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Menopause Treatment

Menopause care with Dr. Yamines Alifonso and Direct Preventive Care, personalized around symptoms, options, safety, and follow-up.

Personalized menopause treatment
Care led by Dr. Yamines Alifonso
Hormone therapy options explained clearly
Pellet therapy when clinically appropriate
Whole-person support for midlife health
Follow-up that adapts with you

the science

Menopause care that starts with the full picture

Menopause can affect hot flashes, night sweats, sleep, mood, energy, sexual comfort, urinary symptoms, and daily confidence. Dr. Yamines Alifonso, MD, and the Direct Preventive Care team review the pattern of symptoms alongside menstrual history, medications, family history, preventive needs, and personal goals. This evidence-informed approach follows guidance that hormone therapy decisions should reflect symptoms, age, timing, health history, preferences, and treatment risks; explore our annual physical, preventive lab testing, and The Menopause Society’s hormone therapy guidance for additional context. Related care pathways: Women’s Hormone Health, bioidentical hormone therapy, hormone pellet therapy, and hormone balance care may be discussed with Dr. Yamines and the clinical team.
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  • RECOGNIZING THE SIGNS?
  • RECOGNIZING THE SIGNS?

Hormonal changes touch every part of your life. We help you regain control.

  • Anxiety, mental fog, mood shifts, and difficulty focusing
  • Poor sleep, persistent fatigue, slowed metabolism, and energy crashes
  • Irregular cycles, bloating, hot flashes, and joint discomfort
  • Hair thinning, skin changes, reduced libido, and vaginal dryness
  • Anxiety, mental fog, mood shifts, and difficulty focusing
  • Poor sleep, persistent fatigue, slowed metabolism, and energy crashes
  • Irregular cycles, bloating, hot flashes, and joint discomfort
  • Hair thinning, skin changes, reduced libido, and vaginal dryness
get ongoing care

Why menopause

Why menopause care needs the full picture

Symptoms deserve context
Hot flashes, sleep disruption, mood changes, vaginal or urinary symptoms, sexual discomfort, and energy shifts can affect daily life in different ways.
Life stage changes the picture
Menopause timing, reproductive history, medical conditions, medications, and family history shape the clinical conversation and help identify other causes.
Options should match your goals
Hormone therapy, nonhormonal care, local treatments, pellet therapy, lifestyle support, or referral may be considered based on your health profile.
Safety belongs in the discussion
Age, clotting history, breast health, cardiovascular risk, bleeding patterns, and medication interactions can change what is appropriate.
Whole-person support matters
Strength, sleep, nutrition, stress, sexual health, bone health, and preventive screening support more than symptom relief alone.
Follow-up keeps care responsive
Reviewing response, side effects, unexpected bleeding, and changing priorities helps the plan continue, adjust, or stop when needed.

Build a menopause plan around your life

Your plan considers symptoms, health history, preferences, risk factors, and goals so treatment stays personalized and clinically monitored.

beginning your patient journey

Four steps to feeling better today — & protecting your future your future

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Three guided steps

A clearer menopause care plan

Begin with your full health picture
Dr. Yamines Alifonso and the Direct Preventive Care team review symptoms, health history, medications, reproductive context, goals, and appropriate testing.
Review options with Dr. Yamines
You compare hormone therapy, pellet therapy, nonhormonal options, local care, and supportive strategies with benefits, limitations, and safety considerations explained clearly.
Set follow-up around your response
Follow-up reviews symptom response, side effects, changing priorities, and next decisions so your menopause plan can continue, adjust, or stop responsibly.

One membership. Complete care.

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Benefits

Menopause care guided by experience and context

Dr. Yamines Alifonso, MD, brings a decade of experience in perimenopause and menopause medicine, including bioidentical hormone therapy and integrative women’s health. At Direct Preventive Care, her menopause-focused approach connects symptom relief with preventive priorities, healthy-aging goals, and a follow-up plan that can change as your needs change. Explore our women’s hormone health program for broader support.
  • A plan built around your symptoms
  • Dr. Yamines reviews the full context
  • Options explained in plain language
  • Risks and contraindications considered
  • Follow-up that tracks your response
  • Support for sleep, energy, and wellbeing
  • A partner for informed decisions
get ongoing care

Treatment

Understand whether hormone therapy belongs in your plan

Hormone therapy may help some bothersome menopause symptoms, but benefits and risks vary by formulation, dose, route, timing, health history, and personal risk factors. Dr. Yamines can help you compare FDA-approved options, nonhormonal alternatives, local therapy, and pellet therapy when clinically appropriate. Learn more about bioidentical hormone therapy and hormone pellet therapy before making a shared decision.
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experience

