A family doctor must always take a complete medical history. All aspects must be considered. Whether we're talking about premenopause, perimenopause or menopause, it affects all systems.
When a woman has muscle pain, it can be hormonal, non-hormonal or a combination of both. First, a differential diagnosis must be made. If the diagnosis is perimenopause, for example, the treatment I use is bioidentical hormone therapy. It's that simple.