Menopause Specialist

German Zermeno, MD

Integrative Medicine & Functional Medicine located in Tustin, CA

Often called the “change,” menopause doesn’t just signify the end of your reproductive years; the hormonal changes associated with menopause often bring a variety of unpleasant symptoms. For natural ways to overcome the adversities of menopause, call or make an appointment online today with Dr. German Zermeno at the American Institute of Natural Medicine in Tustin, California.

Menopause Q & A


What is menopause?

Between the ages of 40 and 60, your ovaries produce smaller and smaller amounts of estrogen and progesterone, the hormones responsible for ovulation, causing your periods to become irregular and eventually stop altogether.

The three stages of menopause are:


Typically beginning in your 40s and lasting up to two years, perimenopause is the phase in which your ovaries stop releasing eggs and your estrogen levels drop quickly. You will still experience your menstrual cycles and maintain the ability to get pregnant.


Menopause occurs when your ovaries stop releasing eggs and producing estrogen. Dr. Zermeno diagnoses you with menopause when you’ve gone 12 consecutive months without a menstrual period.


Once menopause is over, you enter postmenopause. During this stage, menopausal symptoms decrease. However, because you have a lower level of estrogen, you have an increased risk of developing several health conditions, including osteoporosis and heart disease.

What are the symptoms of menopause?

The hormonal fluctuations associated with menopause cause several symptoms, including:

  • Hot flashes
  • Night sweats
  • Cold flashes
  • Vaginal dryness
  • Urinary urgency
  • Insomnia
  • Irritability, mood swings, mild depression
  • Dry eyes, skin, and mouth

How are the symptoms of menopause treated?

Dr. Zermeno recommends a combination of proper nutrition and bioidentical hormones to minimize the discomfort associated with the symptoms of menopause.

It’s essential to watch what you eat because a lack of nutrients leads to illness. Moreover, many processed foods lack crucial vitamins, minerals, proteins, and essential fats, causing an alteration in the metabolic functions of your body.

Once you’ve entered menopause, it’s particularly critical that you get plenty of calcium and vitamin D, maintain a healthy weight, and decrease your simple carbohydrate intake.

Dr. Zermeno uses bioidentical hormone pellet therapy, which involves inserting a specially designed tablet under your skin. The tablet slowly releases estradiol, a form of the hormone estrogen, into your bloodstream to compensate for the decline of your body’s production of this hormone.

These small, elongated tablets are made from natural plant sources, and the hormones are biologically identical to the ones made by your body. Supplementing declining hormones helps prevent many of the unwanted complications associated with menopause.

If you are struggling with the symptoms associated with menopause, call or make an appointment online today at the American Institute of Natural Medicine.