I want to give you a fresh view on how to manage menopause symptoms. First, you have to understand the impact of stress on menopause symptoms. And then it’s equally important to come up with an individualized treatment plan. This is part of what’s called a functional medicine approach – you won’t get this from your G.P.

That’s why I’m excited to introduce you to Dr. Shilpa Sayana. She is Board Certified in both Internal Medicine and Functional Medicine and practices in the Los Angeles area. As a menopause expert, Dr. Sayana helps women through perimenopause, menopause, and post-menopause, focusing on hormone replacement and both symptom management and prevention of health issues throughout a woman’s lifetime.

Over 1 million women become menopausal every year in the U.S.

Many of those women are reaching out for help because they’re incredibly frustrated. They’ve gone to their primary care providers or medical doctors and complained about symptoms like hot flashes, sleep issues, brain fog, weight gain, clothes not fitting, inability to recall words, moodiness, and emotional changes, and been sent away without any help. 

Unfortunately, menopause symptoms often get discounted, and women are frequently offered prescriptions for Prozac. But this isn’t a Prozac deficiency – it’s what’s happening physiologically in the body.

Even more concerning is that many medical doctors, including Dr. Sayana herself, never received any training about perimenopause, menopause, or post-menopause during medical school or residency. 

For these reasons, more women are taking matters into their own hands, checking their labs independently, and trying to figure things out through Doctor Google, podcasts, or YouTube videos. Women are advocating for themselves and partnering with their holistic practitioners rather than accepting that nothing is wrong or that it’s all in their head.

The increasing demand for help with menopause symptoms, and the gap in medical education, has led many practitioners to seek additional training in functional medicine to better understand how hormones relate to each other and impact overall health.

I – Dr. Doni – am go grateful to have been trained in how to support women through menopause using natural approaches and bio-identical hormones when I was in naturopathic medical school at Bastyr in the 1990s. I’ve been helping women for over 25 years. 

And I’m so glad more medical doctors, like Dr. Shilpa, are becoming open to natural approaches, and trained in how to support women. 

Understanding the Impact of Stress on Menopause Symptoms

From a holistic, or functional, medicine approach, when we think of solving symptoms of perimenopause, we don’t just look at the ovaries. We look at what is impacting the ovaries, and how we can support ovary function for as long as possible.

As Dr. Shilpa explains, the hormonal system works like relationships in a family. Think of the adrenal glands, those two glands that produce the stress hormone cortisol, as the wise grandmother. The thyroid acts like the supporting mom, and the ovaries function as the sensitive grandchild. The ovaries are going to be sensitive to whatever intergenerational trauma has happened in this hormonal family.

If you’ve had significant stress, anxiety, or inflammation in your life, your adrenals are going to be taxed, and that’s going to impact your thyroid and ovaries. When patients think they’re entering menopause, we often check their blood work and find they’re not actually in menopause yet, but their adrenals are shot – they’re just not optimal. This is often why women are gaining weight during this time.

When your adrenals are taxed, you start craving sugar, and even though you know you shouldn’t be having it and you’re normally very disciplined, your body feels like it’s being chased by a tiger. When you’re in this fight-or-flight state, you need sugar in the house, and the craving becomes irrational – you need to eat it. This is one of the contributing factors to weight gain during perimenopause.

Additionally, when you’re being chased by that metaphorical tiger, your body isn’t focused on burning calories – it’s focused on storing them for future trauma. If we can help “grandma” (the wise grandmother adrenals) and support your adrenal function, many people naturally see weight loss without having to drastically change their diet or exercise routines.

Taking care of your adrenals and thyroid means you’re less likely to suddenly fall into menopause with severe symptoms. Instead, you can transition gracefully without experiencing too many disruptive symptoms. 

We’re seeing women going into perimenopause in their late thirties just because of all the trauma and stress they’ve accumulated. While menopause usually occurs between ages 45 and 55, it really depends on how well you’re managing your stress and inflammation.

