Menopause Management


At Complete Care of Colorado we understand that life expectancy for women has nearly doubled over the last century, reaching an average age of 83!  This increase means a woman can expect to live nearly half of her life after menopause.

There are safe ways to manage the unwanted side effects of menopause, age gracefully and reclaim the vitality of your youth.  Menopause is a gradual process that may take up to ten years to occur.  The years leading up to menopause are known as peri-menopause.

During the peri-menopause years, progesterone levels decline significantly.  While estrogen levels change as well, they rarely decline in balance with progesterone levels.  This imbalance in the decrease of estrogen and progesterone levels often leads to more estrogen in relation to progesterone and is termed estrogen dominance.

Estrogen dominance is common during peri-menopause and may contribute to mood changes, hot flashes, irritability, memory loss and more.  Persistent estrogen dominance may be a risk factor for several diseases including estrogen-dependent cancers, osteoporosis, Alzheimer’s disease and cardiovascular disease.


We can provide testing and follow up monitoring to help determine the most effective hormone balancing treatment program.  Salivary testing is advantageous over other testing mediums because it allows the doctor to assess your bioavailable hormone levels- what is actually available for use by the body.  Because of the complexity of changes to the endocrine system during menopause, hormone testing is imperative to identify proper treatment options.

We can provide a comprehensive hormone panel which is an excellent starting place for evaluating hormone function.  A typical panel may include the following hormones: Estradiol, progesterone, testosterone, DHEA and cortisol – four times throughout the day.

Balancing your hormones can help you with getting regular sleep, curb sugar cravings, diminishing hot flashes, improve libido, and maintain ideal weight.

We also provide the following services:

  • Annual female exams/PAPS
  • Breast exams
  • Well women exams

Jeffrey Gappa, D.C., DABCI, AP-C