Menopause & perimenopause

Menopause is defined as twelve months without a period. Perimenopause is the transition leading up to that point, when hormones start to fluctuate and cycles change. You can have classic menopause symptoms while still having periods. Dr. Sarah reviews your history, symptoms, and labs to clarify where you are and what that means for your plan.

You should consider a menopause-focused clinic when symptoms are affecting your daily life, your periods have changed, and you are not getting clear answers. If you are in Sarasota or one of Dr. Sarah's telehealth states, Lesh Lifestyle can evaluate hormones, thyroid, stress patterns, and more, then outline specific options instead of advice to wait it out.

Hormone therapy can be safe and very helpful for many women when it is prescribed thoughtfully and monitored closely. At Lesh Lifestyle, Dr. Sarah uses bioidentical hormone therapy with careful dosing based on your labs, symptoms, and risk factors. She explains the potential risks and benefits for your situation so you can decide together whether BHRT is right for you.

Some women notice changes such as fewer hot flashes or better sleep within weeks. Others see a more gradual shift over several months as hormones and lifestyle factors are adjusted. Dr. Sarah typically checks in and re-evaluates labs over time, then adjusts your plan. The focus is on steady improvement over time.

Yes. Lesh Lifestyle offers telehealth menopause and perimenopause care in AL, FL, GA, MD, MI, MO, NY, PA, TN, and TX. You will still work directly with Dr. Sarah. Labs are arranged locally where you live, and visits are held over secure video. Many women outside Sarasota use this option when they cannot find a menopause clinic near them that fits.

Lesh Lifestyle is a physician-led, family-operated practice in Sarasota focused on root-cause and hormone care. One doctor carries your care from the first call onward. Dr. Sarah Secor-Jones, DO, FACEP personally handles your discovery call, reads your labs herself, and explains your options in plain language. The visit pace is unhurried, and the focus extends beyond hot flashes to long-term health.

Lesh Lifestyle is a self-pay practice. That means you pay the clinic directly, and you can use HSA funds or request a superbill for possible reimbursement from your insurance. During your discovery call, Dr. Sarah's team can explain how this works so you know what to expect before you begin.

Yes. Dr. Sarah often sees women who started hormones elsewhere but still do not feel right. She reviews your current regimen, your symptoms, and your labs, then discusses whether adjustments or a different approach might help. Any changes are made carefully, with clear explanations and follow-up.