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Your Consultation at Fulcrum Aesthetics & Surgery

Your visit begins with a detailed discussion of your symptoms, medical history, lifestyle, and health goals. We evaluate how hormonal changes are affecting your body as a whole system, not just isolated concerns.

Midlife Wellness at Fulcrum Aesthetics

At Fulcrum Aesthetics, menopause and perimenopause care is guided by Lisa Hurley, MSN, FNP-BC, MSCP, a board-certified Family Nurse Practitioner and Certified Menopause Practitioner through The Menopause Society.

Her approach centers on education, individualized treatment planning, and evidence-based support for the physical, metabolic, and sexual health changes that occur during midlife.
As Lisa Hurley puts it, “You don’t need to be fixed. You need to be treated well.”

If hormonal shifts are affecting how you feel day to day, schedule your consultation to begin a plan built specifically for your body.

Consultations begin at $450 and include a comprehensive evaluation, symptom review, and individualized treatment planning, using your health insurance coverage for all prescriptions when applicable.

Lab testing is required before any prescription treatment and provides important clinical insight into your hormonal and metabolic profile. Based on your results, symptoms, and goals, Lisa Hurely, MSN, FNP-BC, MSCP will build a structured, personalized plan that may include hormone therapy, metabolic support, or sexual wellness treatments.

Care does not stop at diagnosis. Follow-up visits ensure your plan is continuously optimized as your body responds and changes over time.

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What Is Menopause & Perimenopause Treatment?

Menopause and perimenopause treatment is a personalized medical approach to managing the hormonal changes that occur as estrogen, progesterone, and other key hormones fluctuate and decline.

Care evaluates how these changes affect sleep, metabolism, mood, sexual health, and energy, then translates that into a structured, individualized plan.

Rather than relying on generalized recommendations, treatment is built around your physiology, symptoms, medical history, and goals.

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Benefits of Menopause & Perimenopause Treatment

  • Symptom relief: reduction in hot flashes, sleep disruption, mood changes, and fatigue
  • Hormonal support: targeted care for underlying hormonal shifts
  • Improved metabolism: better appetite regulation, insulin sensitivity, and body composition
  • Enhanced sexual wellness: improved comfort, circulation, and sensitivity
  • More consistent energy: fewer crashes and improved daily stamina
  • Cognitive clarity: improved focus, memory, and reduced brain fog
  • Long-term health support: support for bone, cardiovascular, and genitourinary health
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Treatment Approaches for Midlife Hormonal Health

Hormone Replacement Therapy

Hormone replacement therapy restores hormone levels that have declined or become imbalanced during perimenopause and menopause, helping stabilize how the body regulates energy, mood, sleep, metabolism, and sexual health. Treatment is guided by symptoms, lab findings, and medical history and may include estrogen, progesterone, testosterone, or thyroid support.

Estrogen Therapy

Estrogen therapy targets symptoms directly linked to declining estrogen levels, including hot flashes, vaginal dryness, and changes in skin, bone, and urinary health. Treatment is tailored to restore comfort and support tissue health under expert medical supervision. We offer estrogen patches, vaginal estrogen, oral estrogen, estrogen pellets, and injectable estrogen.

Progesterone Therapy

Progesterone therapy supports symptoms related to declining or fluctuating progesterone levels, including sleep disruption, anxiety, mood changes, and irregular cycles commonly seen during perimenopause and menopause.

Testosterone Therapy

Testosterone therapy supports symptoms related to declining androgen levels in women, including low libido, decreased energy, reduced muscle mass, brain fog, and diminished motivation that can occur during perimenopause and menopause. Treatment is tailored to restore optimal hormone levels, supporting sexual health, cognitive function, strength, and overall vitality under expert medical supervision. We offer topical gels, creams, injectable testosterone, and pellet therapy as part of an individualized treatment plan. Treatment is tailored to promote hormonal balance, improve sleep quality, and support overall nervous system regulation under expert medical supervision.

Additional Treatment Approaches for Midlife Hormonal Health

Medical Weight Management

Perimenopause and menopause reshape how the body regulates appetite, processes insulin, and stores fat. Medical weight management addresses these shifts directly, supporting sustainable fat loss and metabolic balance, including GLP-1 weight loss injections when appropriate.

Peptide Therapy

Peptide therapy uses targeted amino acid chains to support biological processes involved in energy, recovery, metabolism, and hormonal signaling. It may be used as part of a broader, individualized treatment plan.

