The standard of care has changed.

For too long, women experiencing symptoms of perimenopause and menopause were brushed off, misdiagnosed, handed a one-size-fits-all solution, and told it was just aging, stress, or anxiety. Today’s care begins with a thoughtful, thorough evaluation of symptoms and individual risk factors. Treatment may include hormonal and non-hormonal therapies, along with evidence-based guidance for concerns such as sleep, mood, and sexual health—leading to a treatment strategy that’s current, individualized, and targets real relief.

Hormonal changes related to perimenopause can begin as early as the late 30s and continue well into the postmenopausal years. Symptoms may range from mild and intermittent to severe and persistent—disruptive hot flashes, sleep loss, mood shifts, brain fog, and urogenital changes that can significantly impact daily life.

Your symptoms will be taken seriously and addressed with a clear, evidence-informed plan—matched to your history, your risk profile, and your goals. We evaluate cycle changes, vasomotor symptoms, sleep, mood, sexual and urogenital symptoms, and bone/cardiometabolic risk. Hormone therapy and non-hormonal treatments are available.

Jane Epstein, NP

Menopause Society Certified Provider
AASECT Certified Sexuality Counselor

With over 35 years of experience, Jane Epstein is a nurse practitioner certified by the Menopause Society and trained as a Sexuality Counselor. She provides comprehensive care for women navigating the full spectrum of perimenopause and menopause. Many women—often balancing careers, families, and multiple responsibilities—are caught off guard by the physical, emotional, and sexual health changes that can accompany this transition. Jane offers a supportive space where women can openly discuss their symptoms, transforming bodies, and intimate relationships while exploring individualized treatment options to support their health, well-being, and quality of life.