06 · Women's Medicine · Bio-Identical HRT

Menopause & perimenopause consult

Curious about bio-identical hormones? Non-hormonal options? Whether you're in the thick of menopause or just starting to notice the early signs of perimenopause, Dr. Burke walks you through every available path so you can make a fully informed decision about your care.

Menopause and perimenopause are natural transitions, but that doesn't mean you have to suffer through them. Many women don't realize their symptoms began years before their last period. In a 1-hour consultation, Dr. Burke reviews your symptoms, history, and goals to build an individualized plan from across bio-identical hormone therapy, herbal and nutritional support, and lifestyle medicine. Plenty of time for every question.

Book a Discovery Call View Dr. Burke's approach →
Transition study

Transition study

Patient note

“I came in confused. I left with a real plan.”

Consultation60 minutes
IncludesBHRT review & alternatives
Lab reviewComprehensive hormone panel
FormatIn-person & telehealth

Common symptoms

What we address

Symptoms can begin years before your last period, during perimenopause, and continue well into post-menopause. Every woman's experience is different, Dr. Burke's plan reflects yours.

01

Hot flashes & night sweats

02

Sleep disturbances & insomnia

03

Mood changes & anxiety

04

Brain fog & concentration

05

Low libido

06

Vaginal dryness

07

Joint & muscle pain

08

Weight gain & metabolic shifts

The process

How we work

Three steps from your first consultation to a personalized menopause plan, with regular re-evaluation as your symptoms and labs evolve.

Step 01

Thorough history

A 1-hour intake covering your symptoms, medical and family history, prior screenings, and goals. Dr. Burke reviews benefits, risks, and candidacy for each treatment path at this visit.

  • Symptom map & severity
  • Medical & family history
  • Prior cancer / cardiac screening
  • Goals & values for treatment

Step 02

Individualized lab testing

Lab testing is individualized to each patient and their stage of transition. For perimenopausal patients, a comprehensive hormone panel is often a helpful starting point. For those further into menopause, symptoms and history frequently tell us more than labs alone. Dr. Burke determines what testing, if any, is warranted based on your specific picture.

  • Sex hormone panel (when indicated)
  • Thyroid function
  • Cardiometabolic markers
  • Bone health indicators

Step 03

Personalized plan

A treatment plan tailored to your goals, bio-identical hormone therapy when indicated and appropriate, plus herbal medicine, nutrition, and lifestyle support. Adjusted as you respond.

  • Bio-identical HRT (if appropriate)
  • Herbal & non-hormonal options
  • Nutrition & lifestyle protocol
  • Regular re-evaluation

What sets Dr. Burke apart

Every option, fully explained

Menopause is one of the most consequential health decisions a woman makes, and too often it's handled in a fifteen-minute window. Dr. Burke's 1-hour consultation is designed to do the opposite: lay out every option, every benefit, every risk, and every nuance specific to your history.

She stays current with the latest research in both conventional and integrative medicine, and her goal is the same in either direction, that you leave the appointment informed, empowered, and with a clear plan that respects your values and your full health picture.

Dr. Tara Burke, NMD Naturopathic Physician · Scottsdale, Arizona

Common questions

Answers, upfront

01.What's the difference between perimenopause and menopause?

Perimenopause is the transitional period leading up to menopause, when hormone levels fluctuate and symptoms often begin. Menopause is officially diagnosed after 12 consecutive months without a period. Post-menopause is the years that follow.

02.Is hormone replacement therapy safe for me?

Safety and appropriateness depend on many individual factors, personal and family medical history above all. Dr. Burke will thoroughly review yours and discuss benefits and risks specific to your situation. See Is HRT right for me? for more.

03.What if I don't want to use hormones?

There are many effective non-hormonal options for managing menopausal symptoms, herbal medicine, nutritional supplements, and lifestyle modifications. Dr. Burke will work with you to find an approach that aligns with your preferences.

04.How long until I see improvement?

Many women notice changes within a few weeks of starting treatment. The full benefit typically takes several months. Dr. Burke sets realistic expectations at your appointment and monitors progress closely.

05.What lab testing is involved?

Typically a comprehensive hormone panel plus testing for thyroid function, metabolic markers, and other relevant values. Dr. Burke determines the most appropriate testing based on your symptoms and history.

06.How do I book?

Use the online scheduler or call (480) 702-1445. Start with a complimentary 15-minute discovery call.

Further reading

Related articles

01 Is HRT right for me? → 02 Supplements to balance hormones →

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Take the first step

Ready to understand your options?

Start with a complimentary 15-minute discovery call, no obligation, just a conversation about your transition and what care could look like.

Schedule a Discovery Call View all services