Physician-led Menopause & Perimenopause care in South Tampa & St. Pete.
Thoughtful, Evidence-Based Care for Every Woman’s Midlife Transition
Menopause Treatment for Women in Tampa
Restoring Balance: Physician-Led Care for Perimenopause & Menopaus
At Dr. Marai Roque’s Concierge Practice, we understand that menopause is more than a medical phase; it is a deeply personal transition that affects every aspect of a woman’s life. Through a compassionate and personalized approach, Dr. Roque helps women navigate these hormonal changes with confidence, balance, and clarity.
Menopause: Recognizing the Signs
Perimenopause, the years leading up to menopause, can start as early as your 40s, sometimes even earlier. During this period, hormone levels fluctuate, and symptoms may begin to appear.
Common symptoms include:
It is important to remember that these symptoms may overlap with other health conditions such as thyroid issues, autoimmune diseases, or vitamin deficiencies. That is why a thorough evaluation is essential before determining the right approach.
menopause Symptoms and Treatment
Our Evidence-Based Approach to Menopause Treatment
The first step in Dr. Roque’s care is understanding the full picture. She begins with a detailed consultation to identify symptoms and confirm whether they are related to perimenopause or another underlying condition. Since menopause symptoms can overlap with other health issues, Dr. Roque conducts thorough blood and hormone testing to identify possible contributing factors.
This includes:
A full hormone panel to check Estradiol, Progesterone, Free/Total Testosterone, DHEA-S, TSH/Free T3/Free T4, and Fasting Insulin/HOMA-IR)
Screening for vitamin deficiencies, such as vitamin D, which is essential for hormone balance
Thyroid function tests to rule out thyroid disorders
Assessing for anemia or other medical conditions that may worsen symptoms
By taking this detailed approach, Dr. Roque ensures that nothing is overlooked and that treatment addresses the root cause, not just the symptoms.
Our Clinical BHRT Approach
Precision testing and physician-guided treatment tailored to you.
Advanced Biomarker Testing
In-depth blood panels evaluating estradiol, progesterone, free and total testosterone, DHEA-S, thyroid function, and pituitary signaling (LH/FSH).
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Custom Bioidentical Formulations
Individualized dosing utilizing bioidentical hormones (topicals, pellets, sublinguals, or injectables) matched to your physiology.
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Ongoing Physician Monitoring
Regular lab follow-ups and symptom reassessments with Dr. Marai Roque to ensure safe, optimized levels.
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Integrated Preventive Care
Balancing hormones alongside cardiovascular screening, bone preservation, and metabolic health.
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Understanding the Signs That Your Hormones May Be Out of Balance
Who May Benefit From Hormone Optimization
Women who are experiencing:
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Men who are experiencing:
Balancing Hormones with Care, Precision, and Safety in Mind
Medication and Hormone Therapy
For some women, targeted medications can help relieve symptoms such as mood swings, sleep disturbances, or hot flashes without using hormones.
Others may consider Hormone Replacement Therapy (HRT) as part of their care. Before starting HRT, Dr. Roque carefully reviews your medical history, including:
If hormone therapy is chosen, treatment is always started at the lowest effective dose and monitored closely. Regular hormone testing: typically, every six weeks at first, then adjusted as needed, helps maintain balance and avoid side effects. If estrogen is prescribed, progesterone is added when appropriate to protect the uterine lining and reduce cancer risk.
Targeted hormone replacement therapy for the changes that affect how you feel and function.
What We Treat
Perimenopause & Menopause:
Hot flashes, night sweats, mood volatility, vaginal dryness, and sleep disruption.
Andropause & Low Testosterone:
Declining stamina, reduced muscle mass, lower libido, and chronic fatigue.
Metabolic & Body Composition Shifts:
Unexplained weight gain, slowed metabolism, and insulin resistance.
Cognitive & Mood Changes:
Brain fog, memory lapses, low drive, and anxiety.
Empowering Your Body to Heal and Adapt Naturally
Lifestyle and Nutritional Support
As hormones change, so do your body’s needs. Nutrition, exercise, and self-care become essential in maintaining balance and preventing complications such as bone loss.
Dietary support
Incorporating foods rich in omega oils, calcium, and vitamin D helps maintain bone and hormonal health.
Exercise
Shifting toward weight-bearing and strength-based workouts helps protect bone density as estrogen levels decline.
Emotional well-being
Managing stress, getting quality sleep, and maintaining social connections can help stabilize mood and energy.
Continuous Support Through Every Stage of Change
Safety and Ongoing Monitoring
Hormone therapy is highly individualized. Each woman’s response depends on genetics, metabolism, and overall health. With concierge care, Dr. Roque provides consistent monitoring and open communication, adjusting as needed to ensure your safety and well-being.
The duration of therapy varies by patient. Some women use it only during perimenopause, while others continue for several years after menopause. Current research supports using hormone therapy for the shortest time necessary to achieve comfort and health benefits.
Restoring Balance, Connection, and a Sense of Self
The Emotional Impact on Family
Hormonal changes can influence more than just physical health. They can affect relationships, mood, and daily quality of life. Many women describe feeling irritable or disconnected, and sometimes even distant from their families or partners due to fatigue, low libido, or mood shifts.
Dr. Roque often hears from patients that one of the most rewarding signs of progress is when their families notice the difference and say, “You seem like yourself again.” Managing menopause well not only improves physical health but also helps restore harmony at home and within oneself.
Frequently Asked Questions
Whole-Person Care for Menopause and Hormonal Changes
How do I know if I am in perimenopause or menopause?
Perimenopause is the transition leading up to menopause and can begin years before your final menstrual period. Changes may include irregular periods, hot flashes, night sweats, sleep problems, mood changes, fatigue, or vaginal dryness. Menopause is reached after 12 consecutive months without a menstrual period. Because similar symptoms can also be caused by thyroid conditions, nutritional deficiencies, or other health issues, a thorough medical evaluation can help determine what may be contributing to your symptoms.
What is the difference between bioidentical hormones and standard HRT?
“Bioidentical” refers to hormones that are chemically identical to those produced naturally by the body. Some FDA-approved hormone therapy products are bioidentical, so bioidentical does not necessarily mean compounded or “natural.” The right treatment depends on your symptoms, medical history, health risks, and treatment goals.
Is hormone replacement therapy safe for women with a family history of heart disease?
A family history of heart disease does not automatically mean hormone therapy is appropriate or inappropriate. Your personal cardiovascular history, age, blood pressure, cholesterol, other risk factors, and the type and timing of hormone therapy all need to be considered. Dr. Roque reviews your individual health history and risk factors before discussing whether hormone therapy may be appropriate for you. Women with cardiovascular disease or certain other conditions may not be good candidates for hormone therapy.
How often are hormone levels monitored during menopause treatment?
Monitoring is individualized based on your symptoms, treatment, medical history, and response. When hormone therapy is started, follow-up may be more frequent so your treatment can be adjusted as needed. Dr. Roque’s current approach describes hormone testing typically about every six weeks initially, with the frequency adjusted based on your needs and clinical response.
Do I need hormone therapy if I am experiencing menopause symptoms?
Not necessarily. Hormone therapy is only one option for managing menopause symptoms. Depending on your symptoms and health history, treatment may include lifestyle and nutritional changes, non-hormonal medications, or hormone therapy. The appropriate approach is determined after evaluating your symptoms, medical history, risk factors, and goals.
Can menopause symptoms be caused by something other than changing hormones?
Every woman’s experience with menopause is unique.
Every woman’s experience with menopause is unique.
