Perimenopause & Menopause Management

Rooted in Real Answers
Not Guesswork

Hormonal changes don’t have to leave you feeling frustrated, foggy, or ignored. Dr. Colleen Amann-Shah provides integrative, evidence-based care for women navigating perimenopause and menopause — with real solutions that support your body and your life.


Dr. Colleen provides expert, patient-centered care for individuals experiencing menopause. She is committed to delivering personalized service with a focus on clinical excellence and compassionate support.

Discover Your Path To
Menopause Relief

middle-aged woman in casual attire, smiling, practicing meditation, photorealistic, in a sunlit living room with potted plants, highly detailed, soft music playing in the background, 8K resolution, natural earth tones, morning sunlight streaming in, shot with an 85mm lens.

Call 503-855-4341 to Schedule Your Appointment
Located in Tigard, Serving Portand & Surrounding Areas

                     "Every woman’s journey is unique, and I offer evidence-based, compassionate care to help you

                      feel your best during this transition."

                                  — Dr. Colleen Amann-Shah, ND

 

What Is Difference
Between Perimenopause and  Menopause?  

Menopause is officially diagnosed when you’ve gone 12 consecutive months without a period. For most women, this occurs around age 51

Perimenopause is the natural transition leading up to menopause. It often begins in your late 30s or 40s — sometimes without warning — and can last for several years. During this time, hormone levels (especially estrogen and progesterone) fluctuate, which can cause a wide range of symptoms.

Whether you’re just starting to notice irregular cycles or well past menopause, it’s never too early (or too late) to get support.

Symptoms We Can Help You Manage

Hormonal shifts affect every system in the body — which means
perimenopause and menopause can show up in many ways.
Some of the most common symptoms:
  • Irregular or heavy periods
  • Hot flashes or night sweats
  • Mood swings, anxiety, or depression
  • Sleep disruptions
  • Low libido or vaginal dryness
  • Brain fog and trouble concentrating
  • Weight gain or stubborn belly fat
  • Fatigue that doesn’t improve with rest

Benefit from personalized evaluations, ensuring that every aspect of your health is considered in crafting your care plan.

Dr. Colleen offer insightful guidance on lifestyle changes, and, when possible, natural therapies tailored to your unique health profile.

                        Personalized, Root-Cause

                       Care — Not a One-Size-Fits-All Plan

Stylized doctor's clipboard with patient record and stethoscope on white background

Customized care plans tailored to your unique menopausal journey.

Most doctors are trained to treat menopause like it’s a switch you flip at age 50 — but real life doesn’t work that way. Dr. Colleen Amann-Shah takes a more complete approach.

As a licensed primary care physician and naturopathic doctor, Dr. Colleen combines conventional medicine with root-cause exploration to get to the heart of your symptoms. She listens, investigates, and tailors your care plan to fit your body — not just your age.

Whether you’re interested in bioidentical hormone therapy, non-hormonal options, or simply want to understand what’s going on, you’ll be supported with evidence-based guidance at every step.

Achieve symptom relief and enhanced well-being naturally with expert support.

Let's Make a Plan That Works for You
Together, we’ll explore what’s driving your symptoms and create a treatment plan that fits your goals, lifestyle, and medical history. Your care may include:
  • Nutritional and metabolic support
  • Menopause hormone therapy (when appropriate)
  • Non-hormonal symptom relief options
  • Thyroid and adrenal function assessment
  • Sleep and mental health support
  • Bone density preservation & cardiovascular risk assessment
📌 Everything we do is grounded in science, customized to you, and
guided by compassion.
Peri-Menopause & Menopause Services

Hormonal & Non-Hormonal
Treatment Options

Whether it's bio-identical hormone therapy, conventional HRT, or non-hormonal approaches I can help. 

 

I help tailor treatment plans to help manage symptoms such as hot flashes, night sweats, weight gain, insomnia, mood changes, vaginal dryness and changes in libido as well as manage your risk for heart disease and osteoporosis, which become more prevalent during and after menopause. 

Personalized Lifestyle & Nutrition Guidance

Support for healthy eating, exercise, stress management, and supplement recommendations to optimize long-term well-being. 

Woman experiencing hot flashes and night sweats from menopause.
Healthy eating, exercise, and stress management tips for long-term well-being.

                       Your Menopause Care Journey — Step by Step

You deserve care that feels supportive, clear, and focused on you. Here’s what working with Dr. Colleen typically looks like:

Step 1: First Visit – Let’s Talk
We begin with a deep, whole-person intake. You’ll have time to share your story — no rush, no checklist medicine. Dr. Colleen listens and asks the right questions to understand what’s really going on.
 
Step 2: Symptom Review + Personalized Assessment
Together, we review your symptoms, medical history, and lifestyle. From sleep changes to mood shifts, digestion to energy, we look for root causes and patterns.
Step 3: Collaborative Care Planning
You’ll receive a thoughtful, customized plan that may include dietary and lifestyle adjustments, supplement support, or evidence-based non-hormonal therapies. If medication is appropriate, Dr. Colleen can prescribe that too.
 
Step 4: Ongoing Support + Adjustments
Your care doesn’t stop after one visit. Dr. Colleen follows up to track your progress and adjust your plan as needed — making sure it evolves with you.