Menopause medicine, done properly.

The 3 a.m. wake-up. The word that won't come. The mood that isn't yours and the body that stopped answering to the old rules. If this is your season, you don't need a pep talk — you need a clinician who treats the menopause transition as real medicine, because it is.

Menopause care is the center of our practice, not a side offering. Dr. G is a Menopause Society Certified Practitioner (MSCP) — the recognized specialty credential in menopause medicine — and both of our clinicians work in this territory every day.

What we treat

• Perimenopause — the years of hormonal volatility before menopause: sleep disruption, mood shifts, brain fog, cycle changes, and symptoms that get dismissed because "you're still regular."
• Menopause & postmenopause — hot flashes and night sweats, genitourinary symptoms, bone and metabolic health, and long-term wellbeing.
• Hormone optimization — individualized, evidence-based hormone therapy, including bioidentical estradiol and progesterone in the delivery form that fits your body and life: patches, gels, oral, vaginal, and — when it's the right fit — compounded preparations from a trusted pharmacy.

Bleeding changed too? Heavy or unpredictable periods are common in perimenopause and deserve their own workup — here's how we evaluate and treat them.

Deep dives on the symptoms we treat most: hot flashes & night sweats · vaginal dryness & painful sex · heavy periods · midlife weight & metabolism

Testosterone: the hormone women are rarely offered

Estrogen and progesterone get all the conversation, but testosterone is a female hormone too — women produce more of it than estrogen by quantity across much of adult life, and levels decline gradually with age rather than falling off a cliff at menopause. It is also the hormone women are most often told, incorrectly, that they don't need.

The best-established use of testosterone in women is hypoactive sexual desire disorder (HSDD) — persistently low sexual desire that bothers you, after other contributors have been considered. That distinction matters: desire is layered, and sleep, mood, medications, relationship context, pain with sex, and vaginal dryness all deserve a look before, or alongside, any prescription. When testosterone is the right lever, the evidence for improved desire, arousal, and satisfaction is genuinely good.

You'll also see testosterone discussed for energy, muscle, bone, and cognition. That research is active and emerging, not yet conclusive — we'll tell you plainly where the evidence is strong and where it's still forming, rather than promising outcomes the science hasn't earned.

How we prescribe it

There is no FDA-approved testosterone product designed for women in the United States — which is precisely why how it's prescribed matters so much. Our preferred route is a compounded testosterone cream, prepared for us by a trusted local Maui compounding pharmacy. We favor it because it allows true female-range dosing, adjusts easily as we tune, absorbs without the alcohol odor of male-formulated gels, and keeps day-to-day levels steady. Troches are available as an alternative for patients who prefer them.

We do not offer pellets. Once implanted, the dose can't be adjusted or removed if levels run high or side effects appear — and supraphysiologic dosing is the most common way testosterone therapy in women goes wrong. That's a trade-off we're not willing to make on your behalf.

Monitoring is part of the plan, not an afterthought: we typically check levels about eight to ten weeks after starting, then adjust to your symptoms and response. Because standard laboratory reference ranges were never built to measure female testosterone precisely, we treat the whole picture — how you feel, alongside the numbers — rather than chasing a value on a page.

What a visit looks like

Expect an unhurried conversation first: your symptoms, your history, your goals. From there we build a plan together — targeted labs where they're useful, a clear discussion of hormonal and non-hormonal options with honest talk about benefits and risks for your history, and scheduled follow-up to adjust until it's right. Hormone therapy is started, tuned, and monitored — not set and forgotten. And because much of that tuning is conversation, many follow-up visits can happen by telehealth — a real convenience for busy schedules and neighbor-island patients. (Chicago friends: Dr. G is licensed in Illinois too — telehealth visits are available for patients located there.)

If you were told "no HRT" years ago, it's worth knowing the landscape has changed — including the FDA's 2025 removal of the boxed warning from systemic menopause hormone therapy. We wrote a plain-language explainer here.

Common questions

Do I need to be in menopause to come in? No — perimenopause is precisely when evaluation helps most. Start with our free 3-minute symptom check-in if you're unsure.

Do you prescribe bioidentical hormones? Yes. Most modern hormone therapy uses bioidentical estradiol and progesterone; we individualize the molecule, dose, and delivery route to you.

Will insurance cover this? We're in-network with HMAA/HWMG and UHA, out-of-network with other plans — and we submit superbills for you as a courtesy. Details on our billing page.

Is there a menopause specialist on Maui? Yes. Dr. G is a Menopause Society Certified Practitioner (MSCP) — the certification awarded by The Menopause Society — and sees patients at Wahine Health in Wailea. She is also board-certified in obstetrics and gynecology and in obesity medicine, which is why hormones and metabolism get addressed in the same visit rather than in two separate ones.

Do you see patients from outside South Maui? We do. Patients travel from Kīhei, Kahului, Wailuku, Upcountry, and West Maui, and we offer telehealth for anyone located in Hawaiʻi or Illinois. The Wailea office is at 34 Wailea Gateway Place, Ste A-203.