Addressing Stress is Essential for Helping with Menopause Symptoms

The first thing to understand, especially for women in their late thirties to sixties, is that many are simply unaware of their stress levels. In busy cities like New York and Los Angeles, everyone is constantly on-the-go dealing with traffic, dropping kids off, taking care of elderly parents, managing high-intensity jobs. You get used to this new baseline of being ready to react to whatever is coming at you.

The good news is that you don’t have to take numerous supplements or pills to manage your stress. It’s about carving out time and recognizing that you’re human – you’re not meant to be working like this constantly. You can incorporate simple practices like breathwork, awareness exercises, or just sitting in the sun without focusing on a gadget or feeling the need to be productive all the time.

Women intrinsically know this, and recent research supports the importance of managing daily stress. A study that came out recently showed two groups of women with breast cancer, and researchers were able to demonstrate that it’s daily stress that actually pushes cancer to be more aggressive rather than sudden, acute stress. 

You can be in control of daily choices, even though they might seem small and difficult to choose differently. It’s small amounts of stress recovery we can do on a daily basis that makes the biggest impact. 

We don’t need to take a week or month off from life or meditate all day. For patients who are still in the midst of raising children or dealing with kids in elementary, middle, or high school and feel like they don’t have time on weekends, we encourage scheduling stress relief during the work week when it might be more manageable.

Simple activities, like taking an hour to go for a walk, don’t have to be expensive – you don’t need costly classes. Finding time to be in nature, walk, or connect with girlfriends can make a significant difference.

Community connection is particularly important because in the United States, the highest suicide rate in women is between ages 45 and 55 – exactly the age range of perimenopause, menopause, and post-menopause.

During this time, women face multiple challenges simultaneously: their children might be going to college, they might be getting divorced, they could be reaching their career peak and questioning “is this it?”, their parents are aging, and they’re experiencing hormonal changes. It can be a very lonely time, which is why finding community and reaching out to fellow women for support is so crucial.

The Importance of Individualized Treatment, Including for Hormone Replacement Therapy

One of the most important aspects of menopause care is recognizing that we need individualized support. We can’t assume that because we’re all women going through perimenopause, we’re all experiencing the same thing or need the same treatment. When considering hormones for any patient with perimenopause or menopause symptoms, comprehensive testing is essential.

We measure genetics to understand how each woman detoxifies and processes cortisol. This is crucial because when we give hormones, the liver needs to be in good condition to process them effectively. If someone is genetically not wired to detoxify efficiently, there are nutrients and herbs we can use to support them. 

Every patient receiving hormones should have their gut health measured. Many patients say their gut feels fine, but when we test, we often find significant inflammation. We need to eliminate that inflammation and optimize gut health so patients are ready to receive and properly process hormones. 

And when it comes to hormone replacement therapy (HRT), we don’t give the same prescription to all women. We assess where their hormones are currently, which hormone they need most, and often start with small amounts of individual hormones. It’s about providing a little bit of hormone one at a time and layering it in so women can start to feel like themselves again.

This approach doesn’t require mega doses all at once. If someone is inflamed, they can’t process hormones properly, and they may feel much worse with hormone therapy. It’s not just what we put in – it’s how the body can process and metabolize it. This is why preparing the body before starting hormone therapy is so important.

Interestingly, about 80% of patients who come seeking help feel better simply by supporting their adrenals, thyroid, and gut health. Many prefer not to use hormone replacement therapy, or feel afraid because of past information that showed a connection to risk of breast cancer.

Thankfully there are many studies on herbs and nutrients to help with perimenopause and menopause symptoms, including chaste berry to increase progesterone production, magnesium, B6, and various herbs and vitamins to help maintain hormone levels without needing hormone therapy. 

You can achieve significant improvement with good holistic medicine approaches. You can also combine natural medicine with hormone therapy for optimal and individualized support. 

Hormone Replacement Therapy: The Latest Update on Risks and Benefits

For anyone over 40 years old, there’s been significant trauma around the belief that hormones equal breast cancer and are bad for health. 

This fear stems from how the Women’s Health Initiative (WHI) study results were presented in the media 23 years ago. The study results were presented so abruptly that doctors immediately took women off hormones, and women really suffered during the following decades.

