Comprehensive Menopause and Perimenopause Care
Pause & Reset specializes in the full spectrum of perimenopause and menopause symptoms — not as an add-on to a general OB-GYN practice, but as our primary focus. When menopause care is the center of what we do, not a sidebar, the depth of evaluation and the quality of treatment are fundamentally different.
Women come to us with hot flashes and night sweats that dominate their days and destroy their sleep. With fatigue so deep that coffee and willpower stopped working months ago. With brain fog that makes them question their competence. With anxiety that appeared out of nowhere. With weight gain that doesn't respond to diet or exercise. With mood swings that are straining their closest relationships. With hair thinning, joint pain, low libido, pelvic changes, heart palpitations, and bloating — symptoms that are often treated in isolation when they share common hormonal and metabolic roots.
We also see women who haven't been diagnosed with anything specific but know something has shifted. Women in their late thirties and early forties who feel different — less resilient, less energized, less like themselves — and want to understand why before symptoms become severe. Early evaluation during the perimenopause transition is one of the highest-value things you can do for your long-term health.
And we see women who've been through the conventional system already. Who have a drawer full of prescriptions that treat symptoms individually but never addressed the underlying hormonal and metabolic picture. These women aren't looking for another specialist. They're looking for someone who connects the dots.
"I've seen four doctors about my symptoms over two years. Dr. Nina was the first one who tested everything, explained everything, and actually had a plan. One visit changed my trajectory."
— Age 46, Buckhead
How We Practice Menopause Medicine Differently
Dr. Nina's approach combines hormone optimization with functional medicine principles — meaning we don't just test your estrogen and hand you a prescription. We evaluate the full interconnected picture: hormones, thyroid function, metabolic health, inflammatory markers, nutrient status, cortisol patterns, and gut health. Because perimenopause affects every system in your body, and treating one while ignoring the rest produces incomplete results.
Our evaluation starts with listening. Your first appointment is longer than what you're used to — because understanding your symptom timeline, your health history, your stress load, your sleep patterns, and your goals matters as much as any lab value. The women we see have often spent years feeling unheard. That ends here.
Comprehensive testing follows. Our standard panel includes fifteen-plus markers that go well beyond what most providers order — hormones, full thyroid with antibodies, fasting insulin, inflammatory markers, key nutrients, and more. We interpret results using functional optimal ranges, not just standard reference ranges where real dysfunction hides behind a 'normal' label.
Treatment is personalized and layered. Bioidentical hormone therapy when indicated. Progesterone support when that's the primary driver. Testosterone when it's the missing piece. Metabolic intervention when insulin resistance is the root. Nutritional guidance, targeted supplementation, peptide therapy, IV nutrient support — whatever your specific picture requires, in the sequence that produces the fastest and most lasting improvement.
How It Happens
What Makes This Practice Different From Other Atlanta Options
Atlanta has no shortage of OB-GYN practices that will see you for menopause symptoms. Most of them will run a basic TSH, maybe an estradiol level, and offer hormone therapy or an antidepressant. That's the standard of care — and for many women, it's not enough.
Pause & Reset exists because Dr. Nina saw that gap. She built a practice specifically for women in the perimenopause and menopause transition — with the testing depth, the clinical expertise, and the appointment time that this life stage actually demands. This isn't menopause care squeezed into a 12-minute appointment between prenatal visits and annual pelvics. This is dedicated, focused, expert care for a transition that affects every dimension of your health.
Our unique combination of hormone optimization and functional medicine means you get both the hormonal support and the metabolic, nutritional, and lifestyle guidance that make hormones work at their best. Dr. Nina's additional expertise in trichology means that hair health — one of the most emotionally distressing symptoms women experience — gets the clinical attention it deserves rather than being dismissed as cosmetic.
We serve women across the greater Atlanta metro area — Dunwoody, Sandy Springs, Buckhead, Midtown, Decatur, Roswell, Alpharetta, Marietta, and beyond. Whether you're ten minutes away or driving in from the suburbs, the quality of care is worth the trip.
