Menopause Care Is More Than a Single Lab Result
During perimenopause, hormone levels can fluctuate significantly. A result within the “normal” range does not automatically rule out the transition—or explain changes in your sleep, energy, mood, cognition, menstrual cycle, or metabolism.
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Menopause care with Dr. Khan considers your symptoms, cycle changes, medical and family history, cardiovascular and bone health, and personal goals.
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Dr. Khan uses this information to determine whether hormone therapy, non-hormonal treatment, targeted testing, or preventive screening may be appropriate.
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In-person care is available in Newport Beach, with telemedicine throughout California.
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A More Complete Approach to Perimenopause & Menopause
At Solace, we look at how your symptoms, hormonal changes, metabolic health, sleep, nutrition, lifestyle, history, and goals relate to one another—and use that information to build a personalized health plan for what comes next. Many women spend years trying one recommendation after another without anyone connecting the dots.
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After your visit, you leave with a clear plan you can actually reference and follow. And because your health will continue to change, the plan changes with you. We follow up, review what’s working, adjust treatment when needed, and continue building on what we already know about you.
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You’re not starting over at every appointment. You have one physician, one evolving plan, and ongoing care built around your health over time.
Hot Flashes & Sleep
Hot flashes, night sweats, difficulty falling or staying asleep, and waking without feeling rested.
Mood & Cognitive Changes
Brain fog, difficulty concentrating, forgetfulness, anxiety, irritability, and changes in mood.
Periods & Sexual Health
Irregular or heavier periods, vaginal dryness, discomfort with sex, urinary changes, and changes in libido.
Energy & Physical Changes
Fatigue, weight or body-composition changes, headaches, heart palpitations, joint discomfort, and changes in skin or hair.
Our Approach to Menopause Care
Menopause care should help you understand what is changing, choose treatment that fits your health and priorities, and protect the health that will matter in the years ahead.
Understand What Is Changing
Your symptoms, menstrual changes, medical history, risk factors, and personal goals are considered together.
Targeted testing may be recommended when it can clarify the diagnosis, identify another possible cause, or help guide treatment.
Build the Right Treatment Plan
Your plan may include lifestyle and metabolic strategies, non-hormonal medications, vaginal treatments, or menopausal hormone therapy (HRT) —when medically appropriate.
Recommendations are based on the potential benefits, risks, and your preferences.
Think Beyond Symptom Relief
The menopause transition can also influence cardiovascular, metabolic, bone, breast, and sexual health.
Your care includes appropriate screening, prevention, and follow-up so you understand what matters now and what comes next.
Choose the Care That Fits Your Needs
A Menopause Consultation
Start with a comprehensive visit focused on your symptoms, health history, risks, and treatment goals. You’ll leave with a personalized plan that may include testing, treatment options, and preventive recommendations.
No membership required.
Ongoing Primary Care Membership
For women who want menopause care connected with their primary and preventive care, membership includes ongoing visits, direct physician access, personalized health plans, and continued guidance as needs change.
In-person care in Newport Beach and telemedicine throughout California.
Frequently Asked Questions
What is the difference between perimenopause and menopause?
Perimenopause is the transition leading up to menopause, when hormone fluctuations may cause cycle changes and other symptoms. Menopause is reached after 12 consecutive months without a menstrual period when there is no other explanation.
Do I need hormone testing to diagnose perimenopause?
Not always. For many women over 45 with typical symptoms and menstrual changes, the diagnosis is primarily based on clinical history. Testing may be useful when symptoms are atypical, periods cannot be used as a guide, menopause may be occurring early, or another medical cause needs to be evaluated. I do like getting baseline labs when indicated.
Is hormone replacement therapy safe?
Hormone therapy can be an appropriate and effective option for many women, particularly those younger than 60 or within 10 years of menopause onset. The decision depends on your symptoms, health history, risk factors, treatment goals, and any contraindications.
Are there treatments available if I do not want to take hormones?
Yes. Nonhormonal medications, targeted vaginal treatments, sleep support, lifestyle changes, and strategies addressing metabolic and cardiovascular health may all be considered.
Do I need to see a menopause specialist?
Many women look for a menopause-focused physician when their symptoms are not being addressed or they want a more detailed discussion about treatment. At Solace, menopause care is integrated with primary and preventive care, allowing your symptoms and long-term health considerations to be addressed together.
Can I be in perimenopause if my periods are still regular?
Yes. Symptoms such as sleep disruption, hot flashes, mood changes, or brain fog can begin while periods are still regular. Menstrual changes may develop later, which is why the overall symptom pattern and health history matter.
Solace Primary Care
Dr. Shehzein Khan
Board-certified family medicine physician providing personalized primary care, preventive care, women’s health, pediatric care, and chronic disease management. Solace Primary Care is a Direct Primary Care (DPC) practice offering concierge-style care with direct physician access, longer appointments, and telemedicine throughout California.
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Get in Touch
949-785-5644
1617 Westcliff Drive
Suite 207
Shehzein Khan, DO
Board-certified family medicine physician and founder of Solace Primary Care, providing membership-based primary care in Newport Beach and Orange County with a focus on prevention and women’s health.
Get in Touch
P:(949) 785-5644
F:(949) 312-6470
1617 Westcliff Drive
Suite 207