Menopause & perimenopause care · Fort Worth, Texas
Hot flashes, broken sleep, mood swings, brain fog, weight that won't budge — the menopause transition can upend how you feel for years. You don't have to white-knuckle through it. Our physician-led team looks at what's actually happening with your symptoms and your labs, then builds a personalized plan — from lifestyle strategies to physician-supervised hormone replacement therapy.
What it is
Menopause is the point at which you've gone 12 consecutive months without a period — but the symptoms usually begin long before, during the years-long transition called perimenopause. As estrogen and progesterone decline and fluctuate, the effects ripple across sleep, mood, metabolism, bone health, and intimacy.
The good news: most menopause symptoms are treatable. The key is an accurate picture of what's happening. At Highland Longevity we confirm the diagnosis with your history and comprehensive labs, rule out other causes such as thyroid dysfunction, and then match treatment to you — whether that's lifestyle changes, non-hormonal options, or individualized hormone therapy.
If you're still cycling but noticing changes, our guide to the 34 symptoms of perimenopause is a helpful place to start recognizing what you're experiencing.
Common symptoms
Symptoms can begin years before your last period and affect nearly every part of daily life. Several of these together are worth an evaluation.
The Highland difference
Menopause deserves more than a five-minute appointment and a brush-off. Here's what sets our physician-led approach apart.
01
We take your symptoms seriously and give you the time to talk through them — no dismissing menopause as "just part of aging."
Highland Longevity’s medical director, Dr. Joshua Lindsley, DO, DABOM, leads our clinical team.
02
We look beyond estrogen — thyroid, metabolic, and bone-health markers — to confirm the diagnosis and rule out other causes.
Labs, DEXA, VO₂max and resting metabolic rate testing all happen in our Fort Worth clinic, so your plan starts from your own numbers and we can re-test on a schedule as things change.
03
Hormonal or non-hormonal, your plan is built around your symptoms, history, and preferences — and adjusted based on your response.
Our team includes a physical therapist and personal trainers who work with you in person or virtually, so movement and strength can be part of your plan alongside your medical care.
04
Begin in person for diagnostics, then continue with convenient telehealth follow-ups across Texas.
05
Costs are reviewed at your consultation, so you can make an informed decision before you start.
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In the Alliance corridor at 4801 Golden Triangle Blvd, serving Keller, Southlake, Roanoke, Trophy Club, Westlake, and the DFW Metroplex.
How we evaluate
Menopause is a clinical diagnosis, but the right labs confirm the picture, rule out look-alike conditions, and set a baseline before any treatment.
Estradiol (E2) · FSH & LH · Progesterone · Total & Free Testosterone
TSH · Free T3 & Free T4 · Thyroid Antibodies
Fasting Insulin & HbA1c · Lipid Panel · hs-CRP · Vitamin D
DEXA bone density · Body composition · CBC & metabolic panel · Ferritin & B12
Validated symptom history · Menstrual pattern review · Personal & family risk factors · Goals and preferences
6-week symptom check · 8-12 week labs · Quarterly monitoring · Annual comprehensive review
Treatment options
Treatment is individualized to your symptoms, health history, and preferences. Some women do best with hormone therapy; others prefer non-hormonal strategies. We help you choose.
Hormone therapy
Physician-supervised, individualized bioidentical hormone therapy for appropriate candidates — the most effective option for many menopausal symptoms.
Without hormones
For women who prefer to avoid hormones or have contraindications, evidence-informed non-hormonal and lifestyle strategies can meaningfully reduce symptoms.
The bigger picture
Menopause affects metabolism, bone, and heart health. We address the bigger picture, with referrals to related services evaluated independently.
What to expect
A clear path from first conversation to a personalized, physician-monitored plan.
We listen to your symptoms, history, and goals, and answer your questions — no pressure, no rushing.
We order the labs that confirm what's happening and rule out other causes, so the plan is based on data — not assumptions.
Your clinician reviews your results with you and designs a plan — hormone therapy, non-hormonal options, or both — matched to your symptoms and preferences.
We check in at 6 weeks and re-test labs at 8-12 weeks, then monitor over time and fine-tune as your needs change.
Relief & safety
When menopause symptoms are properly evaluated and treated, the difference shows up across your day. Results vary by individual.
Questions
Common questions about menopause, perimenopause, and treatment at Highland Longevity in Fort Worth. Something we didn’t cover? Call (214) 444-9796.
Perimenopause is the transition leading up to menopause, when hormone levels fluctuate and symptoms like irregular periods, hot flashes, and sleep changes often begin — frequently in the early-to-mid 40s, sometimes sooner. Menopause is the point when you've gone 12 consecutive months without a period, after which estrogen and progesterone remain low. Symptoms can occur in both phases and are very treatable.
The average age of menopause is around 51, but perimenopausal symptoms commonly begin years earlier. Menopause before age 40 is considered early (premature) and is worth a medical evaluation. Because timing and symptoms vary widely, care should be individualized rather than based on age alone.
Yes — if symptoms are affecting your sleep, mood, work, relationships, or quality of life, an evaluation is worthwhile. You don't have to simply endure them. A physician can confirm what's happening with your history and labs, rule out other causes (such as thyroid issues), and discuss treatment options tailored to you.
Menopause is primarily a clinical diagnosis based on your age, symptoms, and menstrual history. At Highland Longevity we also run comprehensive labs — estradiol, FSH, thyroid, and metabolic markers — to confirm the picture, rule out other contributors, and establish a baseline before any treatment.
Options range from lifestyle and non-hormonal approaches to physician-supervised hormone replacement therapy (HRT). The right choice depends on your symptoms, health history, and preferences. Many women find significant relief with individualized bioidentical hormone therapy; others prefer non-hormonal strategies. We review the full picture and help you decide.
For many women, modern hormone therapy is considered safe and effective when properly prescribed and monitored — particularly when started within about 10 years of menopause. Safety depends on your individual health history, which is why we evaluate risk factors and individualize every protocol rather than using a one-size-fits-all approach.
Hormonal shifts during menopause are commonly associated with changes in body composition, especially around the midsection, alongside changes in metabolism and activity. Hormone therapy is prescribed to treat menopausal symptoms, not as a weight-loss treatment. Weight is best addressed through nutrition, activity, sleep, and evaluation of any underlying medical conditions.
Yes. Highland Longevity offers telehealth visits for patients across Texas. After your initial labs and evaluation, many follow-up visits can be done virtually, with periodic in-person visits for comprehensive review.
Highland Longevity · Fort Worth, Texas
Start with a free, 30-minute, in-person consultation with a Highland provider to discuss your goals, available services and next steps. This introductory visit is separate from medical evaluation and treatment.
Book a free introductory consultationMonday–Friday, 8 a.m.–5 p.m.
First and second Saturdays, 10 a.m.–2 p.m.; other Saturdays closed.
Keep reading
Hormone care near you: Southlake · Keller · Colleyville · Westlake · Trophy Club · Roanoke · Haslet
Start with a conversation
Book a consultation with a Fort Worth menopause doctor and find out what's actually happening — and what can help. No pressure, just answers.
Medical disclaimer. The information on this page is for educational purposes and is not medical advice. It does not establish a physician-patient relationship and is not intended to diagnose, treat, cure, or prevent any disease. All treatments at Highland Longevity are provided under the supervision of a licensed physician. Individual results vary. Please consult a qualified healthcare provider to determine whether a given therapy is appropriate for your individual health status.
This page is for general educational purposes and is not medical advice. Diagnosis and treatment decisions are made on an individual basis after evaluation. Individual results vary.