A menopause care experience built around clarity

Expect a focused conversation with Dr. Yamines or the Direct Preventive Care team about symptoms, goals, health history, medications, and preventive priorities. You receive a clear explanation of treatment options, realistic expectations, safety considerations, and follow-up so you understand why a recommendation may fit and what happens next.
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Support

Support for the symptoms that shape your day

Sleep disruption, hot flashes, mood changes, vaginal symptoms, urinary changes, and energy shifts can affect work, relationships, exercise, and confidence. We make space for the full picture so your plan addresses what matters most to you. For related intimacy concerns, explore our sexual health care and our guide to menopause-related weight changes.
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Types of Symptoms

Sleep and nighttime symptom support

Night sweats, hot flashes, and sleep disruption can leave you depleted and affect concentration, mood, and daily function. We discuss practical sleep strategies and appropriate treatment options while considering medications, stress, mental health, caffeine, and other factors that may be affecting rest. Persistent or severe sleep concerns may need additional evaluation.
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Nutrients

Build habits that support healthy aging

Nutrition, movement, strength, bone health, cardiovascular health, and recovery all matter during and after the menopause transition. Dr. Yamines can help identify realistic habits that fit your health history and lifestyle, while an annual physical or preventive lab review can clarify broader health priorities when clinically appropriate.
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Advantages

Make treatment decisions with confidence

There is no single menopause plan that works for everyone. A careful review of benefits, risks, alternatives, routes, and follow-up helps you choose an approach that fits your circumstances and can be revisited as your needs change. Our hormone balance care can provide additional context when symptoms extend beyond one treatment question.
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Advantages
Understand potential benefits
Hormone therapy can relieve certain menopause symptoms for appropriate patients, especially vasomotor symptoms such as hot flashes and night sweats. Dr. Yamines explains which symptoms may respond, what a realistic treatment goal looks like, and how response will be monitored over time.
Review potential risks
Hormone therapy is not risk-free. Your clinician considers age, timing, medical history, clotting history, cardiovascular risk, breast health, bleeding history, medications, and whether you have a uterus before discussing a recommendation and monitoring plan.
Compare nonhormonal alternatives
Depending on your symptoms, options may include nonhormonal medicines, local therapies, behavioral strategies, lifestyle changes, moisturizers, or referral for additional evaluation. Alternatives are discussed with the same attention to your goals, preferences, safety, and likely follow-up needs.
Plan for follow-up
Follow-up helps assess symptom relief, side effects, preventive care, and whether the treatment plan still matches your goals. It also creates a chance to address new symptoms, unexpected bleeding, or changing priorities before they become harder to manage.
Considerations
Compounded products are not automatically safer
The word bioidentical does not by itself prove that a product is safer or more effective. Ask which options are FDA-approved, why a formulation is being recommended, and how quality, dosing, monitoring, and follow-up will be handled for your situation.
Your medical history matters
Some conditions and past medical events may change whether hormone therapy is appropriate. Share your complete history, medication list, family history, bleeding history, and preventive screening information with Dr. Yamines or your clinician before treatment decisions are made.
Report concerning symptoms promptly
Seek medical guidance for unexpected bleeding or other concerning changes. Seek emergency care for chest pain, sudden shortness of breath, coughing blood, sudden one-sided weakness, trouble speaking, or severe swelling and pain in one leg.
Treatment is a shared decision
Your preferences matter. The goal is accurate information and shared decision-making, so you can decide with your clinician whether to start, continue, change, or stop a treatment as your symptoms, health circumstances, and priorities evolve.

wellness

Wellness support beyond symptom relief

Menopause care can include conversations about movement, strength, nutrition, sleep, stress, sexual health, preventive screenings, and habits that support your health over time. If you want broader ongoing access across priorities, concierge medicine can complement a focused menopause evaluation without replacing urgent or emergency care.
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Why You’ll Love it

Feel more prepared for what comes next

With a clear plan and a clinician who listens, you can approach menopause with better information, realistic expectations, and support for the decisions ahead. Dr. Yamines and the Direct Preventive Care team help make your next step understandable, personalized, and clinically responsible rather than driven by guesswork or one isolated symptom.
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original digital longevity clinic

We built modern longevity medicine from the ground up — and made it available to everyone.

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patient satisfaction

Outstanding outcomes and exceptional service keep our patients coming back.

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biomarkers analyzed

We draw on broad lab insights to personalize treatment and track your progress.

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peer-reviewed publications

Our team doesn’t just follow aging science — they help shape it.

