Menopause & Perimenopause Care:
Sequoia Medical 360

Precision Hormone & Longevity Medicine for Women in Westchester, NY

Menopause is a natural life transition — but for many women, it can feel anything but natural. Hot flashes, disrupted sleep, mood shifts, weight gain, and declining energy can take a toll on daily life and long-term health. At Sequoia Medical 360, we believe menopause should not mean a decline in vitality. With the right medical guidance, this chapter can be a powerful opportunity to optimize health, protect longevity, and thrive with renewed confidence.

Understanding Perimenopause & Menopause

Perimenopause typically begins in the 40s and is marked by fluctuating hormones, irregular cycles, and the first signs of menopausal symptoms.
Menopause is officially defined as 12 consecutive months without a menstrual cycle, typically occurring around age 51 in the U.S.

During this transition, levels of estrogen, progesterone, and sometimes testosterone shift dramatically. These changes impact not only reproductive health but also:

Metabolism & body composition (weight gain, loss of muscle mass).
Cardiovascular health (increased risk of heart disease and hypertension).
Bone health (accelerated bone loss, osteoporosis).
Brain & mood (memory, concentration, mood swings, depression, or anxiety).
Sleep & energy (insomnia, fatigue, reduced resilience).

Symptoms That Deserve Attention

While every woman’s experience is unique, common menopausal symptoms include:

Hot flashes & night sweats.
Mood changes & irritability.
Sleep disruption & fatigue.
Vaginal dryness & sexual discomfort.
Weight gain, especially around the midsection.
Decreased libido.
Brain fog or difficulty concentrating.

These symptoms are not something to simply “tough out.” At Sequoia, we view them as opportunities to intervene with evidence-based, precision medicine that restores quality of life and safeguards long-term health.

Advanced Diagnostic Approach

Our evaluation goes far beyond standard hormone checks. We use an integrated, longevity-focused lens to assess:

Hormonal Panels: Estrogen, progesterone, testosterone, DHEA, thyroid hormones, cortisol when indicated.
Cardiometabolic Risk Markers: Lipids (including ApoB, Lp(a)), hs-CRP, fasting insulin, and oral glucose tolerance testing.
Bone Density & Body Composition: DXA scans and InBody 770 analysis to track lean muscle, fat distribution, and bone health.
Sleep & Stress Assessment: Screening for sleep apnea, cortisol rhythm, and HRV insights from wearables.
Genetic & Lifestyle Risk Factors: Family history, medication review, and personalized risk stratification for cancer, heart disease, and osteoporosis.

This allows us to create a 360° view of your health, ensuring treatment is safe, individualized, and forward-looking.

Personalized Treatment Strategies

At Sequoia Medical 360, we offer a spectrum of therapies tailored to your profile and goals.

1. Bioidentical & Conventional Hormone Therapy
Estrogen & Progesterone: Customized regimens using FDA-approved bioidentical or conventional formulations to reduce hot flashes, improve sleep, protect bone health, and restore vitality.
Testosterone (when appropriate): Low-dose, carefully monitored therapy for libido, energy, and muscle mass.
Safety First: We thoroughly assess cancer, clotting, and cardiovascular risks before initiation and monitor closely for long-term safety.
2. Non-Hormonal Options

For women who cannot or prefer not to use hormone therapy, we offer:

Evidence-based non-hormonal medications for hot flashes and sleep.
Nutritional, lifestyle, and supplement protocols for symptom relief.
3. Lifestyle & Metabolic Optimization
Nutrition frameworks tailored to prevent midlife weight gain and improve insulin sensitivity.
Proactive osteoporosis prevention through nutrition, exercise, vitamin D optimization, and pharmacologic options when needed.

Long-Term Benefits of Optimized Menopause Care

Our approach is not just about symptom relief — it’s about future-proofing your health:

Reduced cardiovascular disease risk.
Stronger bones and lower fracture risk.
Healthier weight and body composition.
Enhanced cognitive clarity and mood stability.
Improved sleep quality and daily energy.
Renewed sexual health and confidence.

The Sequoia Medical 360 Advantage for Women in Westchester

Quadruple board-certified physician with dual fellowships in Endocrinology/Metabolism and Preventive Cardiology.
Direct Physician Counsel: Ample, scheduled exam time and streamlined communication to review results with the depth your physiology requires.
Integration of advanced diagnostics: InBody 770, DXA, CGM, advanced lipid and metabolic panels.
Truly holistic care: addressing not just hormones, but cardiometabolic, bone, brain, and sexual health.
Privacy and personalization: unhurried, discreet, and tailored to your goals.

Take Back Control of Menopause & Beyond

Menopause marks the end of fertility, not the end of vitality. With the right care, it can be the beginning of a new era of strength, clarity, and resilience.

Based in Bronxville, Sequoia Medical 360 proudly serves women across Westchester and all of New York via telehealth.

Meet Dr. Mathews
The Sequoia Standard
Request Enrollment
sqmed360.com
Located in Bronxville, serving Westchester & all of New York State.
(914) 292-0300
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