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Perimenopause & Menopause Care

Physician-Led Perimenopause and Menopause Care

Changes in your cycle, sleep, energy, mood, weight, and overall health deserve more than a one-size-fits-all answer. Doctor Hudson provides personalized midlife care that considers your symptoms, medical history, lifestyle, and metabolic health together.
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Double board-certified

Obesity Medicine & PM&R

Since 2007

Helping patients transform their health

8 states + D.C.

Telehealth and mobile visit availability

Flexible Visit Options

Office, telehealth, and mobile appointments.

Who This Is For

You’re Not Imagining It

Something has changed. Your periods may be less predictable, sleep may feel lighter, or your energy, mood, concentration, and weight may not respond the way they once did. Even when initial testing appears normal, the symptoms affecting your daily life are still worth discussing.Perimenopause and menopause can look different from one person to another. Capital Healing provides space to understand what has changed, consider whether something else may be contributing, and determine which next steps make sense for you.

This care may be appropriate if you are experiencing:

  • Irregular, heavier, lighter, or changing periods
  • Hot flashes or night sweats
  • Difficulty falling asleep or staying asleep
  • Fatigue or lower energy
  • Mood changes, irritability, or feeling unlike yourself
  • Brain fog or difficulty concentrating
  • Weight gain or changes in body composition
  • Emerging blood sugar, blood pressure, or cholesterol concerns
  • Uncertainty about whether your symptoms are related to menopause
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Perimenopause and Menopause

Perimenopause Can Begin Before Your Periods Stop

Perimenopause is the transition leading up to menopause. During this time, changing hormone patterns may affect menstrual cycles and contribute to symptoms involving sleep, temperature regulation, mood, concentration, energy, and other areas of health.

Perimenopause

This transition can begin years before the final menstrual period. Periods may still occur regularly at first, and symptoms can change over time.

Menopause

Menopause is confirmed after 12 consecutive months without a menstrual period when there is no other medical explanation.

Postmenopause

Postmenopause refers to the years after menopause. Some symptoms improve, while others may continue or require ongoing attention.

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What’s Included

Care Built Around Your Symptoms and Health

Every plan begins with your experience—not a preset protocol. Doctor Hudson considers your symptoms, health history, lifestyle, priorities, and relevant medical findings when developing recommendations.

A Full Evaluation and Time to Be Heard

Your symptoms, menstrual history, medical history, medications, lifestyle, and previous testing are reviewed together. Additional evaluation may be recommended when another condition could be contributing.

Symptom and Lifestyle Support

Your plan may address sleep, nutrition, physical activity, stress, weight, and other factors affecting how you feel and function during midlife.

Treatment Options and Ongoing Care

When medical treatment is appropriate, Doctor Hudson will discuss suitable options, potential benefits and risks, and monitoring needs. Follow-up visits allow the plan to be adjusted as your symptoms and health change.
A Complete Evaluation

Looking Beyond a Single Symptom or Lab Result

Perimenopause and menopause are not experienced the same way by everyone. Your evaluation brings together what you are feeling, what has changed, and what may be influencing your symptoms.

1. Your Symptoms and Timeline

Doctor Hudson will discuss your menstrual patterns, when your symptoms began, how they have changed, and how they are affecting your daily life.

2. Your Complete Health Picture

Your evaluation may include your personal and family medical history, current medications, sleep, stress, nutrition, physical activity, weight changes, existing conditions, and relevant laboratory results.

3. Your Needs and Priorities

You will have time to discuss your concerns, goals, treatment preferences, and questions. Doctor Hudson will use this information to recommend appropriate next steps, additional evaluation, or coordination with another healthcare provider when needed.

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Beyond Menopause Symptoms

Midlife Changes Can Affect Metabolic Health, Too

Perimenopause and menopause occur during a stage of life when changes in hormones, sleep, stress, activity, muscle mass, and daily routines may also affect weight and metabolic health.

Doctor Hudson looks beyond the menstrual cycle to consider concerns such as:

  • Weight gain or changes in where weight is carried
  • Loss of muscle or changes in body composition
  • Increasing blood pressure
  • Changes in blood sugar or A1C
  • High cholesterol or triglycerides
  • Fatigue that makes regular activity more difficult
  • Sleep problems that affect appetite, energy, and daily functioning

When appropriate, your care may connect with Capital Healing’s medical weight loss program or cardiometabolic health care. The goal is to support how you feel now while also paying attention to your long-term health.

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Flexible Care Options

Care That Meets You Where You Are

Office appointments are available in Durham, North Carolina. Eligible patients may also receive care through telehealth while physically located in one of Doctor Hudson’s licensed jurisdictions. Mobile in-person visits may be available depending on location and scheduling. Review the complete Areas Served information before scheduling.

Blue Cross Blue Shield of NC
Brighton Health
Aetna / North Carolina State Health Plan
Traditional Medicare Plans
Self-pay is available throughout all licensed areas. Outside North Carolina, patients may use traditional Medicare or self-pay; Medicare Advantage plans are not currently accepted for out-of-state care. Coverage should be confirmed before scheduling because medications, laboratory testing, and certain services may not be included. Current appointment and membership costs are available on the Pricing page.
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Getting Started

Personalized Care From the First Conversation Forward

Capital Healing does not begin with a preset program. Your care starts with understanding what you are experiencing and what you want help addressing.

1. Schedule Your Appointment

Tell us where you are located, what concerns you would like to discuss, and whether you are interested in an office, telehealth, or mobile visit.

2. Meet With Doctor Hudson

Your first appointment includes a comprehensive review of your symptoms, health history, medications, lifestyle, and previous testing. A physical examination or additional testing may be recommended when appropriate.

3. Begin Your Personalized Plan

Doctor Hudson will explain her findings and recommend next steps based on your needs. Follow-up visits provide an opportunity to monitor your symptoms, review progress, and adjust your care.
Frequently Asked Questions

Perimenopause and Menopause Questions, Answered

No. Perimenopause begins before menopause, and periods may continue throughout the transition. Early changes can be subtle, including shorter or longer cycles, different bleeding patterns, sleep problems, hot flashes, mood changes, or other symptoms.
Perimenopause is generally evaluated using your age, symptoms, menstrual history, medical history, and overall health. Because hormone levels can fluctuate during the transition, one laboratory result may not provide a complete answer. Testing may be recommended when Doctor Hudson needs to evaluate another possible cause of your symptoms.
Symptoms may include changing periods, hot flashes, night sweats, sleep disruption, fatigue, mood changes, brain fog, vaginal or urinary changes, and changes in weight or body composition. Experiences vary, and not everyone develops the same symptoms or needs treatment.
Yes. Capital Healing provides focused support for midlife symptoms, weight, and metabolic health but does not replace routine primary or gynecologic care. Doctor Hudson can work alongside your existing healthcare providers and recommend additional evaluation when needed.
No. Recommendations depend on your symptoms, health history, preferences, and medical needs. Your plan may include lifestyle changes, sleep and stress support, nutrition, physical activity, symptom-management strategies, medical treatment when appropriate, or a combination of approaches.
Telehealth is available while you are physically located in Alabama, Connecticut, Florida, Georgia, Illinois, Maryland, North Carolina, Ohio, or Washington, D.C. Office appointments are available in Durham, and mobile visits may be available depending on location and scheduling.