Only recently was there a review and change in the outcomes from the WHI. It turns out that estrogen doesn’t increase breast cancer risk. And progestins (synthetic progesterone) only increased risk by 1 in 1000 women per year when taking estrogen plus a progestin for over 3 years.

Not only that but studies are showing the use of estrogen in early menopause can significantly reduce risk of dementia later in life, as well as cardiovascular disease, and osteoporosis.

Unfortunately, many women in their fifties and sixties are confused and scared about hormones and may be missing out on the potential benefits. The research will likely continue to evolve and shift in the coming years, hopefully providing more and more help for women through menopause. 

The goal is helping women with symptoms we’ve discussed – hot flashes, night sweats, sleep disruption, fatigue, mood changes, and weight gain. These symptoms create a snowball effect that impacts women’s overall health and shouldn’t be something women just have to endure.

At the same time, with a comprehensive approach, we can also help women to prevent future health issues, including heart disease, diabetes, osteoporosis, dementia, and cancer. 

We start with diet changes, stress recovery, as well as nutrients and herbs to support gut health and adrenal function, and then work our way to determining whether hormone replacement therapy makes sense for each individual woman. 

The key is individualizing treatment and working with a doctor or practitioner who understands this comprehensive approach.

Red Flags and Essentials in Menopause Care

If you walk into a doctor’s office and they immediately give you the same prescription they’re giving to everyone else without discussing stress, diet, or digestion, that’s a red flag, and you should look for another provider. 

They’re not understanding who you are as an individual. You’re not an average human – you’re unique based on all your trauma, stress history, past medical history, current medications and supplements, genetics, and how your gut processes things.

The conversation you have with your provider should take into account you as an individual. Your unique menstrual history, health history, and your unique genetic risks. If your practitioner is ready to give you a prescription and walk out the door in a couple of minutes, you should look for someone else who will make sure you’re feeling heard and supported.

As Dr. Shilpa explains, the evolution of medicine has moved from Medicine 1.0, where doctors told patients what to do, to Medicine 2.0, dominated by pharmaceutical companies with medications for everything. 

Medicine 3.0 is patient-centered care where the patient decides what she’s willing to do and partners with providers for her health. This is where we need to be – empowering women to feel in control with healthcare providers as guides, allowing women to pick and choose what feels right for them.

Women need information to make informed decisions for themselves, and they need to understand that these decisions aren’t permanent for the rest of their lives. Bodies shift and change, so treatment needs to adapt accordingly. Most women need ongoing monitoring and adjustments as their cortisol levels change, ovarian function decreases, or life circumstances shift.

Dr. Shilpa and I both agree that Cortisol should be considered like a fifth vital sign – just as we measure blood pressure, respirations, and pulse, we need to know where cortisol levels are. In a three-month span, someone could lose a job, get a promotion (which can be stressful even though it’s positive), lose a friend or family member, or experience other significant changes that impact cortisol levels.

We must monitor cortisol because we’re not living in static situations – we’re humans relating to our environment, and environmental changes impact how we process any hormones or herbs. 

Most women actually appreciate seeing the numbers and become empowered to understand them. Once they understand their lab values, they can track improvements and feel more in control of their health.

Comprehensive Lab Work and Prevention of Heart Disease

As functional practitioners, we look beyond standard blood work. While we’ll do a complete blood count (CBC), metabolic panel, and lipid panel, there’s much more we want to examine. Instead of looking at just two thyroid hormones, we want to look at all five. We want to assess how women are absorbing vitamins like vitamin D and B12.

Sometimes women are taking numerous supplements, but when we check their labs, they’re not absorbing any of them – they’re essentially making expensive stool. In these cases, we need to improve gut health so they can actually absorb the nutrients they’re taking.

It’s important to do a comprehensive panel of labs because the number one reason women die after age 50 is heart disease. Even if patients say their doctor told them they should be fine because they have no family history, we live in a different world now. We know that lead toxicity increases coronary artery disease risk, and stress increases the likelihood of heart attacks.

