Why This Transition Deserves More Than "It's Just Aging"
Perimenopause can start years before your period actually stops, and symptoms are often dismissed as stress, aging, or something to just wait out. Standard labs often miss the full picture of what's happening hormonally during this transition.
Dr. Savaya takes a comprehensive approach that considers your symptoms, cycle changes, health history, and hormone testing when appropriate. Because hormone levels can fluctuate significantly during perimenopause, lab results are interpreted alongside how you’re actually feeling rather than in isolation. From there, she builds a personalized plan that may include BHRT, botanical support, nutrition, or lifestyle strategies to help you feel your best through this transition.
Services Included — Perimenopause & Menopause
Perimenopause Support
Identifying and addressing hormonal shifts in the years leading up to menopause.
Menopause Support
Personalized care for symptoms after your final period, tailored to your specific pattern.
Bioidentical Hormone Replacement Therapy (BHRT) (Arizona patients only)
Precisely dosed, monitored hormone therapy to restore balance during this transition.
Menopausal Symptom Management
Targeted support for hot flashes, night sweats, sleep disruption, and mood changes.
Osteoporosis Prevention & Support
Protecting bone health during and after the menopausal transition.
Is This Right For You?
You may benefit from working with Dr. Savaya if you are:
01
Noticing new sleep disruption, mood changes, or hot flashes and wondering if it's perimenopause
02
Already in menopause and want more support than "this is just part of it"
03
Curious whether BHRT is right for you and want an honest conversation about it
04
Concerned about bone health as you move through this transition
05
Wanting a plan personalized to your hormone levels, not a generic protocol
06
Looking for a provider who takes this stage of life seriously
Common Signs
Hot Flashes & Night Sweats
Sudden heat and sweating that disrupts your day or your sleep
Cycle Changes
Periods becoming irregular, heavier, lighter, or unpredictable.
Sleep Disruption
Trouble falling or staying asleep tied to hormonal shifts.
Vaginal Dryness or Discomfort
Changes in comfort that affect daily life and intimacy.
Mood & Cognitive Changes
Irritability, anxiety, or brain fog that feels different from before.
Bone Density Concerns
Increased risk of bone loss as estrogen levels decline.
Perimenopause & Menopause Care in Arizona
As a licensed naturopathic physician in Arizona, Dr. Savaya offers bioidentical hormone replacement therapy alongside comprehensive hormone testing and natural therapies, precisely dosed and monitored to match your body's response. Arizona patients can be seen in person or through telemedicine.
Perimenopause & Menopause Support in Michigan
Michigan clients receive naturopathic consultations focused on nutrition, botanical support, and lifestyle strategies to manage perimenopause and menopause symptoms naturally. Dr. Savaya coordinates with your OB/GYN when hormone therapy or additional testing is needed. Available in person in Rochester or virtually statewide.
Dr. Savaya's Method
Personalized Hormone Care for This Stage of Life
Deep Listening
Your first visit is 90 minutes. Dr. Savaya reviews your cycle history, symptoms, and goals to understand exactly where you are in this transition.
What to Expect
Your first consultation is a comprehensive 90-minute visit. Dr. Savaya reviews your symptoms, cycle history, and health goals, then typically recommends comprehensive hormone testing to understand your specific pattern. From there, she builds a personalized plan, which may include BHRT for Arizona patients, botanical support, or lifestyle strategies.
Frequently Asked Questions
Is BHRT available in Michigan?
No. Bioidentical hormone replacement therapy is available exclusively for Arizona patients, in accordance with state licensing regulations. Michigan clients receive naturopathic support focused on nutrition, botanicals, and lifestyle strategies.
Is BHRT safe?
When prescribed and monitored by a licensed naturopathic physician, BHRT is tailored to your individual hormone levels and adjusted based on your body's response. Dr. Savaya reviews the risks and benefits with you before starting any treatment.
How do I know if I'm in perimenopause?
Perimenopause can begin years before your period stops and may cause changes in your cycle, sleep, mood, temperature regulation, and other symptoms. Because hormone levels can fluctuate significantly during this transition, Dr. Savaya looks at your symptoms, cycle patterns, health history, and laboratory testing when appropriate to understand the bigger picture.
Can Dr. Savaya help with bone health during menopause?
Yes. Osteoporosis prevention is part of menopausal care, including testing, nutrition, and lifestyle strategies to protect bone density as estrogen levels decline.
Do you offer virtual appointments?
Yes. Arizona patients can be seen via telemedicine statewide. Michigan clients can be seen in person in Rochester or virtually throughout the state.
Contact Us
Interested in working with Dr. Savaya? Please complete the form below, and we'll be in touch soon!
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