Hot flashes, poor sleep, mood changes, vaginal discomfort, and low energy can make menopause feel disruptive and unpredictable. These changes are common, but that does not mean you have to simply live with them. Personalized services can help you understand what is happening and explore treatment options designed to support greater comfort, energy, confidence, and quality of life.
At Your Formula, Dr. Jonathan Zaidan, MD, and Suzana Marku, NP-C, provide personalized, evidence-based menopause care for eligible patients. With telehealth care available throughout Michigan and Florida, Your Formula combines detailed evaluation, laboratory review when appropriate, individualized treatment, and ongoing provider support.

What Is Menopause?
Menopause is a natural life stage that occurs when menstrual periods permanently stop. The years leading up to menopause are known as the menopausal transition, or perimenopause, when hormone levels and menstrual cycles may begin changing.
Symptoms can vary greatly from one woman to another. Some experience only mild changes, while others develop symptoms that interfere with sleep, work, relationships, intimacy, or everyday well-being. Menopause care can also provide an opportunity to consider longer-term health factors such as bone health, cardiovascular wellness, metabolic health, and healthy aging.
Common Menopause Symptoms
Hormonal changes during menopause can affect multiple areas of physical and emotional health. Common concerns include:
Hot Flashes
Hot flashes can cause sudden feelings of warmth, flushing, and sweating. Changing hormone levels are believed to influence the body’s temperature regulation, and symptoms may range from mild to highly disruptive.
Night Sweats
Night sweats are hot flashes that happen during sleep. They may interrupt rest and contribute to daytime fatigue, irritability, or difficulty concentrating.
Vaginal Health
Declining estrogen can contribute to vaginal dryness, irritation, discomfort during intimacy, and urinary changes. These symptoms are part of what is known as genitourinary syndrome of menopause and may become more bothersome without treatment.
Insomnia and Sleep Changes
Menopause may make it harder to fall asleep, stay asleep, or feel rested. Hot flashes and night sweats can further disrupt sleep and affect daytime energy.
Mood Changes
Some women notice irritability, anxiety, emotional sensitivity, or low mood during the menopausal transition. Sleep problems, stress, and hormonal changes may all contribute.
Libido Concerns
Menopause may affect sexual desire, arousal, comfort, and overall sexual health. Vaginal dryness, fatigue, stress, sleep disruption, and hormonal changes can also influence intimacy.
Joint Pain
Joint stiffness, aches, and muscle discomfort may occur during the menopausal transition. Joint and muscle discomfort are among the symptoms reported by some women during menopause.
Skin Changes
Hormonal aging may be accompanied by changes in skin texture, dryness, elasticity, and overall appearance. Your provider can consider these concerns as part of your larger wellness and healthy-aging goals.
A Personalized Approach to Menopause and Healthy Aging
Your Formula delivers clinician-led menopause care focused on hormonal health, symptom relief, sexual wellness, metabolic health, and support for healthy aging. Each patient begins with a detailed digital intake, followed by provider evaluation and laboratory review when clinically appropriate.
Your treatment plan is built around your symptoms, medical history, goals, and clinical findings rather than a standard protocol. Care may also address nutrition, physical activity, sleep, stress, bone health, cardiovascular health, and other lifestyle factors that can become increasingly important during perimenopause and menopause.

Treatments That May Help With Menopause Symptoms
Menopause treatment depends on which symptoms are bothering you, your health history, and your preferences. Options may include prescription treatments, hormone replacement therapy when clinically appropriate, targeted supplementation, and nutrition and lifestyle support.
Hormone therapy may include estrogen, progesterone, and testosterone, depending on your symptoms, medical history, clinical findings, and individual needs. Hormone therapy can be particularly effective for bothersome hot flashes and may also help certain vaginal and other menopause-related symptoms, but it is not appropriate for everyone. The potential risks and benefits should be considered individually with a qualified healthcare provider.
Your Formula may also recommend strategies involving nutrition, sleep, physical activity, stress management, sexual wellness, metabolic health, bone health, and cardiovascular wellness. Follow-up allows your provider to evaluate progress and adjust treatment according to your response.
Why Choose Your Formula for Menopause Care
Modern menopause care should recognize that every woman’s experience is different. Your Formula was founded by Dr. Jonathan Zaidan and Suzana Marku, NP-C, to provide accessible, medically guided care through a clinician-led telehealth model. Their approach combines comprehensive evaluation, evidence-based treatment, and ongoing communication so your care can evolve as your symptoms and goals change.
Your Formula also focuses on the bigger picture. Instead of looking only at a hormone level or one symptom, your provider considers hormonal health, sexual wellness, nutrition, sleep, mood, metabolic factors, energy, bone and cardiovascular health, lifestyle, and long-term well-being. The practice works with a PCAB-approved pharmacy and is LegitScript certified, supporting a care experience built around clinical integrity and personalized attention.

Feel Like Yourself Again With Menopause Care
Perimenopause and menopause can bring significant changes, but effective options are available for many bothersome symptoms. Personalized care can help you better understand your body and find an approach designed to support better sleep, greater comfort, improved energy, confidence, intimacy, healthy aging, and overall well-being.
Your Formula provides personalized menopause care with telehealth services available to eligible patients throughout Michigan and Florida. Call (313) 380-5779 to book a consultation and explore a clinician-guided plan designed around your symptoms, health, and goals.
