Menopause Specialist

Danielle Lewis, NMD -  - Fertility Specialist

Harmony Integrative Healthcare

Danielle Lewis, NMD

Fertility Specialist & Women's Health Specialist located in Midtown, Phoenix, AZ

Menopause is a natural part of a woman’s aging process and marks the end of her childbearing years. Unfortunately, the hormonal changes that occur before and during menopause may affect your physical and emotional well-being. At Harmony Integrative Healthcare in Midtown Phoenix, Arizona, Danielle Lewis, ND, specializes in women’s health. For menopause, she offers customized natural hormone replacement options to restore balance and improve health. Call the office or schedule an appointment online today. Telemedicine appointments are available.

Menopause Q&A

What is menopause?

Women officially reach menopause when they go 12 months in a row without their period. 

Though menopause has a well-defined start date, the life change occurs in stages: perimenopause, menopause, and postmenopause.


Before you reach menopause, you go through a transitional period known as perimenopause. During this time, your sex hormone levels fluctuate.  

Your ovaries produce and release estrogen and progesterone, which are the hormones that regulate ovulation (when your ovaries release an egg) and your menstrual cycle. In your late 30s or early 40s, the production of these hormones declines. 

These hormonal changes may cause an irregular period, and many of the symptoms women associate with menopause, like hot flashes and mood changes. 


During menopause, you no longer ovulate, and your ovaries produce very little estrogen.  


After menopause, you enter the postmenopause stage, which is when you go an entire year without your period. During this stage, many of your menopause symptoms may go away. 

What are the symptoms of menopause?

Menopause symptoms vary from woman to woman in both type and severity. However, these symptoms may occur up to 10 years before you officially hit menopause. 

Common symptoms of menopause include:

  • Hot flashes and night sweats
  • Vaginal dryness
  • Urinary urgency
  • Insomnia
  • Mild depression
  • Irritability
  • Mood changes
  • Weight gain
  • Dry skin
  • Low libido
  • Aches and pains

The hormonal changes that occur with menopause also affect bone health, increasing your risk of developing osteoporosis. 

What happens during a menopause evaluation?

When you visit Harmony Integrative Healthcare for help managing your menopause, you can expect a patient-focused evaluation. Dr. Lewis aims to fully understand your health concerns and needs so she can design the most effective treatment plan.

During your visit, she reviews your gynecological and medical history, diet and exercise habits, daily routine and stressors, and performs a physical. She also runs lab work, checking your blood or urine to assess your hormone levels.

How is menopause treated?

Dr. Lewis customizes your menopause treatment plan based on your symptoms and the results of your lab work. She uses bioidentical hormone replacement therapy to restore hormone balance, ease menopause symptoms, and improve overall health.

Bioidentical hormones are a natural hormone replacement option. Dr. Lewis uses a compounding pharmacy that customizes your hormone replacement therapy to match your hormonal needs. She may provide your therapy as a pill, cream, injection, or pellet.

In addition to hormone replacement therapy, Dr. Lewis may also recommend acupuncture, nutritional supplements, and lifestyle changes to help you manage menopause.

For a holistic approach to menopause, call Harmony Integrative Healthcare, or schedule an appointment online today.