Menopause & Hormone Therapy (HRT)
Hot flashes, sleepless nights, brain fog, a body that no longer feels like your own. You are not imagining it, and you do not have to power through it. At Woman's Health NJ we treat menopause the way it deserves to be treated: with real lab work, careful monitoring, and a physician who listens.
The symptoms we help women resolve
Perimenopause and menopause can touch nearly every part of daily life. If you recognize a few of these, it is worth a conversation.
- Hot flashes
- Night sweats
- Trouble sleeping
- Brain fog
- Mood swings & irritability
- Weight gain
- Low libido
- Joint aches
- Fatigue
What hormone therapy actually does
As your ovaries wind down, key hormones fall. Thoughtfully restoring them, to levels that are right for you, is what brings the relief.
Estrogen
The hormone most responsible for hot flashes, night sweats, sleep disruption, and vaginal dryness. Restoring estrogen is often what quiets the symptoms that interrupt your day and your rest.
Progesterone
Balances estrogen, protects the uterine lining, and for many women meaningfully improves sleep and calm. When you still have a uterus, progesterone is an essential part of doing HRT safely.
Testosterone
Yes, women need it too. Low testosterone can drain libido, energy, mood, and motivation. When labs support it, careful testosterone therapy can help you feel like yourself again.
Real labs. Real monitoring. Real physician oversight.
Plenty of apps will mail you hormones after a quick online form. That is not medicine, and it is not safe. We do this the right way.
- Comprehensive bloodwork before we prescribe anything, so treatment is based on your actual levels
- Ongoing follow-up labs to confirm your dose is working and staying in a healthy range
- A full review of your history and risk factors before treatment begins
- Care directed by Dr. Michael J. Nusbaum, MD, FACS, with our registered dietitians and care team supporting you between visits
- Adjustments over time, because your body changes and your plan should too
Perimenopause vs. menopause
Perimenopause
The transition, often beginning in your forties and sometimes earlier. Cycles become unpredictable and hormones swing from high to low, which is why symptoms can feel erratic. You can absolutely be treated during this stage; you do not have to wait until periods stop.
Menopause
Officially reached twelve months after your last period. Hormone levels settle at a new low, and symptoms like hot flashes or sleep changes can persist for years without support. This is where consistent, monitored therapy makes the biggest difference.
What to expect
Four straightforward steps from first call to feeling better.
Consultation
We sit down with you, review your symptoms and full history, and answer every question. No rushing, no scripts.
Comprehensive Labs
We measure the hormones and markers that matter so your plan is built on data, not guesswork.
Personalized Plan
Your physician designs a therapy tailored to your levels, goals, and comfort, and explains exactly how it works.
Ongoing Monitoring
We recheck your labs and how you feel, then fine-tune your dose so relief lasts.
Menopause by the numbers
A sense of how common this is, and how effective proper treatment can be.
Roughly 80% of women experience symptoms such as hot flashes and night sweats during the menopausal transition, so if this is you, you are far from alone. For up to 75% of women, those symptoms can linger for years when left untreated.
The encouraging part: around 90% of women find meaningful relief within about two months of properly managed hormone therapy. And for healthy women who begin treatment within roughly ten years of onset, HRT can also support bone density and cardiovascular health.
Figures reflect general clinical research; care is individualized.
Common questions
Is hormone therapy safe?
For most healthy women, and especially those who begin within about ten years of menopause onset, HRT is both safe and effective when it is properly prescribed and monitored. The key word is monitored. We start with bloodwork, review your personal risk factors, and follow up with repeat labs, which is exactly what separates real care from a mail-order app.
Do I really need blood tests first?
Yes. Prescribing hormones without knowing your levels is guesswork. Labs let us dose precisely, catch anything that needs attention, and confirm that your therapy is working the way it should.
How soon will I feel better?
Many women notice improvement within a few weeks, and research suggests roughly 90% find meaningful relief within about two months. We adjust along the way so you get the best possible result.
Can I start treatment during perimenopause?
Absolutely. You do not have to wait until your periods stop. Many women feel their worst during perimenopause, and it is a very appropriate time to be evaluated and treated.
Do you accept insurance?
We offer self-pay options and accept insurance when your plan covers the services. Our team will walk you through what to expect before you begin.
Who oversees my care?
Your treatment is directed by Dr. Michael J. Nusbaum, MD, FACS, FASMBS, with our registered dietitians and care team supporting you between visits. You are cared for by real clinicians, in person, in Cedar Knolls.
Ready to feel like yourself again?
Book a consultation with a real physician in Cedar Knolls, NJ. Self-pay and insurance when covered.