Through a comprehensive and individualized assessment, Nurse Practitioner Sarah Arseneault takes the time to fully understand each woman’s unique health picture. Care begins with an in-depth consultation that includes a detailed medical history, discussion of current symptoms, lifestyle factors, and health goals, followed by a focused physical exam where appropriate.

A comprehensive bloodwork panel is then ordered to evaluate hormone levels and identify underlying imbalances that may be contributing to symptoms. This thorough approach allows for a clear, evidence-based understanding of what your body needs — rather than relying on guesswork or generalized treatment protocols.

Using this information, Sarah creates a personalized treatment plan that may include natural and bioidentical hormone support, tailored specifically to address a wide range of symptoms and conditions. These can include pre- and post-menopause concerns, perimenopause symptoms, thyroid conditions, sexual dysfunction, low energy, mood changes, sleep disturbances, and more. Ongoing monitoring and follow-up ensure treatments remain safe, effective, and responsive as your needs evolve, providing women with informed, compassionate care at every stage.

Once bloodwork results are received, Nurse Practitioner Sarah Arseneault conducts a thorough post–bloodwork analysis, carefully reviewing hormone levels alongside symptoms, medical history, and overall health profile. This step is essential in identifying imbalances, patterns, and contributing factors that may be impacting how you feel day to day.

Based on this analysis, an initial hormone treatment plan is thoughtfully developed. This plan may include natural or bioidentical hormone support, individualized dosing, and complementary recommendations designed to restore balance and address your specific concerns. Every recommendation is explained clearly, ensuring you understand the rationale, benefits, and expected outcomes of your care.

Follow-up appointments are a key part of the process. These visits allow for ongoing symptom monitoring, treatment adjustments, and repeat testing when needed to ensure therapy remains safe, effective, and aligned with your goals. As your body changes, your care evolves with you — providing consistent support through every stage of hormonal transition.

Common Symptoms We Support

Hormonal changes can affect every aspect of daily life. You may benefit from hormone replacement therapy if you are experiencing:

• Hot flashes or night sweats

• Irregular or heavy periods

• Fatigue or low energy

• Mood changes, anxiety, or irritability

• Brain fog or difficulty concentrating

• Sleep disturbances

• Weight changes or decreased muscle mass

• Low libido or vaginal dryness

If these symptoms sound familiar, a comprehensive assessment with a Nurse Practitioner can help identify whether hormone therapy is right for you.