Hot flashes and night sweats
Discuss systemic hormone and nonhormone options suited to your health history.
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Women’s Sexual Wellness • Menopause Care
Hot flashes, disturbed sleep, vaginal dryness and discomfort with intimacy can make daily life harder. You do not have to sort through conflicting advice alone. We offer personalized medical evaluation and a practical discussion of evidence-supported hormone and nonhormone options.
Care in The Villages and Wildwood, welcoming patients from across Florida, the U.S. and internationally. Treatment location confirmed when scheduling.
Understanding your options
As estrogen levels change around menopause, some women notice sleep difficulties, temperature changes, vaginal dryness and pain with intimacy. Not all symptoms require systemic hormone treatment, and not all women are candidates.
Cleveland Health Center offers hormonal evaluation and, when appropriate, medically supervised therapy. We distinguish FDA-approved bioidentical formulations—such as certain estradiol and micronized progesterone medications—from custom-compounded hormones, which have less reliable standardization and are not preferred when approved options are available.
Our team helps patients compare symptom-specific treatments, risks, benefits and follow-up needs.
Concerns we evaluate
The right treatment starts with identifying the condition—not simply matching a symptom to a device or product.
Discuss systemic hormone and nonhormone options suited to your health history.
Local vaginal estrogen or other established options may help without systemic treatment.
Look at hormonal and nonhormonal contributors.
Understand the difference between FDA-approved formulations and compounded preparations.
Review prevention, sexual health, bone health and quality-of-life goals.
The treatment explained
A detailed history, medication review, symptom assessment and individual risk discussion guide therapy. Laboratory testing may be appropriate in selected situations, but routine hormone panels are not needed to diagnose typical menopause in every patient.
Systemic hormone therapy can help selected patients with bothersome hot flashes and night sweats. Local vaginal estrogen can be an option for dryness and painful intercourse. A uterus, age, time since menopause, cardiovascular risk, prior cancer, unexplained bleeding and clot history affect treatment decisions.
What to expect
Describe what is changing and what matters most to you.
Discuss age, menopause timing, medical history, medications and screening.
Review FDA-approved hormones, local therapy and nonhormonal alternatives.
Schedule follow-up to assess benefits, adverse effects and ongoing need.
Your health comes first
A good consultation includes the choice not to pursue a procedure. We review established options, medical care and referrals whenever appropriate.
Prescription options may help vasomotor symptoms when hormones are unsuitable.
Useful for mild vaginal dryness and friction-related symptoms.
An option for selected genitourinary symptoms with targeted action.
If pain or leakage also affects quality of life.
Why Cleveland Health Center
Sexual and pelvic health questions are personal. Our team takes the time to review your medical history, goals, treatment options and safety considerations.
Our practice is led by Florian Gegaj, MD, an ABIM board-certified internal medicine physician. We welcome patients from The Villages, Wildwood, across Florida and beyond.
Meet Florian Gegaj, MD, founder of Cleveland Health Center and an ABIM board-certified internal medicine physician.
Medical evaluation, thoughtful counseling, and coordinated care are central to our approach.
Your questions, answered
FDA-approved bioidentical hormone products are available; custom compounded products have not been shown safer or more effective than standard approved therapy.
Not always. Many menopause diagnoses are based on symptoms and life stage. Testing is tailored to the clinical picture.
Local vaginal estrogen and other approved therapies often improve menopause-related dryness; systemic hormones are not necessary for every patient.
No. Your medical history and personal risk factors help determine whether it is appropriate.
Yes. Cleveland Health Center welcomes patients from Central Florida and beyond for individualized medical evaluation.
Continue exploring
If urinary leakage or pelvic-floor weakness is also affecting your comfort or confidence, learn about our separate BTL EMSELLA Pelvic Floor Therapy for women and men.
Educational information only. Individual treatments are based on a clinical assessment, and results vary. Do not change prescribed medication without professional advice.
These concerns may overlap with sexual wellness, but they deserve their own evaluation. Learn more about our separate Urinary Incontinence & Pelvic Floor Therapy service and BTL EMSELLA treatment.