Dr. Rigobert Kefferputz

Patient Library / Women's Health / Menopause

Menopause

Menopause marks the end of the reproductive years — but it doesn't have to mean the end of feeling well.

Menopause is not a disease — but the hormonal withdrawal it brings has real consequences for bone density, cardiovascular health, cognitive function, and quality of life. The evidence for hormone therapy has been substantially rehabilitated since the misread WHI study. For most women, the question is not whether to treat, but how to treat well.

More Than Hot Flashes

Declining estrogen affects bones, the cardiovascular system, brain, bladder, and metabolic health. Symptom relief is only part of the picture — long-term health protection matters equally.

Bioidentical Difference

Transdermal bioidentical estradiol and natural progesterone carry a significantly better safety profile than older synthetic formulations — this changes the risk-benefit calculation substantially.

Timing Matters

Hormone therapy started within 10 years of menopause onset offers the greatest cardiovascular and cognitive protection. Starting early in the transition produces better long-term outcomes.

What You Need to Know

Frequently Asked Questions

How I Treat This

These are the services I most commonly draw on when working with menopause.

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