Posted in Menopause Holistic Health By MK
Why can't I sleep?
Posted by Michelle K Koch, MN:NP
on 9 March 2026
)
How are hormones affecting my sleep?
One of the most common complaints women have during perimenopause and menopause is poor sleep. Many women say they suddenly struggle to fall asleep, wake up frequently, or wake up at 3–4 AM and cannot get back to sleep. The main reason for this is hormonal changes.
During perimenopause, levels of estr...
| Posted in:Menopause Holistic Health By MK |
What to Expect at Your BHRT Appointment
Posted by Michelle K Koch, MN:NP
on 4 March 2026
)
What to Expect at Your BHRT Appointment
Bioidentical Hormone Replacement Therapy (BHRT) appointments are designed to understand your symptoms and create a personalized plan to help you feel your best. It is an enhanced traditional medical appointment which includes a holistic approach rather than simply giving you a diagnosis and tre...
| Posted in:Menopause Holistic Health By MK |
Menopause
Posted by Michelle K Koch, MN:NP
on 10 November 2022
)
Perimenopause and menopause can be a positive stage in life, but for some women that are experiencing physiologic symptoms, it can be a very challenging time.
Perimenopause/menopause can naturally begin as early as age 35. A woman is in menopause when she has not menstruated due to surgical removal of the ovaries, or due to the norma...
| Posted in:Menopause Holistic Health By MK |