Expert guidance you can rely on

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Dr. Yamines Alifonso, MD

Board-Certified OB/GYN & Menopause Specialist

Dr. Alifonso is a board-certified gynecologist with 10 years specializing in perimenopause and menopause medicine. She has trained extensively in bioidentical hormone therapy and integrative women’s health. Dr. Alifonso directs DPC’s Women’s Hormone Health program and is the clinical authority on hormone optimization for midlife women.

Specialties: Menopause Medicine, Bioidentical Hormone Therapy, Women’s Preventive Health, Hormone Optimization

Direct Preventive Care is raising the standard for women's care

Providers that treat isolated symptoms often miss what’s driving them. We look at the full picture — and we never compromise on care.

Menopause Care Expertise
Typical
Providers
Specialized Menopause Focus

Expert providers trained in comprehensive menopause care and bioidentical hormone therapy

Bioidentical Hormone Therapy (BHRT)

Safe, molecularly-identical hormones that match your body's natural chemistry

Personalized Treatment Plans

Customized menopause protocols based on your symptoms, labs, and health goals

Ongoing Lab Monitoring & Adjustments

Regular hormone levels checked and treatment fine-tuned for optimal symptom relief

Whole-Person Menopause Support

Integrated care addressing hormones, nutrition, exercise, sleep, and emotional wellness

What our members are saying

Frequently asked questions

VIEW ALL FAQ
What makes Direct Preventive Care different from other menopause care providers?

Direct Preventive Care offers a unique approach to menopause management, focusing on personalized, proactive care. Unlike traditional providers, we emphasize preventive measures, holistic treatments, and comprehensive support tailored to each woman's needs. Our team of experts combines cutting-edge research with compassionate guidance, empowering you to navigate menopause with confidence and ease. Experience a transformative journey towards optimal health and well-being.

Is hormone therapy required in this program?

Hormone therapy is not a requirement for this program. However, it may be recommended on a case-by-case basis depending on individual health needs and goals. Our team of medical professionals will work closely with you to determine the best course of action to support your overall well-being.

What menopause symptoms does Direct Preventive Care address?

Direct Preventive Care addresses a range of menopause symptoms, including hot flashes, night sweats, mood swings, and sleep disturbances. Our comprehensive approach focuses on personalized care to help manage these changes and improve your overall well-being during this transition.

Which stages of menopause does this program support?

This program supports all stages of menopause, from perimenopause to postmenopause, providing comprehensive care and guidance tailored to your unique needs throughout this transition.

Is Direct Preventive Care's menopause program safe?

Direct Preventive Care's menopause program is designed with safety in mind, providing comprehensive care to ensure a smooth transition through this life stage.

What's included in Direct Preventive Care's Women's Health Membership?

Direct Preventive Care's Women's Health Membership includes comprehensive annual wellness exams, personalized health assessments, access to a team of women's health specialists, and a range of preventive screenings and services tailored to your unique needs. Enjoy peace of mind knowing your health is our top priority.

How do I know whether hormone therapy is right for me?

Hormone therapy may be beneficial for some individuals experiencing hormonal imbalances or certain medical conditions. It's important to consult with a qualified healthcare professional who can evaluate your specific situation, discuss potential risks and benefits, and help you make an informed decision about whether hormone therapy is the right option for you.

How quickly can I expect to feel a difference?

You may start to notice subtle changes within a few days, with more significant improvements typically occurring within 2-4 weeks. Individual responses may vary, so it's important to be patient and consistent with your routine.

Who makes up the Direct Preventive Care care team?

The Direct Preventive Care team consists of experienced healthcare professionals, including primary care physicians, nurse practitioners, and registered nurses, dedicated to providing comprehensive preventive care.

Is this program available in my state?

The program is available in most states. To check if it's offered in your specific state, visit our website or contact our customer service team for more information.

Stop guessing about menopause. Start with a plan built for you

Schedule a menopause consultation with Dr. Yamines Alifonso or the Direct Preventive Care team to discuss your symptoms, health history, goals, and treatment options, then leave with a clearer understanding of what matters now and what your next step should be.
Start Your Evaluation
Menopause treatment is individualized and may include lifestyle support, nonhormonal options, local therapy, systemic hormone therapy, or pellet therapy when clinically appropriate. Benefits, risks, contraindications, and monitoring requirements vary by patient. This page is educational and does not replace a medical evaluation or emergency care. Discuss treatment decisions with a qualified clinician and seek urgent care for emergency symptoms.

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Our Signature Program

Elevate your health journey with Direct Preventive Care and seize a remarkable $100 discount on your signature program! Experience our proven, science-driven protocols designed to enhance metabolism, support cellular vitality, and lead you towards a longer, healthier life.

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