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Perimenopause & Menopause 

Missoula at Gem Aesthetics & Wellness

Kacia’s journey into peri and menopause care highlights a critical gap in knowledge and support for women experiencing these transitions. Her initial focus on skin concerns led her to recognize the intricate connections between dermatological health and hormonal changes during menopause. This observation underscores the holistic nature of women’s health, where various physical manifestations can reflect underlying hormonal shifts.

The evolution of understanding surrounding hormone replacement therapy (HRT) since the Women’s Health Initiative (WHI) study is a significant aspect of this field. Initially, the WHI raised alarms about the risks associated with HRT, leading to widespread apprehension among both healthcare providers and patients. However, ongoing research has illuminated the complexities of HRT, revealing its potential benefits when tailored to individual needs. This shift emphasizes the importance of personalized care, allowing practitioners to address the unique experiences and symptoms of each woman.

Kacia completed a clinical rotation with Claire Francoeur, FNP, who specialized in hormone and pellet therapy while she attended Georgetown University. She also completed a mentorship in 2024 through Monarch Health with Jackie Piasta, a women’s health nurse practitioner, and 20 other clinicians from around the country. Through these mentorships, Kacia has gained insights into evidence-based practices that prioritize a comprehensive approach to menopause care. This includes addressing not only physical symptoms, such as hot flashes or skin changes, but also the emotional and psychological challenges that often accompany this life stage. She is an advocate for all forms of HRT including compounded, traditional pharmaceuticals and pellets.

The Menopause Society - 2025 Member LogoAs a member of the Menopause Society, Kacia is well-positioned to remain informed about the latest research and clinical guidelines. This affiliation not only provides access to valuable resources but also fosters connections with other professionals who share her commitment to improving the health and well-being of women during menopause. Kacia’s dedication to this field is a testament to the importance of informed, compassionate care for women navigating this significant transition in their life.

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Frequently Asked Questions

What is perimenopause?

Perimenopause is the transitional period leading up to menopause, characterized by hormonal fluctuations and changes in menstrual cycles. It typically begins in a woman’s 40s but can start earlier. This phase can last several years and is marked by symptoms such as irregular periods, hot flashes, and mood changes.

What are the common symptoms of perimenopause and menopause?

Many symptoms of peri menopause begin in the brain and can include:

  • Memory problems
  • New anxiety or depression
  • Loss of interest in social activities
  • Sleep problems, awakening in the middle of the night and not being to get back to sleep

Other common symptoms include:

  • Hot flashes
  • Night sweats
  • Irregular menstrual cycles
  • Mood swings
  • Joint pain
  • Vaginal dryness
  • Decreased libido

Research indicates that these symptoms can vary in intensity and duration among women (Freeman et al., 2014).

When does menopause occur?

Menopause is defined as the point in time when a woman has not had a menstrual period for 12 consecutive months, typically occurring around age 51 in the United States. It marks the end of a woman’s reproductive years.

How long do symptoms last?

The duration of symptoms varies widely. Some women may experience symptoms for a few months, while others may have them for several years. Research suggests that vasomotor symptoms like hot flashes can last anywhere from a few months to over a decade (Freeman et al., 2014).

Are there treatments available for managing symptoms?

Yes! HRT is now recognized as not only safe, but protective for bone, cardiovascular and brain health especially if started within 10 years of menopause. HRT can also be started later, although protective benefits may not be as great. A combination of HRT and lifestyle recommendations is supportive in this phase of life.

Does menopause affect mental health?

Yes, menopause can impact mental health. Some women may experience anxiety, depression, or mood swings during this transition due to hormonal changes. Studies indicate that these mental health issues can be exacerbated by other factors such as stress, sleep disturbances, and lifestyle factors (Schmidt et al., 2015).

What are the long-term health implications of menopause?

After menopause, women may be at increased risk for certain health issues, including:

  • Osteoporosis
  • Cardiovascular disease
  • Weight gain

(Torgerson et al., 2008).

Is it possible to get pregnant during perimenopause?

Yes, it is possible to become pregnant during perimenopause, as ovulation can still occur. Women who are not ready for pregnancy should continue to use contraception until menopause is confirmed (defined as 12 months without a period).

What treatment is right for me?

Kacia will help tailor an individualized treatment plan to meet your unique symptoms and health history.