Menopause Center

You will receive care from board-certified physicians and our nurse practitioners, including Susan Angelicola, MSN, APN-C, WHNP, MSCP who is certified by The Menopause Society and Sharon Gabriele, WHNP-BC, MSCP. They are truly passionate about menopause care and understand this stage of your life.

We’ll seamlessly collaborate with you and our expert providers in gynecology, endocrinology, cardiology, nutrition, behavioral health, and more— because menopause symptoms can impact you in many ways.

We look beyond your symptoms. We review your health and family history and create an individualized and evidence-based plan for symptom relief and long-term health and wellness.

There is not a one-size-fits all solution. Your care plan may include hormone and non-hormonal therapies and nutrition counseling, appropriate bone and heart screenings, sexual health support, and mental health referrals.

We are eager to see patients experiencing early, medically, or surgically induced menopause. We also can support and treat women for whom hormonal treatment may not be an option due to cancer or other medical comorbidities. 

Your first visit is all about getting to know you and understanding your unique health goals. We'll review your current medications, medical, surgical, and family history, along with any recent mammograms, breast biopsy results, and routine lab work (such as your lipid panel).

We'll also spend time discussing your most bothersome symptoms, your overall health, and your goals for this stage of life. Together, we'll develop a personalized treatment plan that is safe, effective, and tailored to your needs.

Because there's so much to cover, your first appointment is our longest. We want to ensure you have the time and attention you deserve.

In most cases, no. During perimenopause, hormone levels can fluctuate significantly—even from one day to the next—so testing them usually doesn't provide meaningful information for guiding treatment.

For women who are already in menopause, we may occasionally check hormone levels if you're not responding to therapy as expected. However, routine hormone testing is not recommended by The Menopause Society. Instead, we adjust treatment based primarily on how you're feeling and whether your symptoms are improving.

It's a common question. Despite what you may see online, there isn't a specific estradiol level that's been shown to provide the best bone protection.

Standard FDA-approved doses of estrogen—including patches, gels, and pills—have been shown to help protect bone health. In fact, research has demonstrated that even ultra-low-dose estradiol patches (lower than the doses we typically prescribe) can help prevent osteoporosis. We focus on prescribing the right treatment based on your symptoms, overall health, and treatment goals—not a target hormone level.

Yes. When appropriate, we prescribe testosterone as part of a comprehensive treatment plan for low sexual desire. We also prescribe other evidence-based medications for hypoactive sexual desire disorder (HSDD), including Addyi®, Vyleesi®, and bupropion, when clinically appropriate.

We'll typically see you about 2–3 months after starting treatment to assess how you're responding, address any side effects, and make adjustments if needed.

Once your symptoms are well controlled and your treatment plan is stable, follow-up visits are generally scheduled every six months. Of course, if questions or concerns come up before then, we're always here to help.

No. We primarily prescribe FDA-approved, regulated hormone therapies because they are well studied, consistently manufactured, and often affordable.

We do not prescribe compounded hormones unless there is a specific medical indication. We also do not recommend testosterone pellets or injections, as they can produce excessively high testosterone levels that may increase the risk of unwanted side effects, including acne, oily skin, and increased facial or body hair.

Not routinely. However, some providers within our Menopause Center do prescribe GLP-1 medications when appropriate. If you're interested in discussing this treatment, please ask your provider whether it's an option for you.

Sometimes, but not always.

Every breast cancer diagnosis is different, and the safety of hormone therapy depends on several factors, including the type of cancer, your treatment history, and your individual risk profile.

During your visit, your provider will carefully review your medical history, discuss the potential risks and benefits, and help you determine the safest and most effective treatment plan. If hormone therapy isn't recommended, we'll work with you to explore other evidence-based options to effectively manage your symptoms.