Feel Like Yourself Again 

The Menstrual Cycle

For most women, physical and emotional symptoms of PMS such as abdominal bloating, breast tenderness, irritability, depressed mood, and difficulty concentrating are manageable aspects of the menstrual cycle. But in 3-8% of women, these symptoms are so severe that they impair ability to function. This syndrome is called Premenstrual Dysphoric Disorder (PMDD). Many women with PMDD respond successfully to medications that have traditionally been used for depression. 


  • Depressed mood
  • Anxiety
  • Lability
  • Irritability
  • Decreased interest in usual activities
  • Difficulty concentrating
  • Lack of energy
  • Change in appetite
  • Sleeping too little or too much
  • Sense of being overwhelmed
  • Breast tenderness and headaches 

Menstrual Symptoms Chart


The transition to menopause marks another period within a woman's life and is characterized by physical symptoms such as hot flashes, sleep disturbance, and vaginal changes.   Most women also experience emotional symptoms such as mood instability, increased anxiety, depression and even cognitive (memory) symptoms. Sexual dysfunction such as low libido and painful intercourse are also very common. Take the menopause IQ quiz for some indication of which hormones might be deficient.


  • Irregular menstrual cycles
  • Night sweats
  • Moodiness
  • Irritability
  • Sleeplessness
  • Fatigue
  • Decreased Libido
  • Headaches
  • Weight gain
  • Memory and concentration issues 


Treatment includes lifestyle modification, education, support, medications and supplements.  Hormone replacement therapy is an option.  We believe in a conservative approach, starting with local low dose applications before moving to systemic hormone therapy and only after a thorough review of your health history, lab evaluations, concerns, symptoms, goals and risk factors.

Is hormone therapy safe?

Infertility and Assisted Reproduction

Infertility, including the inability to carry a pregnancy to term, can deeply affect the emotional and psychological well-being of women and their partners. For most people, reproduction is a basic expectation of life, and to have a child is to continue the human life cycle. Infertility brings with it many real or potential losses: the loss of self-esteem, the loss of a dream, the loss of close relationships, financial losses, and the loss of a sense of self as a healthy sexual being. 

Depression, anxiety, anger, and guilt are common responses to infertility. Group, individual and couples psychotherapy can help provide support during this period and medications can help to manage symptoms.

Infertility Support and Information