Perimenopuase can successfully be evaluated and treated by Dr. Sue Decotiis, MD at our Midtown Manhattan (New York) medical facility. Perimenopause marks a transitional phase in a woman’s reproductive life — a period when hormone levels begin to fluctuate before menopause. For many women, this natural shift brings a range of symptoms that can impact energy, mood, sleep, and overall quality of life. At Dr. Decotiis’s practice in NYC, a triple board-certified physician with extensive expertise in hormone optimization, she provides comprehensive and contemporary care designed to restore balance, resilience, and vitality.
I am so grateful to have found Dr. Sue Decotiis for perimenopause care in NYC. After months of struggling with weight gain, poor sleep, mood swings, and brain fog, I finally decided to see a specialist. Dr. Decotiis took a completely different approach than other doctors I had seen — she ran comprehensive hormone and metabolic testing and explained exactly what was happening in my body.
As a triple board-certified physician and hormone specialist in Manhattan, she clearly has deep expertise in perimenopause treatment. My personalized plan included bioidentical hormone therapy and metabolic support (compounded peptides which worked better for me then GLP1s), and within weeks I started feeling like myself again. My energy improved, my sleep normalized, and even the stubborn weight began to come off.
If you are looking for a knowledgeable, compassionate perimenopause specialist doctor in NYC, especially in Manhattan, I highly recommend Dr. Sue Decotiis. She truly understands women’s midlife health and treats you with both professionalism and care. ~ Google
What Is Perimenopause? Perimenopause typically begins in the late 30s to early 40s, though onset can vary widely. It is the transitional period leading up to menopause — the point when menstrual cycles permanently cease. During perimenopause, the ovaries gradually produce less estrogen and progesterone. These hormonal fluctuations may cause symptoms such as:
- Irregular menstrual cycles
- Hot flashes and night sweats
- Sleep disturbances
- Fatigue
- Mood swings, anxiety, or irritability
- Low libido
- Weight changes, especially around the midsection
- Brain fog or difficulty concentrating
- Muscle Loss
- Vaginal dryness
I cannot say enough incredible things about my experience. After years of being told that my fatigue, weight gain, anxiety, poor sleep, and brain fog were “just part of getting older,” I finally found a doctor who truly understands hormones and perimenopause. From my very first appointment, she took the time to listen carefully, ran comprehensive hormone and metabolic testing, and explained everything in a way that made sense. For the first time, I felt validated — not dismissed.
Her expertise in hormone optimization completely changed my life. My treatment plan was personalized and carefully monitored, and within weeks I noticed real improvements: deeper sleep, stable moods, renewed energy, improved focus, and even a healthier body composition. I feel like myself again — confident, balanced, and vibrant. It wasn’t a quick fix; it was thoughtful, evidence-based medical care tailored specifically to my body.
If you are struggling with perimenopause symptoms and looking for a doctor who truly understands hormonal health, this is the physician you want. Her knowledge, professionalism, and genuine compassion are unmatched. I am beyond grateful to have found her and would recommend her to any woman in NYC navigating perimenopause and hormone imbalance. ~ Google
While perimenopause is a natural phase of life, the severity and disruption of symptoms can vary widely among women. Many benefit from individualized medical assessment and treatment.
Why Advanced Medical Evaluation Matters
Perimenopause overlaps with other health factors including thyroid changes, lifestyle stress, chronic inflammation, and metabolic shifts. A symptom-based approach alone can miss underlying hormonal imbalances.
Dr. Sue Decotiis, MD brings over three decades of clinical experience in hormone science, internal medicine, and anti-aging therapeutics to the care of perimenopausal women. She uses a combination of:
- Detailed hormone panels
- Metabolic testing
- Comprehensive symptom assessment
- Evidence-based diagnostic tools
- Blood work analysis
This approach ensures that treatment is guided by precise biological data, not guesswork.
Contemporary, Personalized Treatment Options
Modern perimenopause care goes beyond symptom management. Dr. Decotiis’s practice in NYC offers a range of advanced, individualized treatment options grounded in current scientific evidence.