We recommend all women above 50 get a coronary calcium score. In Los Angeles, this test costs about $200 without going through insurance, and it provides valuable information about plaque buildup in the arteries. This allows women to make informed decisions about their cardiovascular health.

It’s important to find a provider who won’t just be reactive and tell you to come back when you’re having problems. We need to be proactive because women are in a decade where significant health changes happen. Many women have been so busy that by the time they reach the average age of menopause (51), they need to pause and assess where they are in their lifetime.

The ovaries are essentially letting women know it’s time to check in with their overall health. Studies show that if we start taking action in our forties, fifties, and sixties, we can prevent heart disease, dementia, and osteoporosis. 

This is why it’s so important to look beyond just cholesterol levels and examine other parameters like cardio CRP (high-sensitivity C-reactive protein) to measure inflammation levels that give us a better sense of heart disease risk. 

Amazingly, many of the same interventions that help with fatigue, sleep, and other immediate symptoms also help prevent heart disease and dementia. We don’t have to do completely different things – addressing root causes has multiple positive impacts on the heart, brain, gut, mood, and energy levels.

Dementia Prevention and Bioidentical Estrogen

The rate of Alzheimer’s Disease and other forms of dementia is increasing more than other causes of death, and women make up two thirds of the cases. At the same time, there is so much we can do to help women to prevent dementia, 

Genetic testing can help us to identify risk factors, such as the APOE gene which is associated with dementia risk. Having one APOE gene means we can take specific preventive actions like cutting out gluten, lowering toxic burden, ensuring regular movement and exercise, and improving nutrition.

Sometimes women in their fifties think they’re developing dementia, but they actually have depleted adrenal reserves and are constantly in a fight-or-flight state. When we optimize hormones like cortisol and estrogen, they often feel like themselves again and become reassured. 

It’s important to know your risk factors and what you can do to prevent dementia, which needs to happen in your thirties, forties, and fifties through diet, nutrition, and anti-inflammatory lifestyle practices.

Recent research shows that when women start estrogen replacement within 10 years after their period stops, it can help reduce the risk of Alzheimer’s disease by 45%. This research is opening our eyes and causing us to reconsider what we thought we knew about estrogen.

Estrogen alone was not associated with increased breast cancer risk. It was when they combined equine estrogen with synthetic progestin that there was an increase, and even then, it was only an increase of one woman out of every 1,000 women per year – a very small increase. 

We can use bioidentical natural progesterone instead of synthetic progestin to avoid that risk.

When we give women natural bioidentical estradiol (which matches the estrogen our bodies make), usually combined with progesterone if they have a uterus, it can reduce the risk of Alzheimer’s disease, osteoporosis, and heart disease.

Estrogen receptors aren’t just in the ovaries – they’re also in the brain. Taking estrogen can help with memory and mood. 

Bones, Muscles, and Vaginal Health

Another important consideration is bone health and muscle loss. Many women in their forties and fifties lose significant muscle mass, even those who are very athletic and continue the same exercise and weight lifting routines.

Testosterone can play a significant role here because studies show testosterone increases bone density and trabecular bone growth. In women, it should have similar effects, so it’s important to optimize testosterone levels either naturally or with supplementation to preserve muscle and bone health.

One commonly missed aspect is vaginal estrogen. Many women think that if they’re not having hot flashes and are sleeping well, they don’t need any hormones. However, when estrogen drops during menopause, vaginal tissues become more susceptible to infections including yeast, bacterial vaginosis, and HPV.

Many women develop high-risk HPV and abnormal pap smears after menopause, often due to estrogen deficiency. Bladder infections become much more common, and as soon as someone starts getting frequent UTIs, vaginal estrogen should be considered. It’s been tragic that conventional medicine hasn’t emphasized this more.

Women often end up resistant to multiple antibiotics and in poor health after receiving numerous antibiotic treatments for UTIs, when one provider offering vaginal estrogen could have prevented most of those infections and preserved gut health and mental well-being.