Emsella® (Pelvic Floor Therapy)

Emsella® uses high-intensity electromagnetic energy to strengthen the pelvic floor, improving bladder control, core support, and sexual function without surgery or downtime.

O-Shot®

The O-Shot® uses platelet-rich plasma derived from your own blood to support tissue regeneration and improve blood flow, helping restore sensitivity, comfort, and sexual function. Lisa will prescribe this for you with our sexual health experts if indicated.

Clitoxin®

Clitoxin® uses targeted neuromodulator injections to relax surrounding muscle and improve circulation, supporting arousal, sensitivity, and overall sexual response in appropriately selected patients. Lisa will prescribe this for you with our sexual health experts if indicated.

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Am I a Good Candidate for Menopause & Perimenopause Treatment?

You may be a good candidate if you are experiencing fatigue, poor sleep, mood changes, skin laxity, hot flashes, vaginal dryness, decreased libido, weight gain, or changes in focus and energy.

Menopause and perimenopause do not follow a single pattern. Symptoms often present differently from one person to the next. A consultation allows your provider to evaluate your symptoms in context and determine the most appropriate path forward.

Lisa Hurley

Why Choose Fulcrum Aesthetics for Menopause & Perimenopause Treatment?

Fulcrum Aesthetics approaches menopause care with clinical clarity and a systems-based perspective. Lisa Hurley, MSN, FNP-BC, MSCP brings specialized menopause expertise and treats hormonal change as a whole-body process, not a collection of isolated symptoms. Care emphasizes education, thorough assessment, and treatment plans structured around both immediate concerns and long-term health.

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How Much Does It Cost?

Consultations begin at $450.

The cost of ongoing treatment depends on the therapies included in your personalized plan, lab testing, and follow-up care. Pricing is discussed transparently once your plan is defined to ensure it aligns with your needs and goals.

What to Expect During Menopause & Perimenopause Treatment

Treatment begins with a comprehensive evaluation and diagnostic testing when indicated to define your hormonal and metabolic profile.

Care is then structured into an individualized plan, with therapies delivered through prescriptions, injections, topical treatments, or in-office procedures.

Follow-up care ensures ongoing monitoring, response assessment, and treatment adjustments to maintain safe, effective, and sustainable results.

Menopause & Perimenopause Recovery and Results

Most treatments are non-surgical and fit easily into daily life with little to no downtime.

As care progresses, symptoms begin to stabilize, energy improves, and the body responds to treatment.

Ongoing follow-up allows for adjustments over time, keeping results consistent as your body continues to change.

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FAQs

Can perimenopause symptoms happen even if my periods are still regular?

Can menopause affect vaginal and urinary health?

Do all menopause patients need hormone therapy?

Can menopause contribute to inflammation or changes in body composition?

How often will my treatment plan need to be adjusted?

Are lab tests always required before starting treatment?

What if I have more than one concern at the same time?

Can perimenopause symptoms happen even if my periods are still regular?

Yes. Hormonal fluctuations can begin before cycles become irregular, so symptoms such as sleep disruption, mood changes, or hot flashes can occur even when periods are consistent.

Can menopause affect vaginal and urinary health?

Yes. Declining estrogen levels can contribute to vaginal dryness, irritation, discomfort with intimacy, urinary urgency, and recurrent urinary changes.

Do all menopause patients need hormone therapy?

No. Hormone therapy can be effective for many patients, but it is not appropriate for everyone. Treatment plans may include non-hormonal or supportive options depending on your needs and medical history.

Can menopause contribute to inflammation or changes in body composition?

Yes. Hormonal shifts influence how the body stores fat, responds to insulin, and regulates inflammation, which can impact weight and metabolic function.

How often will my treatment plan need to be adjusted?

Treatment is adjusted over time based on how your body responds. Follow-up care allows for ongoing evaluation and refinement.

Are lab tests always required before starting treatment?

Lab testing is required before any prescription treatment. These results provide important clinical context, but your symptoms, history, and overall health guide how your treatment plan is developed.

What if I have more than one concern at the same time?

Many patients experience a combination of sleep changes, mood symptoms, weight concerns, and sexual health issues. Care is designed to address these concerns together, rather than in isolation.

Feel More Like Yourself Again

Menopause and perimenopause mark a significant shift, but with the right evaluation and a structured plan, you can restore balance, improve function, and feel more like yourself again.

Schedule your consultation at fulcrumaesthetics.com to begin a plan aligned with your body and your life now. 

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