Dr Megan Malone listening to a patient discussing menopause and perimenopause symptoms in a calm women’s health consultation
Women's Health Care in O’Fallon, MO

Menopause and Perimenopause

Menopause and perimenopause are not just about hot flashes or cycle changes. For many women, this phase brings shifts in energy, mood, sleep, focus, and how their body feels as a whole. Too often, these changes are dismissed as something you should simply accept or push through. At Tri-County Wellness, we believe this transition deserves care that respects both what your body is experiencing and who you are becoming.

Understanding Perimenopause and Menopause

Perimenopause is the transitional phase leading up to menopause and can begin years before periods stop completely. Menopause is defined as twelve consecutive months without a cycle, but the experience surrounding it is rarely confined to a single moment.

Hormonal changes during this time can affect the body physically, chemically, and emotionally. Many women feel like their body is responding differently than it used to, even when nothing obvious has changed. Understanding menopause begins with recognizing that this is a complex transition, not a failure or something that needs to be fixed.

Signs Perimenopause or Menopause Might Be Part of Your Story

Every woman’s experience is different, but common changes include:

Changes in cycle timing or flow

Periods that become irregular, heavier, lighter, or unpredictable.

Sleep disruption

Difficulty falling asleep, staying asleep, or waking without feeling restored.

Hot flashes or temperature sensitivity

Sudden warmth, sweating, or chills that interfere with comfort or rest.

Mood or emotional shifts

Feeling more irritable, anxious, low, or emotionally reactive than before.

Brain fog or changes in focus

Difficulty concentrating, remembering, or feeling mentally sharp.

Joint stiffness or body aches

New or worsening discomfort that affects movement and daily activity.

You may experience only one of these changes or many of them. There is no single way menopause is supposed to feel.

Perimenopause and menopause look different for every woman. Your experience is valid even if it does not match someone else’s.

How Hormonal Changes Can Affect the Whole Body

At Tri-County Wellness, we look at the whole body, not just the symptoms.

Hormones influence nearly every system in the body. As estrogen and progesterone fluctuate, the nervous system, metabolism, joints, muscles, digestion, and stress response can all be affected.

For some women, this creates increased pain sensitivity, fatigue, or difficulty recovering from stress. For others, it feels like a deeper shift in how they move through the world. At Tri-County Wellness, we look at how these changes connect rather than treating symptoms as isolated or unrelated.

Menopause Is a Natural Transition, But It Does Not Have to Be Miserable

Being told that symptoms are normal does not mean they should be ignored. Many women are left feeling like they are expected to tolerate discomfort or loss of vitality in the name of aging.

At Tri-County Wellness, we do not approach menopause as something to reverse or erase. We also do not believe women should suffer through it. This phase of life often comes with wisdom, clarity, and a different relationship with the world. Care should support you through the physical changes while honoring the person you are becoming.

If something feels off in your body, that matters.

Our Approach to Menopause and Perimenopause

Care at Tri-County Wellness is collaborative, respectful, and individualized. Our approach may include:

Listening to your lived experience

We take time to understand how this transition is affecting your body, energy, and daily life.

Supporting physical, chemical, and emotional balance

Care may address movement, hormone patterns, stress response, and overall wellbeing.

Functional medicine support when appropriate

Exploring patterns related to hormones, inflammation, sleep, and energy using a whole body lens.

Effective chiropractic care for comfort and movement

Supporting joint health, posture, and nervous system regulation as your body changes.

Practical strategies for resilience and quality of life

Realistic steps that support how you want to feel now, not how you used to feel years ago.

What Your First Menopause Visit Looks Like

Your first visit is designed to feel unrushed and supportive.

1

Time to talk and be heard

We begin with a detailed conversation about symptoms, history, and concerns.

2

Review of records or prior testing if available

If you have labs or previous evaluations, we review them together.

3

Considered, consent based exam when appropriate

Any examination is explained clearly and guided by your comfort.

4

Clear explanation of next steps

You leave with clarity around options, priorities, and what comes next.

Meet Dr. Megan Malone

Guided by education, grounded in care

Dr. Megan Malone has spent over a decade working with women across every stage of life, from puberty through post menopausal years. She understands menopause as a physical, chemical, and emotional transition, not something to fear or erase.

Her approach focuses on helping women feel supported, informed, and empowered as their body changes, without pressure to return to an earlier version of themselves.

Frequently Asked Questions

No. Many patients come during perimenopause, when symptoms are just beginning.

No. Care focuses on supporting how your body feels and functions now.

No. We work alongside your existing care team.

That overlap is common. We look at patterns rather than separating concerns.

Yes. You do not need severe symptoms to deserve care.

Office Hours

DayHours
Monday9:00 AM to 12:00 PM, 2:00 PM to 5:30 PM*
Tuesday9:00 AM to 12:00 PM, 2:00 PM to 5:30 PM*
Wednesday9:00 AM to 12:00 PM, 2:00 PM to 6:00 PM*
Thursday1:00 PM to 4:00 PM
FridayBy Special Appointment  Only
SaturdayClosed
SundayClosed

*Closed for lunch from 12 to 2 PM

Location and Contact

Tri-County Wellness Clinic
28 Crossroads Plaza, O’Fallon, MO 63368
Located within the Crossroads Plaza. We are in the same plaza as X Golf, with Sherwin Williams Paint just across the road.
Phone:
  (636) 294-7933