When using estradiol or estriol vaginally, most of it stays local to the vaginal area and isn’t considered systemic. Only a small amount circulates throughout the body, so progesterone isn’t required to counteract or prevent the growth of the uterine lining when using vaginal estrogen only. Typically, when starting vaginal estrogen, it is used daily for a week or two, then once or twice weekly for ongoing maintenance.

Vaginal estrogen should be considered as something women use consistently through the rest of their lives to prevent infections and the need for antibiotics. While it can be somewhat messy to apply, it’s crucial for tissue health, especially when women experience painful intercourse.

Support for Libido

For libido concerns, there’s a prescription medication called ADDYI that works in the brain to increase libido and the likelihood of reaching orgasm. While physicians previously had to watch a webinar before prescribing it due to potential side effects like dizziness and sleepiness, that requirement has been removed. 

There are also natural options like maca root, that have been shown in research to be beneficial for various menopausal symptoms including libido.

With libido, it’s important to take a holistic approach rather than looking for a magic pill. We need to support overall health, ensure vaginal area support, and sometimes use combinations of approaches including estrogen, progesterone, testosterone, herbs like maca, or medications.

Supporting women with human connection also needs to be addressed. Partners need to contribute to household responsibilities and emotional connection, as these factors significantly impact intimacy and attraction.

HPV and Cervical Cancer Prevention After Menopause

It’s really important for women to know that HPV testing remains essential after menopause, and in many ways becomes even more important. 

We’re used to thinking of pap smears, but what’s becoming more standard is going in on a regular basis to have a vaginal test for high-risk HPV. You can also get home test kits from providers that allow HPV testing without even having to do a pap smear if you test negative.

This is especially important if you have a new sexual partner, if you’ve ever tested positive for HPV in the past, or had an abnormal pap smear previously. Women should also be doing an HPV test if they’ve had a hysterectomy, because high-risk HPV can affect the vaginal tissue as well, especially if you’ve not been using vaginal estrogen.

After menopause, when estrogen levels drop, the vaginal microbiome changes, which can allow HPV to come in and start to cause abnormal cells. This applies to women into their sixties and beyond, especially if they’re sexually active. 

You want to be monitoring for high-risk HPV because if it’s positive, there’s so much we can do to help prevent the virus from causing cancer.

The first step for any woman who is postmenopausal and tests positive for HPV is to make sure you are using vaginal estrogen and that we address the vaginal microbiome. The gut microbiome influences the vaginal microbiome, so we can use both oral and vaginal probiotics to support healthy bacteria.

As Dr. Doni explains, think of the vaginal bacteria as the bouncers – they’re our protectors. If we have estrogen and healthy vaginal bacteria, that’s going to make it so HPV can’t establish itself. 

Even if you get exposed to it, it’s going to bounce right out of there and you’re going to be protected. Unfortunately, if we’re not using vaginal estrogen and we’ve been on antibiotics that disrupt the vaginal microbiome, we become susceptible.

It’s important to know that you can get HPV to go negative – you can prevent cervical cancer. In my HPV protocol we use some of the same approaches we’ve been discussing: stress recovery (because stress makes us more susceptible to HPV), diet, nutrients, specialty blood work to identify nutrient deficiencies, hormone balance, hormone detoxification support, and reducing toxin exposure. 

The same root causes that make us susceptible to other health issues also make us susceptible to cervical cancer and HPV.

Women have often been told that they’re not going to be able to clear HPV or that they’re going to have it forever, or they’re just going to have to deal with more biopsies and procedures. But we see amazing turnarounds when we go through this comprehensive process of optimizing health. Women are able to clear the virus, the abnormal cells go away, and they’re free of the whole situation.

For self-collecting HPV tests, it’s not painful – it’s just a swab like a Q-tip that you put in vaginally. Companies like Microgen offer tests that you can do yourself, and they run both a vaginal microbiome panel and a vaginal HPV panel. Women can collect a simple vaginal swab at home, which puts that power back in women’s hands.

Many postmenopausal women are terrified of getting pap smears, especially if they’re not using vaginal estrogen, because the procedure can be uncomfortable. Being able to collect the sample yourself and send it to the lab makes it so much easier. 

