Menopause and perimenopause bring profound hormonal changes that affect every system of the body. Symptoms like hot flashes, sleep disruption, weight gain, mood changes, and cognitive fog can significantly impact daily life. Yet despite decades of research showing the safety and benefits of hormone therapy for most women, many traditional medical providers avoid prescribing it. As longevity medicine continues to evolve, hormone therapy—especially bioidentical hormone replacement—is increasingly recognized as one of the most effective tools for improving both quality of life and long-term health.
At Elite Internal Medicine, Dr. Scott Clemens offers a thoughtful, evidence-based, and personalized approach to menopausal and perimenopausal hormone management for women throughout Westminster, Broomfield, Arvada, and surrounding communities.
Menopausal hormone therapy (MHT) refers to the use of estrogen, progesterone, and sometimes testosterone to restore hormone levels that naturally decline during perimenopause and menopause. These hormonal shifts can affect metabolism, bone density, genitourinary health, cardiovascular health, cancer risk, sleep, cognition, and emotional wellbeing.
Modern studies support what many longevity physicians advocate: hormone therapy is one of the most underutilized interventions in women’s health. The decline in hormone prescriptions over the last 20 years was largely driven by oversimplified interpretations of older research with synthetic hormones that are not regularly used today. Current, higher-quality evidence shows that:
For many women, these therapies can be life-changing, yet access remains limited due to provider hesitation, outdated guidelines, and the misconception that hormone therapy is inherently unsafe.
Effective hormone therapy requires a careful, personalized evaluation—something difficult to achieve in rushed, traditional primary care visits. Dr. Clemens begins with:
This detailed assessment helps determine whether hormone therapy is appropriate, which form of estrogen or progesterone is safest, and what individualized dosing strategy will provide meaningful long-term benefits.
For women in perimenopause, early hormonal changes can cause significant symptoms even before periods stop. Identifying these patterns early allows Dr. Clemens to tailor hormone support before symptoms escalate.
Menopausal and perimenopausal hormone therapy is never one-size-fits-all. Dr. Clemens uses bioidentical hormones—molecularly identical to the hormones produced by the body—to optimize safety, absorption, and symptom relief. Treatment may include:
In addition to hormone therapy, Dr. Clemens provides comprehensive lifestyle guidance:
This combination of medical therapy and lifestyle optimization creates the foundation for long-term wellbeing and healthy longevity.
“Menopause is not a disease—it’s a transition. With the right support, women can reduce the common symptoms of menopause while proactively preventing many health conditions that hit later in life.”
Because most traditional practices lack the time or expertise to manage menopausal hormone therapy properly, many women are left to seek help from alternative or “fringe” clinics. Concierge medicine changes that.
Dr. Clemens’ model allows for:
This level of attention ensures that hormone therapy is not only effective, but also safe, personalized, and grounded in the most current medical evidence.
If you’re experiencing symptoms of perimenopause or menopause—or if you’re simply curious about how hormone therapy can support long-term health—Elite Internal Medicine offers expert guidance grounded in science, personalization, and compassionate care.
Schedule a consultation with Dr. Clemens to explore whether hormone therapy is right for you.
