What We Treat

Menopause & Perimenopause

Navigate Your Hormonal Journey with Confidence

For many women, the transition through perimenopause and into menopause represents one of the most significant hormonal shifts since puberty. At KALE Functional Medicine in Houston, we understand that this natural life stage brings unique challenges that deserve specialized attention and personalized care.

As Houston’s leading menopause doctors, we provide comprehensive support that goes beyond simply managing symptoms. Our functional medicine approach identifies and addresses the root causes of your menopausal discomfort, helping you navigate this transition with greater ease and vitality.

Understanding Perimenopause and Menopause

Menopause—officially marking one year after your final period—represents just one milestone in a complex hormonal journey that often begins years earlier with perimenopause. As your body navigates these transitions between ages 45-55, declining estrogen and progesterone levels can trigger a cascade of symptoms that disrupt your daily life, from sleep disturbances to mood changes. Discover how our specialized approach addresses each phase of this transformation in our blog.

Common Symptoms We Address

The symptoms of perimenopause and menopause can vary widely among women. Our Houston menopause specialists help women dealing with:

Physical Symptoms

Hot flashes and night sweats
Sleep disturbances and insomnia
Weight gain, especially around the abdomen
Joint and muscle pain
Vaginal dryness and discomfort
Reduced skin elasticity
Hair thinning or changes in texture
Heart palpitations

Cognitive and Emotional Symptoms

Mood swings and irritability
Anxiety or feelings of panic
Difficulty concentrating (“brain fog”)
Memory lapses
Reduced stress tolerance
Depression or feelings of sadness
Diminished sex drive

Long-term Health Considerations

Bone density loss, increasing osteoporosis risk
Changes in cholesterol levels affecting heart health
Increased risk of urinary tract infections
Potential impacts on metabolic health

Beyond Symptom Management: Our Comprehensive Care Model

Root Cause Approach to Hormone Balance

We recognize that menopausal symptoms are not simply the result of declining estrogen but often involve complex interactions between multiple hormonal systems. Our protocols address the entire hormonal ecosystem to restore proper balance.

Learn more about our Hormone Balance approach

Preventative Health Focus

Our care model includes essential preventative screenings to protect your long-term health during and after menopause:

Pap Smears: Regular screenings for cervical cancer detection and prevention
Mammograms: Early detection of breast cancer through essential breast health screenings, with discussions of alternatives when appropriate
Bone Density Tests: Assessing bone health to identify risks for osteoporosis and fractures
Colonoscopies/Cologuard: Screening for colon cancer

Our process

The KALE Way

Ready to discover the hidden factors affecting your health?

Initial Consultation

Our approach begins with 30/60 minute long appointment where we dive deep into your health history and determine what testing may helps us understand your unique hormonal profile through. We have worked with thousands of women through these life stages to achieve whole-body wellness by targeting the root cause whether it’s hormone, gut, or nutrition-related.

Comprehensive Testing

Our comprehensive testing services go beyond standard blood work to provide a complete picture of your hormonal health. We utilize:

Comprehensive blood panels
Saliva hormone testing
Dried urine testing for comprehensive hormones (DUTCH)
Thyroid function assessment
Adrenal function evaluation
Metabolic testing

These advanced diagnostics allow our hormone doctors to identify subtle imbalances conventional testing might miss.

Personalized Treatment Plan

Based on your unique test results, health history, and goals, we create individualized treatment plans that may include:

Nutritional Support: Targeted dietary recommendations to support hormone production, metabolism, and detoxification.
Targeted Supplementation: Evidence-based supplements to address specific hormonal imbalances and nutritional deficiencies.
Lifestyle Modifications: Guidance on sleep, stress management, exercise, and environmental factors that influence hormonal health.
Bioidentical Hormone Replacement Therapy (BHRT): Custom-formulated hormones that match what your body naturally produces, minimizing side effects while maximizing benefits. Learn more about our hormone therapy options.

Ongoing Monitoring

Hormonal balance is dynamic and requires regular assessment and fine-tuning. Our practitioners maintain close communication with patients, adjusting protocols as needed based on symptom changes and follow-up testing.

Why Choose KALE for Perimenopause and Menopause Care

Specialized Expertise

Dr. Miiko Rowley has advanced training in women’s hormonal health, offering specialized care for perimenopause and menopause.

Personalized Care

Our treatment plans are customized to your unique hormonal profile, health history, and goals.

Comprehensive Approach

We address all aspects of menopausal health, not just symptoms.

Evidence-Based Methods

We combine the best of conventional medicine with proven functional medicine approaches.

Ongoing Support

We provide continuous guidance through the various stages of your menopausal journey.

Begin Your Menopause Wellness Journey

Whether you’re experiencing the early signs of perimenopause or are post-menopausal and seeking better symptom management, our Houston menopause doctors are dedicated to helping you thrive during this important life transition.

Patient Success Stories

I was happy to find a female – personal preference – doctor (MD) who could assist with all of my medical needs versus a nurse practitioner or chiropractor who was also doing holistic medicine. Dr. Rowley’s smile and compassion put me at ease immediately…

Dr. Rowley is professional, relatable, and personable. I appreciate that she was a great listener and was patient in answering my questions. What’s more, I LOVE that I can contact her through telemedicine now!! Truly revolutionary experience in a doctor’s office!

Second visit and I know so much. Melissa is kind, incredibly smart and not overwhelming in her advice. Excited to start my journey towards a healthier life. Front office and her nurse are wonderful as well!