Personalized Menopause Care That Puts You First
At Adaptive Wellness, Dr. Anne Wells offers thoughtful, personalized menopause care that combines evidence-informed treatment with a broader understanding of your health.
Whether you're exploring hormone replacement therapy, looking for non-hormonal options, or seeking a clinician who will take the time to understand your concerns, Anne can help you make informed decisions and develop a plan that works for you.
Personalized menopause care via secure telehealth throughout Washington State, with in-person appointments available in Mukilteo.
Hot flashes interrupting your day. Nights disrupted by sweating or sleeplessness. Changes in energy, mood, sexual health, or weight that no longer respond to your usual routines.
Menopause may be a natural transition, but that doesn't mean you have to accept symptoms that interfere with your quality of life.
Menopause Symptoms:
More Than Hot Flashes
Menopause affects women differently. Some experience relatively few symptoms, while others face significant changes that affect their work, relationships, sleep, and overall well-being. ​Common concerns include:
Hot Flashes & Night Sweats
Sudden waves of warmth, flushing, or nighttime sweating that disrupts comfort and sleep.
Vaginal & Urinary Health
Vaginal dryness, discomfort during intimacy, or changes in urinary health.
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Sleep & Fatigue
​Difficulty falling asleep, waking frequently, or feeling exhausted despite adequate rest.
Sexual Health & Intimacy
Changes in sexual desire, arousal, or comfort that affect personal relationships.
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Mood & Mental Clarity
​Changes in mood, increased anxiety, irritability, or difficulty concentrating.
​Body & Joint Changes
​Changes in body composition, muscle or joint discomfort, and evolving metabolic health.
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Not every symptom is necessarily caused by menopause. A thoughtful evaluation considers your health history, symptoms, and other potential contributing factors.
Wondering what these changes mean for you?
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Understanding Menopause
and Life After Menopause
Menopause marks the end of menstrual periods and reproductive cycling. Natural menopause is generally recognized after 12 consecutive months without a period, when the absence of menstruation is not explained by another cause.
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The average age is approximately 51, although timing varies.
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The years leading up to menopause are called perimenopause, when hormone levels and menstrual cycles may fluctuate substantially.
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After menopause, estrogen levels generally remain lower than during the reproductive years. Some symptoms improve over time, while others, particularly vaginal and urinary concerns, may continue without treatment.
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Menopause is not an illness. It is a major physiological transition that can influence your symptoms, health priorities, and treatment decisions.
Understanding these changes creates an opportunity to address current concerns while considering long-term health.​
Menopause Treatment Options:
Finding What Works for You
Effective menopause care isn't about following a single protocol or achieving a particular hormone number.
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It's about understanding your symptoms, evaluating your health, considering the available evidence, and selecting treatment options that fit your priorities and medical history.
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At Adaptive Wellness, your care plan may incorporate several approaches.
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Hormone Replacement Therapy (HRT) for Menopause
Menopausal hormone therapy, often called hormone replacement therapy or HRT, is the most effective established treatment for bothersome hot flashes and night sweats.
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Depending on your symptoms, medical history, and treatment goals, care may include estrogen, progesterone, testosterone, or an appropriate combination. Delivery options may include patches, creams, gels, oral or vaginal preparations, or hormone pellets.
Hormone therapy is not appropriate for everyone. The decision depends on factors such as time since menopause, personal and family medical history, symptoms, and individual risks.
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Anne can help you understand the potential benefits, limitations, and risks of treatment, including the differences between available formulations and delivery methods.
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Non-hormonal Menopause Support
Hormone therapy isn't the only option.
Nutrition, physical activity, sleep, stress management, and other aspects of health are important parts of a comprehensive menopause care plan. Dr. Wells considers these factors alongside hormonal changes, medical history, and individual health goals. Non-hormonal approaches may be incorporated independently or alongside hormone therapy to support overall health and well-being.
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Your treatment plan should reflect your preferences, health history, and the symptoms that matter most to you.
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Vaginal and Urinary Symptom Management
Vaginal dryness, irritation, discomfort during intimacy, and some urinary symptoms may respond to targeted treatment.
Options can include vaginal moisturizers, lubricants, low-dose vaginal estrogen, and other prescription treatments when appropriate.
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These concerns deserve attention even when hot flashes or other menopause symptoms have improved.