"I drove 40 minutes from Marietta and I'd do it again every week. There is nothing like this in my area — nobody who focuses on menopause this deeply."
— Age 49, East Cobb
Hot Flashes & Night Sweats
The most recognized menopause symptoms — and the most effectively treated with bioidentical hormone therapy.
Ask about: Estradiol levels + BHRT delivery method options
Fatigue, Fog & Mood Changes
Often driven by progesterone decline, thyroid dysfunction, or metabolic shifts — all addressable with comprehensive evaluation.
Ask about: Full hormone panel + thyroid + metabolic markers
Weight Gain & Metabolic Changes
Insulin resistance, cortisol dysregulation, and thyroid shifts all contribute. Requires metabolic testing, not just dietary advice.
Ask about: Fasting insulin, glucose, HbA1c + hormone assessment
Hair, Skin & Joint Changes
Estrogen and collagen decline affect tissue throughout the body. Dr. Nina's trichology expertise adds a dimension most practices lack.
Ask about: Comprehensive assessment including iron, thyroid, DHT, vitamin D
When to See a Provider Promptly
- •Symptoms severely impacting work, relationships, or daily function — don't wait to book
- •Unexplained rapid symptom onset or progression
- •Heavy menstrual bleeding soaking through protection hourly
- •Chest pain, fainting, or sustained heart palpitations — seek ER evaluation first
You've waited long enough for real answers. Book your evaluation with Dr. Nina today.
Schedule Your EvaluationWhat to Expect When You Come In
Your first visit begins with a comprehensive consultation — typically 45 to 60 minutes with Dr. Nina. This is not a rushed appointment. You'll have time to describe your symptoms, share your history, ask questions, and feel genuinely heard. Most women tell us this conversation alone is worth the visit — because someone is finally taking their full picture seriously.
Based on your consultation, we order comprehensive lab work — either drawn on the same day or scheduled at the optimal time in your cycle for the most informative results. Our panel is significantly more thorough than standard blood work, covering hormones, thyroid, metabolic markers, inflammatory indicators, and key nutrients.
Your results consultation follows in one to two weeks. Dr. Nina walks you through every finding, explains the connections between your labs and your symptoms, and presents a personalized treatment plan. Nothing is prescribed without explanation. Nothing is recommended without evidence. You leave with clarity about what's happening in your body and a specific plan to address it.
Follow-up care is structured and responsive. We don't start treatment and disappear. Lab retesting at six to eight weeks confirms your response. Dosing adjustments are made based on both your numbers and how you actually feel. Ongoing monitoring ensures your care evolves as your transition progresses.
Symptom Tracker — Menopause Doctor Atlanta
Track these for 2–4 weeks before your appointment
💾 Save this tracker — bring it to your first appointment
Serving the Atlanta Metro — From Dunwoody to Decatur and Beyond
Pause & Reset is located in the Dunwoody area, easily accessible from I-285, GA-400, and Peachtree Industrial Boulevard. We serve women throughout the greater Atlanta metro — including Sandy Springs, Brookhaven, Buckhead, Midtown, Decatur, Tucker, Chamblee, Doraville, Roswell, Alpharetta, Johns Creek, Marietta, and Kennesaw. Many of our patients drive 30 to 45 minutes because they haven't found this level of menopause care closer to home.
Atlanta women face unique health considerations that intersect with the perimenopause transition. The pace and stress of Atlanta professional life contributes to cortisol-driven symptom amplification. The heat and humidity can worsen vasomotor symptoms. And the diversity of our city means that care must be culturally responsive — understanding that Black women experience perimenopause with specific patterns, higher rates of fibroids and heavy bleeding, and a medical system that has historically underserved them.
We built Pause & Reset to fill a gap in Atlanta's healthcare landscape. Dedicated menopause practices — not OB-GYN offices that happen to treat menopause, but practices built specifically around the perimenopause and menopause transition — are rare in this city. You shouldn't have to fly to New York or LA for expert menopause care. You deserve it here, in your city, with a provider who understands your community.

