Perimenopause & Menopause Care in Westfield, NJ
Hormone and metabolic care from an endocrinologist, in person or by telehealth in NJ, NY & FL
EndoHealth MD offers perimenopause and menopause care led by Dr. Alessia Roehnelt, a double board-certified endocrinologist. Care includes a full hormone and metabolic evaluation, hormone therapy when appropriate, and a plan for weight, sleep, bone, and heart health.
Perimenopause is the transition before menopause, and it often begins in a woman's 40s. Menopause is reached after 12 months in a row without a period. Many women feel their worst during perimenopause, when hormone levels swing the most.
Schedule a consultation to find out which approach fits you.
Is This Right for You?
Common reasons patients come to us
You may be a good fit if you have hot flashes or night sweats, trouble sleeping, brain fog, mood changes, irregular periods, or weight that is shifting to your middle even though your habits have not changed.
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Many of our patients were told their labs are normal and nothing is wrong. We take the time to look at the whole picture.
How We Evaluate Your Hormones
Your symptoms matter as much as your labs
Care begins with a 60-minute consultation with Dr. Roehnelt. She reviews your symptoms, cycle history, medications, and family history. Hormone levels swing from day to day in perimenopause, so a single lab result does not tell the whole story.
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Testing is chosen for you and may include thyroid function, blood sugar and insulin, cholesterol, and a bone density scan when needed. An InBody scan measures your muscle and body fat.
Hormone Therapy and Other Options
Matched to your health history and your goals
Hormone therapy is the most effective treatment for hot flashes and night sweats. In October 2026, the American College of Physicians recommended estrogen as the first-line treatment for these symptoms: estrogen with a progestogen for women who have a uterus, and estrogen alone for women who do not. For most healthy women under 60, or within 10 years of menopause, the benefits outweigh the risks. It is not right for everyone, and Dr. Roehnelt reviews your personal risks before recommending it.
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Dr. Roehnelt prescribes bioidentical hormones. These are hormones with the same structure as the ones your body makes, such as estradiol and micronized progesterone. She uses FDA-approved versions whenever possible, and compounded options only when there is a medical reason, such as an allergy to an ingredient or a dose that isn't available otherwise. "Bioidentical" does not mean risk-free, so the same careful review of your health history applies.
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Source: American College of Physicians, Clinical Guideline on Menopausal Vasomotor Symptoms (2026); The Menopause Society, 2022 Hormone Therapy Position Statement.
Weight and Metabolism in Midlife
Why your body is changing
During the menopause transition, fat mass rises and muscle declines, and fat is stored more around the middle. Your shape, metabolism, and insulin sensitivity can change even when the scale moves slowly.
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We track body composition over time and build a plan around strength training, protein, and sleep. When appropriate, this includes GLP-1 medications.
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Source: Greendale et al., JCI Insight (2019).
Common Questions
Short answers to what patients ask most
What is the difference between perimenopause and menopause? Perimenopause is the transition, when hormones swing and symptoms begin. Menopause is confirmed after 12 months without a period.
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Can I be in perimenopause if I still get my period? Yes. Most women in perimenopause still have periods, though they may become irregular.
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Can I take hormone therapy and a GLP-1 together? Often, yes. Dr. Roehnelt reviews both as part of one plan.
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Can I do this by telehealth? Yes. Dr. Roehnelt sees patients virtually in New Jersey, New York, and Florida.
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Do you prescribe bioidentical hormones? Yes. Dr. Roehnelt prescribes FDA-approved bioidentical estradiol and progesterone, and compounded options when medically appropriate.
Location & Telehealth
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In-person Care: 189 Elm Street, Lower Level, Westfield, NJ 973-559-2933
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Virtual Care: NJ, NY, and FL
Insurance & Medicare Notice
EndoHealth MD is a direct-pay practice and does not bill insurance.
We provide superbills you may submit for possible out-of-network reimbursement.
Dr. Roehnelt has opted out of Medicare; services cannot be submitted to Medicare for reimbursement.