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Sleep, Nutrition, Movement, and Metabolic Health
Sleep quality, physical activity, nutrition, and maintaining muscle and bone strength become especially important during midlife.
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Your individualized plan may include strategies for improving sleep, resistance exercise, nutrition, stress management, and metabolic health.
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When weight concerns require more focused medical support, Anne can evaluate appropriate options as part of your broader health picture.
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Long-Term Health and Prevention
Menopause is also a useful time to revisit bone health, cardiovascular risk factors, metabolic health, and preventive screening.
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Anne can help identify priorities for evaluation, treatment, and coordination with your other healthcare professionals.
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The goal isn't simply to manage symptoms today. It's to support your health and quality of life for the years ahead.
The Adaptive Wellness Difference:
Care That Sees the Whole Picture
You shouldn't have to choose between clinical expertise and being genuinely heard.
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At Adaptive Wellness, Dr. Anne Wells combines evidence-informed naturopathic and functional medicine with a personalized approach to midlife women's health.
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Her work considers the relationships among hormones, metabolism, sleep, digestive health, stress, lifestyle, and other factors that may influence how you feel.
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Your care is grounded in:
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Time to understand your concerns.
Thoughtful conversations about your history, symptoms, priorities, and treatment preferences.
Individualized clinical evaluation.
Appropriate testing and diagnostic assessment based on your circumstances, rather than a one-size-fits-all approach.
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Informed treatment choices.
Clear discussions about the benefits, risks, and alternatives of available treatments.
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An ongoing clinical relationship.
Support that can adapt as your symptoms improve, health priorities change, or new concerns arise.
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AW is designed for women who appreciate thoughtful, personalized care and want an experienced clinician who understands their bigger health picture.
Your Menopause Care Journey
1. Begin with a Conversation
Schedule a complimentary 15-minute introductory call with Dr. Wells. Share what you're experiencing, discuss your goals, and explore whether Adaptive Wellness is the right fit for your needs.
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2. Understand Your Health and Explore Your Options
Your first month begins with Care Launch, an in-depth assessment of your symptoms, medical history, previous treatments, and health priorities. Together, you'll explore appropriate treatment options, develop a personalized care plan, and begin taking steps toward greater comfort and well-being.
Care Launch stands on its own, with no ongoing commitment.
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3. Refine Your Treatment with Ongoing Support
Finding the right approach can take time. If you choose to continue, Guided Ongoing Care provides ongoing clinical guidance, treatment monitoring, and adjustments as your body responds and your needs change.
The goal is to find what works for you, with support and thoughtful adjustments along the way.
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4. Sustain Your Progress
Your health needs continue to evolve beyond the menopause transition. Ongoing care can help you maintain progress, revisit treatment decisions, and address changing priorities over time.
With a trusted provider who understands your history, you can focus on feeling well and staying well through the years ahead.
Meet Dr. Anne Wells
Dr. Anne Wells is a Washington-licensed naturopathic physician, Functional Medicine Certified Professional – Medical, and founder of Adaptive Wellness.
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Her clinical focus includes menopause and perimenopause, hormone health, metabolic health, digestive concerns, and healthy aging.
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Anne believes meaningful care begins with careful listening and thoughtful clinical evaluation. Her approach combines scientific evidence, functional medicine principles, and individualized treatment planning.
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She works collaboratively with patients to develop practical strategies that support their health, preferences, and everyday lives.
Menopause Care Throughout Washington State
Adaptive Wellness provides personalized menopause care throughout Washington State via secure telehealth, including the San Juan Islands, Port Townsend, Sequim, Wenatchee, and the Tri-Cities.
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In-person appointments are available in Mukilteo, with additional evaluation, testing, or referrals arranged when clinically appropriate.
Feel More Confident About Your Health and Your Next Chapter
Menopause changes your physiology, but it doesn't have to define how well you feel or what you can accomplish.
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Whether you're exploring hormone therapy for the first time, reconsidering an existing treatment plan, or looking for more comprehensive guidance, you deserve care that takes your concerns seriously.
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At Adaptive Wellness, you'll find a thoughtful approach centered on your health, your priorities, and your goals.
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Take the first step toward personalized menopause care.
Learn more about the transition leading up to menopause on our Perimenopause Care page.
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This page is for general education and does not replace individualized medical advice. Adaptive Wellness does not provide emergency care.
Menopause Frequently Asked Questions