Hot flashes & night sweats
Vasomotor symptoms — frequent, disruptive, often months or years before periods change. Treatable with hormonal and non-hormonal protocols.
A 60–90 minute new-patient consult with Dr. Berman. We listen, we work it up, we make a plan together.
Hot flashes, sleep loss, brain fog, mood, libido, weight changes — all downstream of one diagnosable, treatable system. We test it. We read the labs in the room. We write a real plan.
Vasomotor symptoms — frequent, disruptive, often months or years before periods change. Treatable with hormonal and non-hormonal protocols.
3 a.m. wake-ups, fragmented sleep, daytime fatigue. Often the first perimenopause symptom — and the one most ignored.
New-onset anxiety, low mood, irritability, panic in your forties or fifties. Hormonal — not “just stress.”
Word-finding trouble, concentration loss, executive function changes. Estradiol-mediated and reversible in most cases.
Reduced desire and arousal that started with perimenopause, postpartum, or after stopping contraception. Testosterone and estradiol both matter.
Thinning hair, dry skin, abdominal weight gain, body composition changes — measurable changes with measurable causes.
60–90 min first appointment with Dr. Berman. Detailed reproductive, surgical, medication, and symptom history.
Comprehensive hormone panel — estradiol, progesterone, testosterone (total + free), DHEA, thyroid, cortisol, vitamin D. Symptom-mapped, not boilerplate.
Bioidentical estradiol, progesterone, testosterone where indicated. Delivery method matched to your physiology — patch, gel, pellet, or oral. Non-hormonal options if needed.
Re-evaluation at 4–6 weeks, then quarterly. Plans adjust based on labs, symptom response, and patient preference.
Detailed health intake (~30 min) submitted online before the first visit so the appointment isn’t spent paperwork-ing.
60–90 min in-person or telehealth. Full history, hormone panel ordered, treatment plan drafted on the spot.
Brief virtual review once labs are back. First prescriptions written and dosing protocol started.
Symptom review. Lab recheck where applicable. Adjustments to dosing, modality, or delivery method.
By this point most patients have a clear sense of what’s working. Focus shifts to maintenance and long-term plan.

Bioidentical estradiol and progesterone, prescribed appropriately and monitored, have a strong safety profile for most women. The Women’s Health Initiative findings have been substantially re-evaluated and the modern indication-based approach is well-supported. We discuss your specific risk profile in the first visit.
No — the opposite is more often true. Untreated estradiol decline is associated with abdominal weight gain and body composition changes. Properly dosed BHRT is generally weight-neutral or weight-favorable.
The practice operates out-of-network. We provide superbills you can submit to your insurance for partial reimbursement under your out-of-network benefits. We accept HSA/FSA cards.
Every initial consultation is conducted by Dr. Berman. Follow-ups may be conducted by Dr. Berman or a member of the clinical team based on the visit type, but Dr. Berman remains the supervising physician for every patient on the panel.
Sleep and vasomotor symptoms often improve within 2–4 weeks. Mood and energy at 4–8 weeks. Skin, libido, and body composition shift over 3–6 months. Dosing adjustments are normal at every check-in.