Comprehensive Hormone & Metabolic Evaluation
Dr. Decotiis performs detailed diagnostic testing that may include:
- Estrogen and progesterone levels
- Testosterone evaluation
- Thyroid panel
- Cortisol assessment
- Insulin and glucose markers
- Lipid profile
- Inflammatory markers
- Advanced metabolic rate testing
- Body composition analysis
Bioidentical Hormone Replacement Therapy (BHRT)
Bioidentical hormones are structurally identical to those produced by the body. When prescribed and monitored appropriately, BHRT can help:
- Reduce hot flashes and night sweats
- Improve sleep quality
- Stabilize mood
- Increase libido
- Support bone and cardiovascular health
- Improve energy and cognitive function
- Dr. Decotiis optimizes hormone therapy based on comprehensive lab data and clinical response — ensuring safety and effectiveness.
Targeted Nutritional and Metabolic Support
Hormonal transitions affect metabolism, insulin sensitivity, and fat distribution. Contemporary care may include:
- Personalized nutrition plans
- Supplement regimens tailored to metabolic needs
- Vitamin and mineral optimization
- Advanced metabolic rate testing
These interventions support energy, weight management, and metabolic resilience.
Peptide Therapy
Peptides are short amino-acid chains that help modulate biological signaling pathways. In perimenopause care, peptide therapy may aid in:
- Enhancing tissue repair
- Improving sleep
- Supporting lean muscle maintenance
- Promoting balanced inflammatory responses
- Augmenting hormone optimization
Peptides are used selectively within tailored treatment plans under Dr. Decotiis’s clinical supervision.
Medical Prescription Weight Loss During Perimenopause
For women experiencing significant metabolic slowdown or resistant weight gain, Dr. Decotiis may incorporate physician-supervised medical weight loss strategies as part of a comprehensive perimenopause plan. These may include:
- FDA-Approved Prescription Medications
When clinically appropriate, treatment may involve medications such as:
- Semaglutide
- Tirzepatide
- Retatrutide
- Other GLP-1 based therapies such as Ozempic, Monjourno,etc.
These medications work by:
- Improving insulin sensitivity
- Reducing appetite signaling
- Enhancing metabolic efficiency
- Supporting sustainable fat loss
They are prescribed only after medical evaluation and ongoing monitoring.
Compounded Peptide Protocols
In select patients, compounded peptide therapies may be used to support:
- Metabolic activation
- Lean muscle preservation
- Fat oxidation
- Improved recovery
- Hormonal signaling support
Peptide therapy is integrated carefully and is not a substitute for foundational hormonal and metabolic correction — but can enhance overall outcomes in appropriate candidates.
A Precision Approach to Body Composition
Unlike traditional diet programs, Dr. Decotiis focuses on:
- Preserving lean muscle mass
- Improving metabolic flexibility
- Reducing visceral fat
- Stabilizing blood sugar
- Supporting long-term maintenance
- Her approach recognizes that during perimenopause, weight management requires medical insight — not just willpower.
Why Choose Dr. Sue Decotiis, MD in NYC?
Dr. Decotiis is uniquely qualified to manage perimenopause with a balance of scientific rigor and individualized care:
- Triple Board Certification in Internal Medicine, Obesity Medicine, and Anti-Aging Medicine
- Faculty / Attending Physician at NYU Medical Center, NYC
- Decades of experience in hormone science and metabolic health
- Comprehensive diagnostic approach based on complete lab panels
- Personalized, data-driven treatment plans
- Telemedicine options available for national and international patients
- Women throughout NYC, Manhattan, and the Upper East Side trust Dr. Decotiis for deep medical expertise paired with compassionate, practical care.
Take Control of Your Perimenopause Journey
Perimenopause does not have to be endured — it can be understood, managed, and optimized. If symptoms are affecting your quality of life, an expert evaluation with Dr. Sue Decotiis, MD can help you rediscover balance, energy, and well-being.
Contact us today to schedule your individualized perimenopause consultation with one of NYC’s leading perimenopause hormone optimization specialists.
If you have any questions for the NYC Doctor in regards to Medical Weight Loss or Hormone Replacement Therapy or to make a consultation with Sue Decotiis, MD please contact the Doctor’s NYC office.
Sue Decotiis, MD
20 E 46th St., #1201
New York, NY 10017
(917) 261-3177
