Perimenopause & Hormone Therapy · Glendale, CA · Sera Ramadan, D.O.
Hormonal Health That Supports
Your Healthspan, Not Just Your Symptoms
Evidence-based perimenopause evaluation and hormone replacement therapy from a NAMS-trained, board-certified internal medicine physician in Glendale, CA.
A Physician Who Specializes in This
Perimenopause care that treats
the whole picture
Perimenopause is one of the most underdiagnosed and undertreated transitions in women's health. Symptoms that are frequently dismissed as stress, aging, or anxiety — irregular cycles, poor sleep, cognitive changes, weight shifts, and mood instability — are often the direct result of declining and fluctuating estrogen levels that can begin a decade before menopause.
At Los Angeles Primary Care in Glendale, Sera Ramadan, D.O. takes a precision approach to hormonal health, identifying where you are in the menopausal transition, evaluating your individualized risk profile, and offering evidence-based hormone replacement therapy as a tool to not only relieve symptoms but to protect your long-term cardiovascular, metabolic, and bone health.
Additional Training Through
The Menopause Society (NAMS)
Sera Ramadan, D.O. completed advanced training through the North American Menopause Society, the leading authority on menopause medicine in North America. As a female physician with a focused practice in preventive health and metabolic medicine, she views hormone replacement therapy as a natural and essential extension of her mission: helping patients not just feel better today, but optimize their healthspan for decades to come. Her patients benefit from care grounded in the most current evidence, not outdated fears.
Recognizing the Transition
Symptoms that may signal
perimenopause or menopause
Many women are told their symptoms are normal, stress-related, or simply part of aging. Often, they are hormonal. If you are experiencing any of the following, a comprehensive hormonal evaluation may be appropriate.
The Approach
How we approach
hormone replacement therapy
Comprehensive Evaluation
A thorough intake covering your symptom history, menstrual pattern, personal and family history of cardiovascular disease, clotting disorders, and hormone-sensitive cancers. This is the foundation for safe, individualized prescribing.
Hormonal & Metabolic Labs
Targeted lab work to assess estrogen, progesterone, testosterone, FSH, thyroid, metabolic markers, and lipid and cardiovascular risk. Results are interpreted in the context of your symptoms, not just reference ranges.
Personalized HRT Plan
Formulation, route of delivery, and dosing are selected based on your clinical profile. Transdermal estrogen, oral micronized progesterone, vaginal estrogen, and testosterone therapy are all options depending on your individual needs.
Ongoing Monitoring
Follow-up visits to assess symptom response, adjust dosing, repeat labs, and ensure continued safety and efficacy. Hormone therapy is a dynamic, long-term partnership, not a one-time prescription.
Treatment Options
Hormone therapy options
we offer and prescribe
HRT is not a single drug — it is a category of individualized treatments. The right formulation depends on your symptoms, uterine status, cardiovascular risk, and personal preferences.
Transdermal Estrogen
Patches, gels, and sprays that deliver estrogen through the skin, bypassing first-pass liver metabolism. Transdermal delivery carries a lower risk of blood clots and stroke compared to oral estrogen and is the preferred route for most patients per current NAMS guidelines.
Micronized Progesterone
Bioidentical oral progesterone (Prometrium) is prescribed alongside estrogen for women with an intact uterus to protect the uterine lining. It also carries favorable sleep and mood effects compared to synthetic progestins.
Testosterone Therapy for Women
Testosterone is not exclusively a male hormone. Women produce it throughout their lives, and declining levels contribute to low libido, fatigue, cognitive changes, and muscle loss. We evaluate and prescribe testosterone for women when clinically indicated.
Vaginal Estrogen Therapy
Low-dose topical estrogen applied locally to treat genitourinary syndrome of menopause, including vaginal dryness, discomfort, and recurrent urinary tract infections. Minimal systemic absorption makes it appropriate for most women including many who cannot use systemic HRT.
Non-Hormonal Alternatives
For patients who are not candidates for or prefer not to use hormone therapy, evidence-based non-hormonal options are available for specific symptoms including vasomotor symptoms, sleep, and mood. A full discussion of options is always part of the consultation.
Bone & Cardiovascular Protection
When initiated within 10 years of menopause onset, HRT has been shown to reduce fracture risk, slow atherosclerosis progression, and meaningfully lower cardiovascular risk. We integrate bone density monitoring and cardiovascular screening into every long-term hormonal health plan.
The Bigger Picture
HRT and the science of
long-term healthspan
At Los Angeles Primary Care, hormone therapy is not viewed as symptom management alone. It is a cornerstone of preventive medicine for women in the menopausal transition.
Cardiovascular Health
Estrogen is a key metabolic protector. Its decline accelerates insulin resistance, visceral fat accumulation, and atherosclerosis. Current evidence shows HRT initiated near menopause can reduce coronary heart disease risk by approximately one-third and improve insulin sensitivity in women without diabetes.
Bone Density & Fracture Prevention
Estrogen is the primary hormone protecting bone density. The years following menopause represent the most rapid period of bone loss in a woman's life. HRT is one of the most effective interventions available for preserving bone mass and reducing osteoporotic fracture risk.
Cognitive & Brain Health
Emerging evidence supports a neuroprotective role for estrogen, particularly when HRT is initiated in the early menopausal transition. Brain fog, memory changes, and concentration difficulties are recognized hormonal symptoms, not inevitable aging — and they respond to treatment.
Metabolic Health & Body Composition
The hormonal changes of menopause drive a shift in fat distribution toward the abdomen and a loss of lean muscle mass. HRT, in combination with resistance training and appropriate nutrition, supports metabolic health and helps preserve the body composition changes that increase cardiometabolic risk.
Your Physician
Sera Ramadan, D.O.
NAMS-Trained Menopause & Internal Medicine Physician
Formerly based in Los Angeles, Los Angeles Primary Care is now located at our Glendale, CA clinic — continuing to serve patients from across the greater Los Angeles area including Pasadena, Burbank, and La Cañada.
Sera Ramadan, D.O. is a board-certified internal medicine physician who completed advanced training in menopause medicine through the North American Menopause Society. Her approach to hormonal health is rooted in the same evidence-based, precision framework she applies across all of her clinical work: identify the underlying physiology, individualize the intervention, and always keep the patient's long-term health at the center of every decision.
As a female physician who specializes in preventive health, metabolic medicine, and obesity medicine, Sera Ramadan, D.O. views hormone replacement therapy as a natural and essential component of comprehensive women's healthcare. For her patients navigating perimenopause and menopause in Glendale, Pasadena, Burbank, La Cañada, and across greater Los Angeles, HRT is not a last resort — it is an opportunity to protect health, optimize function, and extend the years lived well.
Her practice is small and intentional. Patients see the same physician at every visit, receive unhurried consultations, and benefit from a physician who stays current with the most advanced guidelines in menopause medicine.
Service Area
Menopause care for Glendale and
the surrounding communities
Our clinic is centrally located in Glendale, CA and is easily accessible from Pasadena, Burbank, La Cañada Flintridge, and the greater Los Angeles area. If you are searching for a menopause specialist or HRT doctor near you, we are currently accepting new patients.
Common Questions
What patients ask before
their first consultation
Your hormonal health deserves
a physician who truly understands it
NAMS-trained, board-certified internal medicine in Glendale, CA. Evidence-based HRT, comprehensive hormonal evaluation, and a physician invested in your long-term healthspan. Serving Pasadena, Burbank, La Cañada, and greater Los Angeles.
Book A Visit Meet Sera Ramadan, D.O.