Hormones, Menopause & Intimacy

No One Warned Us About This:Hormones, Menopause, and Feeling Like Yourself Again

Let’s be honest—no one really prepares women for what happens after a certain age. You hear about wrinkles. You hear about hot flashes. Maybe mood swings. But no one really talks about the rest of it…

The low energy.

The stubborn weight.
The “Why do I feel so off when I’m doing everything right?” feeling.
The changes in intimacy, confidence, and motivation that quietly show up one day and refuse to
leave.

If you’ve ever thought, “Is this just aging… or is something else going on?”—you’re not alone.

Menopause Isn’t Just Hot Flashes (Sorry to Break It to you)

Menopause and perimenopause can affect far more than temperature control. Hormonal shifts may influence:

• Energy levels
• Sleep quality
• Mood and emotional resilience
• Skin texture and elasticity
• Weight distribution
• Libido and intimacy

Many women are surprised by how early some of these changes begin—and how quietly they sneak in.

And yet, so many women are told, “This is normal. It’s just part of getting older.”

Normal? Yes.

Something you have to suffer through? Not necessarily.

Let’s Talk About Testosterone (Yes, Women Have It Too)

Testosterone tends to get labeled as a “men’s hormone,” but women produce it too—and it
plays a role in:

• Energy and motivation
• Muscle tone
• Confidence
• Libido

As levels naturally change with age, some women notice they don’t quite feel like themselves anymore. That spark? That drive? That sense of “I’ve got this”? It may feel dimmer than it used to.

Hormones and Intimacy: The Conversation We Avoid (But Shouldn’t)

Let’s gently address the elephant in the room. Have you been noticing a change in the bedroom lately? Have you been feeling shame, worried that you’re not responding the way you used to? Have you, like so many women, taken on the feeling that it must be something you’re doing wrong? It’s not you. As we reach a certain age, fluctuations in hormones can bring all kinds of unasked-for changes, affecting things such as:

• Desire
• Comfort during intercourse
• Confidence
• Emotional connection with our partners

And yet, many women don’t bring this up—even with their doctors—because it feels awkward or taboo.

Here’s the truth: these experiences are incredibly common, and talking about them is the first step toward feeling supported instead of frustrated.

So… What Are the Options for Supporting Better Hormonal Health?

When it comes to feeling more like yourself again, there isn’t just one path—and that’s actually a good thing.

For some women, bio-identical hormone replacement therapy (BHRT) may be an appropriate option. Bio-identical hormones are designed to mirror the hormones your body naturally produces and may help support balance as hormone levels shift with age. At CosmetiCare, BHRT involves comprehensive lab work, personalized recommendations, and
subcutaneous hormone pellets placed in-office, along with ongoing follow-ups to support overall health and well-being.
 

For others, peptides may be a helpful part of their wellness journey. Certain peptides are often explored for their potential to support energy, metabolism, skin health, recovery, and overall vitality. Peptides are typically self-administered regular in-office visits and lab work to ensure your body is responding appropriately.

And for many women, a combination of therapies—guided by lab results, symptoms, and personal goals—may make the most sense.

This Isn’t About Turning Back Time

Let’s be clear—hormone therapy isn’t about pretending you’re 25 again (which sounds exhausting, honestly).

It’s about:

• Feeling more like yourself
• Sleeping better
• Having more consistent energy
• Feeling confident in your body and relationships
• Supporting skin, mood, and vitality as you move through life
• Supporting intimacy on your terms

Why Medical Guidance Matters

Hormones are powerful, which is why they should always be addressed with professional care.At CosmetiCare, hormonereplacement therapy and peptide therapy is overseen by Dr. Michael Niccole, MD, FACS, and administered by Nurse Practitioner Marcela Dos Santos, DNP, FNP-C. This ensures your experience is thoughtful, monitored, and centered on your overall well-being.

If You’ve Been Thinking, “Is This Just Me?”

It probably isn’t! If you’ve noticed changes in your energy, mood, skin, or intimacy and wondered whether hormones could be playing a role, we’re here to have that conversation. Schedule a complimentary pre-consult today to learn more about our hormone-supporting programs such as Peptides and Bio-Identical Hormone Replacement Therapy and discuss if you’re a candidate! Call or text us to schedule at your convenience, this 15 minute pre-consult can be done in office or from home.

Ready to learn more?

Ready for the next step? At CosmetiCare, we offer:

• Complimentary pre-consultations if you’re just starting to explore your options and want to ask questions or find out if you’re a potential candidate.
• Paid Wellness Consultations, which include lab work, personal treatment plans, and setting up your first treatment. Perfect if you’re ready to move forward! Labs are required 2 weeks prior to your Wellness Consultation, the cost of which is included in your consult fee. We’ll send you a lab slip that you can take to any convenient Quest Diagnostics location. Then we’ll see you in office to discuss your results and create a treatment plan!

Call or text us today at 949-718-6900 to discuss our Wellness options and schedule your pre-consult or paid Wellness Consultation!