99% of cervical cancer is caused by HPV, so if your HPV test is negative, you can cross that concern off your list and focus on other aspects of your health.

Finding the Right Provider For You

Throughout this discussion, we’ve outlined what women should look for in a doctor to help with menopause symptoms, what questions providers should be asking, and what women should be asking their providers. 

A comprehensive hormone and longevity panel should go beyond just hormones to look for common autoimmune markers like ANA (antinuclear antibodies) that often appear during perimenopause and menopause.

Once you have one autoimmune condition, you’re three times more likely to develop a second one, but this can be reversed with good functional medicine approaches. When patients advocate for themselves and ask for specific lab tests with appropriate diagnosis codes, even their conventional practitioners often take them more seriously.

Many of these tests can be covered by insurance if you know which tests to request and the proper codes to use. Don’t be surprised if your medical doctor isn’t familiar with some of these approaches – conventional medical training often doesn’t include this comprehensive functional medicine perspective.

You can approach your provider with kindness and ask them to partner with you in ordering specific tests. They’re human beings trying to do their job, and if you approach them with kindness, they’ll likely respond the same way. Having the specific test names and diagnosis codes can help providers feel more comfortable ordering tests they might not be familiar with.

Once you have comprehensive lab information, if your provider doesn’t know how to interpret or act on the results, that’s where working with a functional medicine practitioner or naturopathic doctor can be helpful. Many women end up needing to combine conventional and functional approaches to get the comprehensive care they need.

The key is finding a provider who will monitor your progress rather than prescribing everything and saying to come back in a year for refills. You need ongoing monitoring and adjustment as your body changes. You should feel comfortable with your provider and practice, feel heard and understood, and trust that they’ll guide you and take things off your plate rather than giving you more research assignments.

We try to use insurance-covered options whenever possible, using bioidentical estrogen patches and bioidentical progesterone like Prometrium. However, sometimes compounding pharmacies are necessary and helpful – for example, if someone is allergic to peanuts (since peanut oil is in standard progesterone), we might need peanut-free formulations, or sustained-release versions if regular progesterone affects sleep.

For testosterone, there isn’t a commercially available option for women, so this always requires a compounding pharmacy. It’s important to work with a practitioner who does this frequently because price differences can be significant. Progesterone and/or testosterone might cost around $100 for three months from a good compounding pharmacy.

The goal is comprehensive, individualized care that addresses root causes while supporting women through this important life transition. Women deserve better than being dismissed or given one-size-fits-all approaches. 

By understanding these principles and advocating for comprehensive care, women can navigate perimenopause and menopause with support, symptom relief, and a focus on long-term health and prevention.

Conclusion and Next Steps

Menopause doesn’t have to be something you just endure. There are many effective approaches to help you through this transition, from addressing stress and supporting your adrenals to optimizing hormones and preventing long-term health issues. 

The key is understanding that you’re not broken – your body is going through a natural transition that deserves proper support and care.

Remember that you’re in control of your healthcare decisions. You get to choose what feels right for your body, your lifestyle, and your comfort level. Whether that’s starting with stress management and gut health, exploring herbs and nutrients, considering bioidentical hormones, or using a combination of approaches, the choice is yours to make with proper guidance.

Women are no longer accepting mediocre care or being told their symptoms are all in their heads. You have every right to advocate for yourself, ask questions, and seek providers who will listen to you and work with you as a partner in your health. 

Trust your intuition – if something doesn’t feel right about your care, keep looking for the right provider who understands this comprehensive approach.

