Women's health through midlife
Menopause & Hormone Care in Westlake Village
Medical care for perimenopause and menopause, with treatment tailored to your health and goals.
Menopause is not a single moment, and the experience is different for every woman.
Changes can begin years before your final menstrual period and may affect sleep, mood, cycles, sexual health, and well-being. At Trillium Medical Group, women's medical care through midlife starts by listening, considering your full health history, and discussing options based on your needs and goals. Hormone therapy is one possible option when clinically appropriate.
Are hormonal changes affecting how you feel?
For some women, the transition is straightforward. For others, symptoms affect work, relationships, sleep, exercise, intimacy, and daily life. You may be wondering:
- Are these symptoms related to perimenopause?
- Why are my periods changing?
- Why am I waking up at night?
- Could hormones be affecting my mood?
- Why has sex become uncomfortable?
- Is hormone therapy an option for me?
- What can I do to protect my health as I get older?
These are appropriate questions to discuss with your healthcare provider.
Understanding perimenopause
Perimenopause is the transition leading up to menopause. Hormonal changes can affect menstrual cycles and cause symptoms that vary from person to person. An evaluation can help determine whether symptoms may be associated with this transition or whether another medical issue should also be considered.
Menopause symptoms
Symptoms associated with perimenopause and menopause can include:
- Hot flashes and night sweats
- Changes in menstrual cycles
- Sleep difficulties
- Vaginal dryness or discomfort
- Changes in sexual function
- Mood changes
- Difficulty concentrating
- Changes in energy, weight, or body composition
Having one or more of these symptoms does not necessarily mean menopause is the cause. Your clinician can evaluate them in the context of your age, medical history, medications, menstrual history, and overall health.
A personalized approach to menopause care
There is no single treatment that is right for everyone. Your visit begins with understanding what you are experiencing and what matters most to you. Depending on your circumstances, your clinician may discuss:
- Lifestyle considerations
- Treatment of specific symptoms
- Non-hormonal treatment options
- Menopausal hormone therapy
- Vaginal or genitourinary treatments
- Sexual health concerns
- Bone and cardiovascular health
- Weight and metabolic health
Recommendations should reflect your symptoms, health history, risk factors, preferences, and goals.
Hormone therapy
Hormone therapy can help treat certain menopausal symptoms in appropriately selected patients. The decision is individual, and it is not the right choice for everyone.
A consultation gives you space to discuss which symptoms you want to treat, possible benefits and risks, what type of therapy might be considered, whether there are reasons to avoid it, and what alternatives are available.
Your clinician can help you understand the options and participate in a decision that fits your circumstances.
What happens at a menopause consultation?
Your visit looks at the complete picture rather than one symptom. Your clinician may discuss:
- Current symptoms and menstrual history
- Personal and family medical history
- Medications, supplements, and previous hormone use
- Sleep, mood, sexual and vaginal health
- Nutrition, activity, and metabolic health
- Relevant preventive screenings
Additional evaluation or testing may be recommended when it would help clarify what is changing or whether another condition needs consideration.
Women's medical care through midlife
The transition is also a time to consider broader health needs, including bone, cardiovascular and breast health; cervical screening; metabolic health; sleep; sexual health; and emotional well-being. Trillium connects OB/GYN care with primary care so these concerns can be discussed in context. When weight changes are a concern, medical weight management can be part of that conversation.
Menopause and weight changes
Changes in weight or body composition around midlife can have many influences, including aging, activity, sleep, nutrition, medications, medical conditions, and hormonal changes. Your clinician can evaluate the broader picture rather than assuming hormones are the sole cause.
Explore medical weight managementSexual and vaginal health after menopause
Changes around menopause can affect vaginal and urinary tissues. Dryness, irritation, and discomfort during sex are appropriate concerns to bring to your clinician. Treatment options vary with your symptoms and health history.
Ask whether a telehealth follow-up visit is appropriate for your menopause or hormone-care questions.

Meet your women's health provider
Troy C. Williams, MD, FACOG
Dr. Williams is a board-certified obstetrician and gynecologist at Trillium Medical Group in Westlake Village.
Meet Dr. WilliamsFrequently asked questions about menopause and hormone care
What is the difference between perimenopause and menopause?
Perimenopause is the transition leading up to menopause. Menopause is generally identified after 12 consecutive months without a menstrual period when there is no other explanation.
How do I know if I am in perimenopause?
Cycle changes, hot flashes, or night sweats may occur, but symptoms alone do not always establish the cause. Your clinician can review your history and other factors.
Do I need hormone testing?
Testing is not useful or necessary in every situation. Whether it helps depends on your age, symptoms, menstrual history, medical circumstances, and the question being evaluated.
Is hormone therapy safe?
Benefits and risks differ among patients. Age, timing, symptoms, medical history, and the type and route of treatment can affect the discussion. Your clinician can help evaluate options with you.
Does everyone need hormone therapy?
No. Some people do not need treatment, while others choose care for symptoms affecting their quality of life. Hormonal and non-hormonal options may be considered.
Can hormone therapy help with weight loss?
Hormone therapy is not a weight-loss treatment. Midlife weight changes can have several causes. If weight is a concern, we can evaluate it as part of your broader health. Explore medical weight management.
When should I make an appointment?
Consider a visit when symptoms concern you, affect daily life, or raise questions about your health. You do not need to wait until symptoms are severe.
Menopause care in Westlake Village
Trillium Medical Group1240 South Westlake Boulevard, Suite 137
Westlake Village, CA 91361
(818) 597-9300
You do not have to figure it out alone
A conversation can help you understand what may be happening and which options are available.
