Menopause and Hormone Replacement Therapy
The Key to Living Healthy and Aging Well

Symptoms of Perimenopause and Menopause

  • irregular and sometimes heavy bleeding (perimenopause)
  • hot flashes, night sweats
  • mood swings, irritability, depression
  • weight gain, loss of muscle
  • decreased sex drive/libido, painful sex
  • fatigue, insomnia, restless sleep
  • memory loss, mental fogginess, difficulty concentrating

Every woman experiences menopause - the end of their menstrual periods.  Technically, it occurs twelve months after the last menstrual period.  The 5 to 10 years before this is called perimenopause.  Women still have periods and can still get pregnant but the normal menstrual cycle starts to become irregular, coming closer together then eventually further apart.  Perimenopause is the time when symptoms start to occur.  Hot flashes, sleep disturbances, mood changes all start well before a woman has her last menstrual period.  This is due to the decline in hormone production by the ovaries.  As hormone levels continue to decrease, women can develop issues with libido, painful sex, osteoporosis, heart disease, and diabetes.  The longer women go without the protection of estrogen or go without replacement therapy, the greater the risk.

As a gynecologist, Dr. Nevils is an expert on menopause management and hormone replacement therapy.  Let her help you go through the menopause process as easily as possible without any of the symptoms commonly associated with the "change of life".       

Vibrant Woman Health Center

Patricia M. Nevils, M.D.

116 Foreman Drive

Lafayette, LA  70506

Phone:  337-24-6838

Fax:  337-504-4266

Andropause and Hormone Replacement                         Therapy 

Yes, as men age, their hormones also decline and symptoms develop that are actually quite similar to menopause.  This is called andropause; what Jed Diamond, author of  the book Male Menopause, calls Irritable Male Syndrome.  Symptoms include loss of muscle tissue and increase in body fat (especially around the abdomen), decreased energy, difficulty concentrating. difficulty sleeping, irritability, and erectile dysfunction.  Andropause, like menopause, typically begins in the 40's and can lead to the development of diabetes and cardiovascular disease, and even contribute to the development of Alzheimer's disease.

Testosterone pellets that are placed in the subcutaneous tissue above the gluteal muscles are the preferred method of prescribing testosterone in men who are deficient without the unwanted side effects of gels or injections.  Dr. Nevils is a certified BioTE practitioner, trained in diagnosing testosterone deficiency and treating it with pellet therapy and the proper nutraceuticals to help men regain their health, well-being, and energy.           


Dr. Nevils is not a provider for any insurance companies.  Payment is expected at the time of the office visit.  The staff would be happy to file a claim with your insurance company so that you could get reimbursed.

Office Hours:

Monday - Thursday:  9:00am - 3:00pm

Vibrant Woman Health Center

Call Us:  337-234-6838