Budget Family Clinic is now Supra Family and Wellness Clinic — same trusted provider, expanded vision.
Perimenopause & menopause care in Spring, Texas

You don’t have to feel unlike yourself.

Hot flashes, night sweats, poor sleep, brain fog, mood changes, vaginal dryness, low libido, and changing periods can disrupt your day. Start with a thoughtful medical evaluation and a plan built around your health—not a one-size-fits-all hormone package.

Woman feeling confident and supported during midlife
Individualized care for the menopause transition
A direct answer

What is perimenopause—and could it explain how you feel?

Perimenopause is the transition before menopause. Hormone patterns and periods can fluctuate, and symptoms may begin years before the final menstrual period. Because thyroid problems, anemia, medication effects, sleep disorders, mood conditions, and other health concerns can feel similar, a clinical evaluation matters.

You may be here because…

Your symptoms are real, even when they are hard to explain.

01

You wake up hot or drenched

Hot flashes and night sweats can interfere with sleep, energy, and concentration.

02

Your brain feels foggy

Forgetfulness and difficulty focusing can feel unsettling and affect work or home life.

03

Your mood feels less predictable

Irritability, anxiety, low mood, or feeling unlike yourself deserve careful evaluation.

04

Intimacy has changed

Dryness, discomfort, urinary symptoms, or lower desire are common—and treatable concerns.

05

Your periods are changing

Cycles may become closer together, farther apart, heavier, or less predictable during the transition.

06

You are exhausted despite trying

Poor sleep can compound fatigue, appetite changes, stress, and metabolic concerns.

Gertrude Asena consulting with a patient at Supra Family and Wellness Clinic
Your consultation

We look beyond a single lab number.

Your visit begins with your symptoms, menstrual and bleeding history, medications, sleep, mood, sexual and urinary health, pregnancy possibility when relevant, and personal and family risks.

  • Review what has changed and what matters most to you
  • Consider other medical causes when appropriate
  • Order targeted testing only when it can inform care
  • Discuss benefits, risks, alternatives, and follow-up
Treatment options

A plan that fits your symptoms and medical history.

No single treatment is right for every patient. Your plan may include one or more of these approaches.

Lifestyle and sleep support

Practical changes can support sleep, hot-flash triggers, movement, nutrition, stress, and bone and heart health.

Nonhormonal prescriptions

Selected medications may help certain hot flashes, sleep, mood, or other symptoms when clinically appropriate.

Menopausal hormone therapy

Systemic estrogen—with a progestogen when needed—may be considered after individualized benefit-risk review.

Vaginal and urinary care

Local therapy, moisturizers, lubricants, pelvic-health support, or further evaluation may help specific concerns.

Safety first

Hormone therapy is a medical decision—not a wellness shortcut.

Tell us about unexplained vaginal bleeding, prior blood clots, stroke, heart disease, liver disease, breast or uterine cancer, migraines, pregnancy possibility, and every medication or supplement. New severe chest pain, shortness of breath, one-sided weakness, or very heavy bleeding needs urgent or emergency evaluation.

Menopause care FAQ

Clear answers before your visit.

What is perimenopause?

Perimenopause is the transition leading up to menopause. Hormone patterns can fluctuate for years, so periods and symptoms may change before menstrual cycles stop.

What are common signs of perimenopause or menopause?

Hot flashes, night sweats, disrupted sleep, mood changes, brain fog, vaginal dryness, urinary symptoms, lower libido, and changes in menstrual bleeding are common—but other conditions can cause similar concerns.

Do I need hormone testing?

Not always. Your history, symptoms, age, menstrual pattern, medications, and health risks often provide the most useful starting point. Targeted tests may be ordered when they can clarify another possible cause or change treatment.

Is hormone therapy right for everyone?

No. Benefits and risks depend on your symptoms, age, time since menopause, personal and family history, uterus status, and other factors. Treatment is prescribed only after an individualized evaluation.

Are there nonhormonal options?

Yes. Depending on the concern, options may include lifestyle support, nonhormonal prescription medication, sleep or mood treatment, vaginal moisturizers and lubricants, or treatment of another contributing condition.

Can you help with vaginal dryness or painful intimacy?

Yes. These concerns are common and deserve respectful care. We can discuss moisturizers, lubricants, local prescription therapy, systemic options, and whether another evaluation is needed.

How soon will I feel better?

Timing varies by symptom and treatment. Follow-up is used to review response, side effects, bleeding changes, and whether your plan should be adjusted.

Menopause care near you

Feel heard. Understand your options. Leave with a plan.

Visit Supra Family and Wellness Clinic at 25422 Aldine Westfield Road, Spring, TX 77373. We welcome patients from Spring, The Woodlands, Humble, Tomball, Conroe, Cypress, and North Houston.

Individual evaluation is required. Treatment suitability, benefits, risks, and response vary. Medical content reviewed September 2026.
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