Women’s Health · American Fork, Utah
Women's health through midlife and beyond.
Perimenopause, menopause, and what comes next.
What is perimenopause, and how do I know if I am in it?
Perimenopause is the transition leading up to menopause, and it usually starts in your forties, though it can begin in your late thirties.
It is not a switch that flips. Hormone levels swing unpredictably, which is why symptoms come and go and why a single blood test on a single day often tells you very little.
Most women are told their labs are normal and sent home. That usually means the number fell inside a population range on the day it was drawn.
Common things we see: sleep that falls apart, periods that change, new anxiety that does not match your life, brain fog, joint aches, weight shifting to the middle, and a drop in libido.
What we do
What your first visit actually covers.
Thirty to sixty minutes, and a written plan before you leave.
- Full symptom and history review. Sleep, mood, cycle, energy, cognition, libido, and what changed and when.
- Hormone evaluation interpreted in context, against your symptoms and your stage, not just a reference range.
- Metabolic and cardiovascular markers. Risk changes meaningfully after menopause and this is the window to get ahead of it.
- Bone health assessment. Bone loss accelerates in the years around menopause and most women are never screened until a fracture.
- Thyroid evaluation, because thyroid disease is common in this age group and the symptoms overlap almost completely.
- A written plan covering what we treat now, what we monitor, and what you can change yourself.
Is hormone therapy safe?
For most healthy women who start within ten years of menopause and before age 60, the benefits of hormone therapy outweigh the risks.
Much of the fear around HRT traces to early reporting from the Women’s Health Initiative in 2002. That study looked at an older population and used formulations most physicians no longer prescribe, and reanalysis since then has changed how the data is understood.
It is still not right for everyone. Personal and family history matter, particularly around breast cancer, blood clots, and cardiovascular disease. We go through yours before deciding anything.
We also treat women who cannot or prefer not to use hormone therapy. There are real non-hormonal options for hot flashes, sleep, mood, and vaginal symptoms.
Beyond menopause
What else we handle.
Sexual health and libido
Low desire, pain with intercourse, and vaginal dryness. Common, treatable, and rarely discussed honestly in a standard visit.
Bone health
Screening, prevention, and treatment. DEXA is used for bone density as well as body composition.
Weight and body composition
What changes in midlife, why it is not a willpower problem, and what actually works.
Cardiovascular risk
Heart disease is the leading cause of death in women and risk climbs after menopause. We screen accordingly.
Thyroid and metabolic health
Evaluated together, since the symptoms overlap and both are common in this age group.
Mood, sleep, and cognition
Treated as real clinical findings, not as stress you should manage better.
Common questions
What people ask us.
Do I need a referral to be seen?
No. Impact Medical is a membership practice, so you can schedule directly without a referral from another physician.
We open December 1 and are enrolling founding members now. Join the waitlist and we will call you before opening to answer questions and set your start date.
How much does this cost?
DPC membership is $150 per month and is HSA and FSA eligible.
That covers unlimited visits, 30 to 60 minute appointments, and direct messaging with your care team. Concierge membership adds direct physician access and the Impact 100 longevity program, and pricing for that is discussed during your consultation.
There is no insurance billing, no copays, and no surprise charges.
Can I keep my insurance?
Yes. A membership works alongside your existing insurance.
Most members pair theirs with a high deductible plan that covers hospitalization, major procedures, specialist care, and emergencies. Your membership handles primary care.
Do you prescribe hormone therapy?
Yes, when it is appropriate for you based on your symptoms, history, and risk profile.
We also treat women who are not candidates for hormone therapy or prefer not to use it. The evaluation comes first, the treatment decision comes after.
Do you see children?
Often yes. Normal on a lab report means inside a population range, not that your symptoms are explained.
Hormone levels in perimenopause fluctuate significantly, so a single draw on a single day can look unremarkable while you feel anything but. We interpret labs against your symptoms and your stage rather than in isolation.
Where are you located?
148 South 1100 East in American Fork, inside Vita Skin MD.
We serve American Fork, Lehi, Highland, Alpine, Pleasant Grove, Cedar Hills, Saratoga Springs, Eagle Mountain, Lindon, Orem, and Provo. Telehealth is available to established patients across Utah.
American Fork, opening December 1.
American Fork, UT 84003
Start with a conversation. No obligation.
Join the waitlist and we will call you before we open to answer questions and set your start date. No payment and nothing to sign.