Here are your next steps to take control of your menopause journey:

Immediate Actions:

• Start paying attention to your stress levels and begin incorporating small daily stress recovery practices like walking in nature, breathwork, or connecting with friends
• Consider getting comprehensive lab work that goes beyond basic panels to include thyroid function, nutrient levels, inflammation markers, and hormone testing
• If you’re experiencing vaginal symptoms, UTIs, or sexual discomfort, ask your provider about vaginal estrogen – even conventional doctors can prescribe this
• Stay current with HPV testing, especially if you’re postmenopausal, and consider home testing options if traditional pap smears are uncomfortable

Finding the Right Provider:

• Look for a practitioner who asks about your stress, diet, sleep, and overall health – not just your symptoms
• Avoid providers who want to give you the same prescription as everyone else without individualized assessment
• Seek someone who will monitor your progress and adjust treatment as your body changes
• Consider working with functional medicine practitioners who understand root-cause approaches

Advocacy and Education:

• Come prepared with specific lab tests you want and diagnosis codes to help your provider
• Don’t accept being dismissed or told nothing is wrong when you know something feels off
• Connect with other women going through similar experiences – community support is essential
• Remember that you can start with natural approaches and add other treatments as needed

Long-term Health Focus:

• Consider this transition as an opportunity to invest in your long-term health and prevent heart disease, dementia, and osteoporosis
• Think about getting a coronary calcium score if you’re over 50 to assess cardiovascular health
• Focus on supporting your gut health, managing inflammation, and optimizing nutrition
• Remember that the same approaches that help with menopause symptoms often support overall health and longevity

The most important thing to remember is that you don’t have to suffer through menopause. There are knowledgeable practitioners who can help you, effective treatments available, and a growing community of women who are demanding and receiving better care. You deserve to feel like yourself again, and with the right support and approach, that’s absolutely possible.

Your menopause journey is unique to you, and you have the power to make informed decisions about your care. Whether you’re just starting to notice symptoms or you’ve been struggling for years, it’s never too late to get the support you need and deserve.

If you would like to learn more about Dr. Shilpa and how she can help you make sure to visit her Sayana Medical and Wellness center website. You can also find her on Instagram @sayanamedical and Facebook @Sayana Medical & Wellness Center. 

If you would like to learn more about how I, Dr. Doni, can help you with menopause symptoms, you can check out my free Mastering Menopause Masterclass here or sign up for my Menopause Program here. You can also reach out to my office directly at 855.316.2114 or office@doctordoni.com. 

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With proper support, testing, and treatment, women can maintain their health and vitality throughout menopause and beyond.

Remember, investing in your health is not selfish – it’s necessary. Just as we’re told on airplanes to put on our own oxygen mask before helping others, we must prioritize our own health to be able to care for those who depend on us. 

The time has come for women to take charge of their health and well-being, understanding that preventive care now leads to better outcomes in the future.

It is also important to know that it is possible to recover from stress and trauma and truly heal, because you’re not likely to hear that from your standard doctor’s office. Keep in mind, they are not educated about diet, exercise, supplements, or stress recovery. 

I am living proof that it is possible to heal holistically and naturally. It’s possible to balance your hormones or to use hormone replacement safely and effectively, as well as to clear HPV and get a normal pap result, and to eliminate the effects of stress, trauma, anxiety and depression. I help patients with to do this in my practice every day – by phone and zoom, anywhere in the world. You can set up a one-on-one appointment here.

Once I meet with you one on one, we will create a strategic plan based on your health needs during menopause, including sessions with the health coach on my team to help guide you to implement my proprietary C.A.R.E. and Stress Mastery programs. 

If you’re dealing with persistent HPV I encourage you to check out my Say Goodbye to HPV Program here.You can access it from anywhere in the world because it is online videos, with handouts, recipes, resources, as well as live group sessions and a private app, where I teach you to implement my protocol over 12 weeks.

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You’ll also get access to order specialty testing I recommend to help us understand what your body needs in order to heal, as well as vaginal suppositories. I’d love to teach you how to heal and protect yourself from HPV. 

You can also go to clearhpvnow.com. There, you’ll find lots of resources and stories from women who’ve followed my protocol and cleared HPV to negative. 

Thank you for joining me today Dr. Shilpa and thank you all for joining us for this episode of How Humans Heal. Make sure to follow and subscribe so you don’t miss the next one! You can access it on YouTube, Apple Podcasts, or wherever you prefer. You can also watch at doctordoni.com.

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