At the Office of Matthew L. Mintz, MD, FACP
Personalized Women’s Health Care in Rockville, Maryland

Perimenopause — the years leading up to menopause — is one of the most important yet least discussed stages of a woman’s life. Hormone changes can begin as early as your late 30s or 40s and may affect mood, sleep, weight, and overall well-being.

At the office of Matthew L. Mintz, MD, FACP, Dr. Madeline Taskier, MD specializes in helping women understand and manage these changes with compassionate, evidence-based care. Her goal is simple: to help you feel like yourself again, with the energy, clarity, and confidence you deserve.

What Is Perimenopause?

Perimenopause (meaning “around menopause”) marks the time when the ovaries gradually produce less estrogen and progesterone. This hormonal shift can last anywhere from four to ten years before menopause officially begins — defined as 12 consecutive months without a menstrual period.

While it’s a normal part of aging, perimenopause can cause symptoms that range from mildly inconvenient to life-disrupting. Dr. Taskier helps patients recognize that these changes are biological, not psychological — and that effective, safe treatments are available.

Common Symptoms of Perimenopause

You may be entering perimenopause if you notice:

• Irregular or heavier periods

• Hot flashes or night sweats

• Sleep disturbances or insomnia

• Mood swings, anxiety, or low mood

• Brain fog or difficulty concentrating

• Vaginal dryness or discomfort during intimacy

• Reduced libido

• Weight gain, especially around the midsection

• Fatigue or loss of energy

Every woman’s experience is unique. Dr. Taskier’s approach begins with listening to your story, then using advanced testing to determine your specific hormonal patterns.

How Dr. Madeline Taskier MD Treats Perimenopause

Dr. Taskier combines modern medical science with a patient-centered philosophy. Her care plans often include:

• Comprehensive Hormone Evaluation: Detailed blood testing to assess estrogen, progesterone, testosterone, thyroid, and adrenal function.

• Bioidentical Hormone Therapy (BHRT): When appropriate, Dr. Taskier prescribes bioidentical hormones to gently restore balance and reduce symptoms.

• Non-Hormonal Options: For patients who prefer a natural approach or have medical restrictions, she offers lifestyle strategies and non-hormonal medications.

• Nutritional & Lifestyle Coaching: Guidance on diet, exercise, sleep, and stress management to support hormonal and metabolic health.

• Preventive Screening: Monitoring bone density, heart health, and long-term wellness during this transitional phase.

The goal is not just symptom relief — it’s helping you thrive through midlife with vitality and long-term health.

Q&A: Understanding and Managing Perimenopause

Q: How do I know if I’m in perimenopause?
A: Irregular cycles, mood changes, or new hot flashes between your late 30s and early 50s often signal perimenopause. Bloodwork can confirm whether hormone fluctuations are the cause.

Q: Can perimenopause start early?
A: Yes. Factors like genetics, autoimmune conditions, or previous surgeries can trigger early perimenopause. Dr. Taskier helps patients identify the root cause and provides tailored solutions.

Q: Do I need hormone therapy?
A: Not always. Hormone therapy can be highly effective for symptom control, but it’s not the only option. Dr. Taskier develops an individualized plan — hormonal or non-hormonal — based on your health history and comfort level.

Q: Are bioidentical hormones safe?
A: When prescribed and monitored by a qualified physician, bioidentical hormones are safe and effective for many women. They mimic the body’s natural hormones and can protect bone, brain, and heart health.

Q: What if I can’t sleep or focus anymore?
A: Sleep and cognitive issues are common during perimenopause. Dr. Taskier evaluates contributing factors — including hormones, stress, and thyroid — and provides treatments to improve rest, focus, and energy.

Q: When should I see a doctor?
A: If symptoms interfere with your mood, sleep, work, or relationships, it’s time to get evaluated. The earlier you seek care, the easier it is to stabilize hormone levels and prevent future health risks.

Why Choose Dr. Madeline Taskier, MD

Dr. Taskier is known for her attentive, empathetic care and ability to translate complex medical science into practical, results-driven strategies. She spends the time needed to understand each patient’s story, ensuring that no woman has to face perimenopause alone or unheard.

Her patients appreciate her holistic approach — balancing traditional medicine with integrative options — and her commitment to helping women feel confident and well throughout every stage of life.

Take the First Step Toward Feeling Like Yourself Again

Perimenopause is not the end of youth or vitality — it’s the start of a new, empowered chapter. With the right guidance, you can feel balanced, energized, and in control of your health.

Schedule a consultation with Dr. Madeline Taskier MD today to discuss your symptoms and explore personalized treatment options.

Contact Information

Matthew L. Mintz, MD, FACP
Attn: Dr. Madeline Taskier, MD
6000 Executive Blvd, Suite 315B
Rockville, MD 20852
📞 Phone: (855) 646-8963
🌐 Website: drmintz.com
🗓️ Book an Appointment: drmintz.com/appointments