Menopause Specialist

Michelle Starke, MD

Gynecologist & Functional Medicine Specialist located in Coral Gables, FL

Menopause is a personal and unique journey for each woman. Some women develop few symptoms, while others have severe problems, like hot flashes, which interfere with sleep patterns. Dr. Michelle Starke has helped women in Miami manage menopause for more than 20 years. She works closely with each one to create a personalized plan to relieve symptoms and treat problems like vaginal atrophy. If you have questions or need relief from menopause side effects, call the office in Coral Gables, Florida or book an appointment online.


When do you reach menopause?

Although you could reach menopause any time between the ages of 40 and 55, the average age is 51. During the 3-5 years before menopause, also known as perimenopause, your periods may begin to change as hormone levels cycle up and down.

You officially reach menopause when you haven’t had a menstrual period for 12 straight months.

What symptoms develop during menopause?

All symptoms typically associated with menopause can begin during the perimenopause phase. For many women, the same symptoms continue for years after menopause.

The classic menopause symptoms include:

  • Hot flashes and night sweats
  • Vaginal dryness
  • Mood swings
  • Pain during intercourse
  • Low sex drive
  • Frequent urination

Are you at risk for other health problems following menopause?

Estrogen plays a vital role in many systems throughout your body, so you’re at risk for a variety of health concerns when these hormone levels decline. Common problems that develop include:

  • Osteoporosis
  • Cardiovascular disease
  • Heart arrhythmias
  • Urinary incontinence
  • Vaginal atrophy

How is menopause managed?

Dr. Starke works with each woman differently, developing a customized treatment plan that meets their needs. If you’re considering hormone replacement therapy, the doctor may begin by testing your hormone levels.

Dr. Starke prescribes bioidentical hormone therapy, which are plant-derived hormones that have the same molecular structure as the ones naturally produced in your body.

Bioidentical hormones are available commercially, or a compounding pharmacy can formulate them. They’re also available in diverse forms, including topical creams, capsules, injections, troches, and pellets.

Pellets are injected under your skin, where they deliver continuous and consistent levels of hormones for 3-6 months.

As your hormone levels return to normal, the treatment will help relieve menopause symptoms and prevent problems like osteoporosis.

Additionally, Dr. Starke offers cutting-edge treatment for vaginal atrophy; laser treatment with the MonaLisa® Touch. This gentle laser produces long-lasting rejuvenation of vaginal tissues.

Dr. Starke helps you manage the physical and emotional changes that occur during menopause. Get the treatment you need by scheduling an appointment online or calling the office today.