How Dr. Twist Approaches Menopause Treatment
Treatment starts with understanding. Dr. Twist reviews your full symptom picture, orders a hormone panel when appropriate, and considers your personal health history and risk factors. From there, the two of you make decisions together about the approach that fits your goals. The plan is individualized, never a one-size protocol, and it can be adjusted as your symptoms change over time. Dr. Twist revisits the plan at each follow-up, so your treatment keeps pace with your life rather than staying frozen at whatever was decided on the first day.
Hormonal Treatment Options
For many women, hormone therapy is the most effective option. Dr. Twist prescribes estrogen, combined estrogen-progesterone therapy, and bioidentical options directly. Full detail lives on the hormone replacement therapy page.
Non-Hormonal Treatment Options
Not every woman is a candidate for hormones or prefers them, and effective non-hormonal options exist. These can include certain prescription medication classes used for hot flashes and mood symptoms, such as SSRIs, SNRIs, and gabapentin, along with lifestyle counseling on sleep, nutrition, and exercise. The right direction is decided after Dr. Twist evaluates you.
What Makes Treatment Here Different
Menopause treatment is often delivered in seven-minute appointments that leave little room for nuance. Wild Women Medicine is built differently. Because the practice is physician-led and built around unrushed appointments, Dr. Twist can spend real time understanding how your symptoms affect your sleep, your work, your relationships, and your sense of yourself, then build a plan that reflects all of it. Treatment is not a single prescription handed out and forgotten. It is an ongoing conversation that adapts as your body changes, with follow-up visits to fine-tune your approach and secure messaging when questions come up in between. For Montana women who have felt rushed or dismissed elsewhere, the difference is having one expert physician who knows your history and stays with you through every adjustment.
Symptoms Dr. Twist Treats
Menopause treatment at Wild Women Medicine addresses a wide range of symptoms, including:
Hot flashes and night sweats
Mood changes and sleep disruption
Vaginal dryness, explained further on the vaginal dryness & GSM page
Low libido, addressed through sexual wellness care
Brain fog and weight changes
Ready to Start Menopause Treatment?
Care is available to women statewide, your initial consultation and treatment plan is $500, ongoing care is a $250 per month membership, and no referral is needed. Dr. Twist will work with your timeline and your goals.
Frequently Asked Questions
No. You do not need a formal diagnosis to start. If symptoms are affecting your life, book a visit and Dr. Twist will evaluate what is happening and recommend a plan.
That is common and completely valid. Dr. Twist offers effective non-hormonal prescription and lifestyle options, and she will build a plan that respects your preferences and your health history.
Every woman responds differently, so timelines vary. Dr. Twist monitors your progress at follow-up visits and adjusts your plan as needed to help reduce symptoms and improve how you feel.