Personalized care for hot flashes, sleep changes, vaginal discomfort, hormonal symptoms, and other
challenges of perimenopause and menopause.
Menopause is a natural transition, but that doesn't mean you have to simply live with symptoms that interfere with your comfort and quality of life. At Winchester Women's Healthcare, Dr. Mary Ann Millar provides individualized menopause management designed around your symptoms, health history, concerns, and goals.
Whether you're beginning to notice changes during perimenopause or are experiencing ongoing symptoms after menopause, we'll help you understand what's happening and explore treatment options that are appropriate for you.


Perimenopause is the transitional period leading up to menopause, when changing hormone levels can cause new or unpredictable symptoms. Menopause occurs when a woman has gone 12 consecutive months without a menstrual period, marking the end of her reproductive years.
Every woman's experience is different. Some have relatively few symptoms, while others experience changes that significantly affect their daily life. Understanding where you are in this transition can help guide a more personalized approach to care.
Changes in estrogen and other hormones can affect many aspects of your physical and emotional well-being. Menopause management may help address concerns such as:
Dr. Millar will consider your symptoms and overall health to help determine which treatment options may be most appropriate.


Menopause treatment isn't one-size-fits-all. Depending on your individual needs, Dr. Millar can discuss hormone therapy, including bioidentical hormone treatment, as well as non-hormonal approaches for managing specific symptoms.
Your medical history, risk factors, symptoms, and personal preferences are considered before recommending treatment. When hormone therapy is appropriate, your response can be monitored over time and treatment adjusted as needed.
Declining estrogen levels can cause changes to vaginal tissue that lead to dryness, irritation, discomfort, or pain during intimacy. These concerns are common during and after menopause and deserve the same attention as other menopausal symptoms.
In addition to discussing appropriate medical treatment options, Winchester Women's Healthcare offers MonaLisa Touch®, a non-surgical, non-hormonal laser treatment designed to address certain vaginal symptoms associated with menopause and hormonal changes.

Perimenopause is the transition leading up to menopause and can begin years before menstrual periods stop completely. Menopause is reached after 12 consecutive months without a menstrual period.
Common symptoms include hot flashes, night sweats, sleep disturbances, mood changes, vaginal dryness, discomfort during intercourse, changes in sexual desire, and difficulty concentrating. Symptoms and their severity vary from woman to woman.
Yes. Dr. Millar offers individualized hormone evaluation and can discuss bioidentical hormone treatment when appropriate based on your symptoms, health history, risk factors, and goals.
Hormone therapy isn't the only approach to menopause management. Dr. Millar can discuss non-hormonal options and treatments targeted toward specific symptoms based on your individual needs.
MonaLisa Touch may be an option for women experiencing certain vaginal symptoms associated with menopause, such as dryness and discomfort. Dr. Millar can evaluate your symptoms and determine whether the treatment may be appropriate for you.
Menopause is a new stage of life, and the right care can make the transition more manageable. Let us help you understand your symptoms and create a personalized approach that supports your health, comfort, and well-being.
Schedule a menopause consultation with Dr. Mary Ann Millar at Winchester Women's Healthcare in Andover, MA.