Most women can expect to spend more than 30 years in the menopause. For many it can be a seamless transition, but for most women the whole process can have a devastating impact on their emotional, physical and intimate life. Evaluation of symptomatic women includes a comprehensive assessment of these aspects, combined with hormone testing including estrogen and testosterone levels. Testosterone deficiency in women can also cause debilitating symptoms. Dr. Richter is a member of the Menopause Society and has been certified in the insertion of bioidentical hormone pellets. This can be very effective in the treatment of menopause related hormonal deficiencies, including estrogen and testosterone.