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Perimenopause & menopause

Perimenopause Consultation in Broken Arrow — built around your labs, not a template.

The fatigue, brain fog, weight gain, and sleep disruption are real — and they're treatable. We find the root cause and build a protocol around your labs, not a one-size-fits-all script.

Symptoms we address

You're not imagining it.

Sleep

Insomnia & night waking

Waking at 2 or 3 a.m. and lying there for hours. Progesterone and cortisol patterns that disrupt sleep architecture.

Temperature

Hot flashes & night sweats

Estrogen fluctuations that trigger the hypothalamus — treatable with the right hormone support.

Mood

Anxiety, irritability & low mood

Progesterone's calming effect disappears in perimenopause. The result is anxiety and mood swings that feel out of character.

Cognition

Brain fog & memory

Estrogen supports neurotransmitter function. When it drops, so does word recall, focus, and mental clarity.

Weight

Weight gain & body composition

Insulin resistance rises as estrogen falls. Weight accumulates around the middle despite no change in diet or exercise.

Libido

Low libido & vaginal dryness

Testosterone and estrogen both decline. Painful intercourse and loss of desire are hormone symptoms — not just "getting older."

Energy

Fatigue & low energy

Thyroid function, adrenal output, and sex hormones all interact. When one drops, the others follow.

Joints

Joint pain & inflammation

Estrogen has anti-inflammatory properties. As it declines, joint pain and stiffness often appear for the first time.

Cycles

Irregular periods

Cycle length, flow, and timing all shift in perimenopause. We track the pattern to understand where you are in the transition.

Bioidentical hormone therapy

Hormones that match what your body made.

Bioidentical hormones are structurally identical to the hormones your body produces naturally. We use estradiol, progesterone, and testosterone — matched to your labs, not a standard dose.

Delivery options include patches, capsules, creams, gels, and injectables — chosen based on your presentation, lifestyle, and what your body absorbs best.

Not a one-size prescription. Your protocol is built from your labs — comprehensive hormone panels, not just estrogen and progesterone. Thyroid, cortisol, insulin, and nutrient status are all part of the picture.

Delivery options

Patches

Consistent transdermal delivery. Changed twice weekly. Good for patients who prefer a set-and-forget approach.

Capsules

Oral or sublingual. Progesterone capsules are commonly used for sleep support and cycle regulation.

Creams & gels

Topical application. Absorbed through the skin. Flexible dosing and easy to adjust.

Injectables

Testosterone injections for women who need more precise dosing or have absorption issues with topicals.

Our approach

More than hormones.

Comprehensive lab work

We run the full picture — sex hormones, thyroid (including T3 and reverse T3), cortisol, insulin, inflammatory markers, and nutrient levels. Standard panels miss most of what drives perimenopause symptoms.

Thyroid support

Thyroid dysfunction is common in perimenopause and often overlooked. We look at TSH, free T3, free T4, and reverse T3 — not just TSH.

Adrenal & cortisol support

Chronic stress and adrenal fatigue compound hormone symptoms. We assess cortisol patterns and support adrenal function as part of your protocol.

Gut health & absorption

Hormones are metabolized in the gut. Poor gut health affects how well your body processes and clears estrogen — and how well you absorb supplements and medications.

Metabolic & weight support

Insulin resistance rises as estrogen falls. We address metabolic health directly — not just as a side effect of hormone therapy.

Learn more →

Genetic blueprint option

Nutrigenomic testing reveals how your body metabolizes hormones, detoxifies estrogen, and responds to specific supplements — allowing us to personalize your protocol further.

Learn more →
Why women in Broken Arrow choose us

Your labs are 'normal.' You still don't feel like yourself.

Most women who come to us in Broken Arrow have already been told their labs look fine. Their OB ran estrogen and FSH, everything came back in range, and they were handed an antidepressant or told to wait it out.

We run a different panel. Comprehensive hormone testing — including free testosterone, DHEA, cortisol, thyroid (T3, T4, reverse T3), fasting insulin, and inflammatory markers — gives us a picture that standard care misses. Then we build a written protocol around what we find, not a population-average reference range.

60 min Foundation Consult

Unrushed. Your full history, labs reviewed together, and a written protocol before you leave.

$499 Cash pay — no insurance

No prior authorizations. No insurance denials. No referrals. You book directly.

Rebekah Presley, FNP-C One provider. Every visit.

You see the same person every time. Your provider knows your case, your labs, and your history.

Broken Arrow + telehealth In-office or statewide

Clinic at 2017 S Elm Pl, Suite 100. Telehealth available across Oklahoma for established patients.

Perimenopause care across Oklahoma

In Broken Arrow — and available statewide by telehealth.

Our clinic is at 2017 S Elm Pl, Suite 100 in Broken Arrow, near the S Elm Pl and E Kenosha St corridor. Women in Tulsa, Bixby, Jenks, Coweta, Oklahoma City, and Edmond are seen via secure telehealth — labs drawn locally, visits by video.

Common questions

Perimenopause care in Broken Arrow — what to expect.

Does Restorative Health and Wellness offer perimenopause care in Broken Arrow?

Yes. We provide perimenopause and menopause care for women in Broken Arrow, OK and via telehealth across Oklahoma. Our approach uses comprehensive hormone lab testing and personalized bioidentical hormone replacement therapy (BHRT) — not a one-size-fits-all protocol.

What are the symptoms of perimenopause?

Common perimenopause symptoms include hot flashes, night sweats, sleep disruption, brain fog, mood changes, irritability, anxiety, weight gain especially around the midsection, low libido, vaginal dryness, and irregular periods. Many women are told their labs look normal — but optimal hormone levels for symptom relief are different from population-average reference ranges.

What is BHRT and how is it different from conventional hormone therapy?

Bioidentical hormone replacement therapy (BHRT) uses hormones that are chemically identical in structure to those your body produces — primarily estradiol, progesterone, and testosterone. We use patches, capsules, creams, gels, and injectables depending on your specific hormone levels, symptoms, and preferences. Protocols are built around your labs, not a standard dose.

Can I get perimenopause care via telehealth in Oklahoma?

Yes. We offer telehealth perimenopause and BHRT care for women across Oklahoma. Labs are drawn at a local draw site near you. All consultations, lab reviews, and protocol adjustments happen via secure video.

Do you accept insurance for perimenopause care?

We operate on a cash-pay model. No insurance is required or accepted. The Foundation Consult is $499 and includes a comprehensive hormone panel review. This means no prior authorizations, no insurance denials, and real time with your provider.

Also available in Broken Arrow, OK

“You don't have to white-knuckle your way through this.”

Perimenopause is a transition, not a sentence. Start with a Foundation Consult and leave with a written protocol built around your labs.

Book a Foundation Consult — $499

Restorative Health and Wellness

Perimenopause care and bioidentical hormone therapy in Broken Arrow, Oklahoma — built around your labs, not a template.

Visit & contact

2017 S Elm Pl, Ste 100
Broken Arrow, OK 74012
(918) 376-0838
Text (918) 376-3494
Mon/Wed/Thu 9:30a–4p
Tue 9:30a–6:30p · Fri 9:30a–2p
The information on this website has not been evaluated by the Food and Drug Administration. Content is provided for educational and informational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Individual results vary — patient outcomes depend on health history, lab values, lifestyle, and adherence to care protocols. Testimonials reflect individual experiences and are not a guarantee of results. Consult a qualified healthcare provider before making changes to your health regimen. © 2026 Restorative Health and Wellness · Broken Arrow, Oklahoma