Menopause is not a disease. It's a normal, predictable phase of life — but for many women, it's also one of the most physically and emotionally disruptive seasons they'll ever live through. Hot flashes, sleep loss, weight gain, brain fog, mood changes, vaginal dryness, low libido — and on top of all of it, a medical system that often shrugs and tells you it's just part of getting older.
You deserve better than that.
At Prosper Health & Aesthetics in Sioux City, we look at menopause as something to actively support, not something to white-knuckle through. Here are the healing pathways we walk our patients through.
Pathway 1: Comprehensive Lab Work
You can't optimize what you don't measure. A real menopause workup at Prosper includes:
- Sex hormones (estradiol, progesterone, total and free testosterone, DHEA-S).
- Full thyroid panel (TSH, free T3, free T4, sometimes reverse T3 and antibodies).
- Metabolic markers (fasting insulin, HbA1c, lipid panel).
- Vitamin D, ferritin, B12, magnesium.
- Inflammation markers when relevant.
These results give us a real, individualized starting point. See our lab testing page for what's included.
Pathway 2: Bioidentical Hormone Replacement (When Appropriate)
For most women in menopause, bioidentical hormone replacement therapy is one of the most powerful tools we have. Restoring estradiol, progesterone, and (when indicated) testosterone to physiologic levels can:
- Eliminate or dramatically reduce hot flashes and night sweats.
- Restore sleep.
- Improve energy, mood, and cognitive sharpness.
- Restore libido and sexual comfort.
- Protect bone density.
- Improve cardiovascular and metabolic health when started in the right window.
We offer pellets, creams, troches, oral progesterone, and injections. The right delivery method depends on your symptoms, your goals, and your body.
Pathway 3: Metabolic and Body Composition Support
Menopause changes the metabolic landscape. We address that head-on with:
- Protein-forward nutrition (around 1 gram per pound of goal weight).
- Strength training prescriptions tailored to bone health and lean mass.
- Medical weight loss with GLP-1 medications when appropriate.
- Targeted nutraceuticals for insulin sensitivity, sleep, and inflammation.
Pathway 4: Sleep and Stress
Sleep and cortisol management may be the single most overlooked piece of menopause care. We work on:
- Bedtime routines and sleep hygiene.
- Cortisol-aware morning anchors (protein, light, movement).
- Adaptogens or progesterone for sleep when appropriate.
- Practical stress strategies that work in real life.
Pathway 5: Vaginal and Sexual Wellness
Vaginal atrophy, dryness, and discomfort are extremely common — and very treatable. Options include:
- Local vaginal estrogen.
- Systemic BHRT.
- PT-141 for desire when appropriate.
- Energy-based vaginal treatments.
- Honest conversations about what's actually going on.
You don't have to live with painful intimacy. Period.
Pathway 6: Bone, Heart, and Brain Health
Menopause is the moment when bone density loss accelerates, cardiovascular risk shifts, and the long-term picture for cognition matters more than ever. We help patients:
- Build strength training habits that protect bone.
- Track and address cardiovascular risk markers.
- Optimize hormones, sleep, nutrition, and movement for long-term brain health.
Why Prosper
We're a direct-pay clinic with the time to do menopause care the way it should be done — comprehensive, individualized, and ongoing. Not a five-minute visit and a generic prescription. Many patients use our memberships for predictable bundled pricing.
If you're in Sioux City and you're done suffering through menopause without real support, book a consultation at our contact page or call 712-639-6304.