Menopause far beyond hot flashes: over 100 symptoms and integrated care

When people think of menopause, the first image is the hot flash. It is real and uncomfortable, but it is only one of more than 100 symptoms described in the menopausal transition and after it.

Menopause is not just hot flashes

Insomnia, anxiety, irritability, sadness without reason, brain fog, forgetfulness, low libido, vaginal dryness, pain during sex, recurrent urinary infections, joint pain, belly fat, muscle loss, thin skin, hair loss, palpitations and persistent fatigue are some of them.

Because many of these signs do not seem hormonal, women see several specialists, treat each symptom separately, and the common cause, falling estrogen, progesterone and testosterone, goes uninvestigated.

The risks of going without hormones

Estrogen supports bones, blood vessels, brain, skin, muscle and metabolism. Without follow up, its decline raises the risk of:

• Osteopenia, osteoporosis and fractures

• Cholesterol changes and cardiovascular risk

• Insulin resistance and visceral fat

• Loss of muscle mass and strength

• Genitourinary syndrome

• Effects on mood, sleep and memory

Later analyses and international medical societies now recognize that, for most symptomatic women starting in the right window with individual assessment, benefits tend to outweigh risks.

Personalized therapy, not just estrogen

Estrogen controls most symptoms, progesterone protects the endometrium and may help sleep, and testosterone may be considered when indicated. Non oral routes such as gel, patch or subcutaneous hormone pellets bypass the liver and carry a lower clotting risk than pills.

Omni Instituto 360° care

• **Dr. Colagrande** leads the integrative, hormonal and metabolic assessment and personalized therapy when indicated

• **Dr. Juliana Rossato Mendes** adjusts nutrition to reduce inflammation and protect muscle

• **Dr. Kristina Guimarães** cares for skin, collagen and firmness

• **Dr. Pablo Vieira** evaluates body contour when desired

Your first visit in 3 steps

• You share your full story, not just symptoms

• The team builds an integrated plan with clear priorities

• You leave with a defined next step and periodic reviews

Important: results vary from person to person and depend on individual medical assessment.

Book your assessment on WhatsApp +55 11 4791-2900.