Perimenopause and menopause can be a very challenging time for a woman.  Hot flashes, sleep disturbance, loss of libido, mood swings, weight gain and problems with intimacy are all issues many will face.  With specific testing and highly individualized treatment programs, these years can be some of the best of your life.  Dr. Cunningham's team, including an experienced Physician's Assistant and Registered Nurse will design a program of hormone therapy to make this process as seamless and comfortable as possible.  Testosterone pellets are also bio-identical and are often the primary treatment recommended allowing for administration of medication only 3-4 times/year.