworker, sister, and friend because of the impact Heidi has had on me the last 5 months. I will ALWAYS recommend working with Heidi!”
- Marianne

It is so hard to know how to help your children when they are struggling with "adult" problems like anxiety and insomnia. And after several pharmaceutical products actually made him worse, I was at a total loss of how to help him. Thankfully, you were able to actually find the source of his problems (an imbalance of his neurotransmitters) and correct this imbalance with something as simple and safe in amino acids.

“My goals upon starting to work with Heidi were to lose weight, reduce stress effects on my body, and improve my overall energy level. Heidi did an amazing job listening to my concerns and providing me with great education and direction to accomplish all my goals. Additionally, she helped me overcome any obstacles along my journey. Working with Heidi has been one of the best decisions I’ve every made. I feel so much healthier and happier! “
- Carrie

What really helped me was the approach of total wellness including nutrition that allowed my energy to come back. As you may remember, I was being treated for adrenal gland insufficiency with steroids. In getting off the steroids, I felt really bad in addition to the headaches. Your advice allowed me to regain balance to my energy level which continues today.