how do you know if you are In Perimenopause? Click here!
welcome
Here's what I want you to know within 60 seconds of landing here.
I'm not going to tell you that everything you're experiencing is fixable with a giant supplement stack. I'm not going to try to scare you about what happens if you ignore your hormones. And I'm not going to try to convince you that perimenopause is going to be "easy".
What I am going to tell you is this: a lot of what you've been told to expect from perimenopause: push through it, don't talk about it, this is just what happens — is not helpful medicine. And you deserve better than that.
WHO I AM
I'm Dr. Laurie Alpert, a Naturopathic Doctor and Menopause Society Certified Practitioner (MSCP). The Menopause Society Certification is the only internationally recognized designation in menopause medicine. It indicates focused clinical training and examination specifically in the science of the menopause transition — hormone therapy, cardiometabolic health, bone density, brain health, sleep, mental health, the full picture. I've held it since 2022. I also happen to be navigating perimenopause myself, which means this isn't abstract for me. I'm in it.
WHAT I BELIEVE
First and foremost, I believe YOU. Your experience is the most important piece of the puzzle, hands down.
Perimenopause isn't just about hormones. It's a whole-body transition and complex life stage that touches your cardiovascular system, your brain, your metabolism, your mood, your sleep, your sense of self. Treating it like an inconvenience to be managed with a single prescription misses most of the picture.
I also believe that fear is not a health strategy. There's an entire industry built on telling people that midlife is something to be terrified of, that their bodies are failing them, that time is running out. It's the same industry selling expensive, unnecessary tests and miracle products with no validated clinical utility. That kind of messaging drives anxiety and paralysis. It is not care. You will not find it here.
What you will find is honest, evidence-based, individualized support. The kind that starts with standard of care, collaborates with your other healthcare providers when needed, and takes the time to understand your full picture so we can build a plan around your actual goals, values, and life.
who i work with
I work with people in their 30s, 40s and 50s who are navigating perimenopause and want a real partner in their care — not a 10-minute appointment with one concern at a time. My patients are high-functioning and health-conscious. They've tried things. They have done some research. Sometimes they have already consulted other healthcare providers, but are looking for more. They're not necessarily just looking for someone to tell them what to do, or hand out a script; they're looking for someone who will explain the options, dispel online myths, and to think along with them about their care.
I work with people who have regular menstrual cycles and people who don't — whether you're on hormonal birth control, have an IUD, have had an ablation or a hysterectomy, your cycle has simply become too irregular to track, or you're already post menopause. Perimenopause doesn't always announce itself neatly. And care shouldn't require a cycle to get started.
how we work together
Care generally moves through four phases. Here's what each one actually involves, and what it's designed to give you.
(for full descriptions see Your Journey here)
Clarity — We map the full landscape together. Symptoms, history, labs, goals, values. You stop being managed and start being known. We outline a plan together.
Confidence — We stabilize. You start feeling more functional and grounded. We're already thinking about the long game but addressing your short term goals first.
Connection — You're stable and we lift our gaze to the longer horizon. The full picture of your midlife health comes into focus: bone density, cardiovascular health, brain health, body composition, sexual health, all the things. Everything integrates.
Choice — The care partnership pays off in spades. You have sustainable agency over your health. We continue meeting as seasons shift — adjusting, refining, celebrating what's held. Keeping you on track in the present and for the future you are creating.
