GYNECOLOGICAL SERVICES IN HENDERSON, NV

• Irregular or absent periods: Infrequent or disrupted ovulation can lead to unpredictable cycles, skipped periods or long gaps between periods.
• Acne or excess facial and body hair: Higher androgen activity may contribute to persistent acne, unwanted hair growth or other skin changes.
• Weight and metabolic changes: Insulin resistance can affect weight management and may increase long-term metabolic risks.
• Difficulty with ovulation or fertility: Irregular ovulation can make fertile windows less predictable and may affect conception.
• Mood, sleep and energy changes: Some women experience emotional or physical changes alongside menstrual and metabolic symptoms.

• Cycle-based symptom tracking: Recording mood and physical symptoms across several cycles can help identify whether they consistently occur during the premenstrual phase.
• Lifestyle and nutrition support: Sleep, regular physical activity, stress management and consistent nutrition may be discussed as part of symptom management.
• Nutrient review: We may discuss whether nutrients such as calcium, magnesium or other supplements are appropriate based on your diet, symptoms and medical history.
• Medication options: SSRIs may be considered for moderate to severe PMDD and can be used continuously or during part of the menstrual cycle depending on your symptoms.
• Hormonal options: Certain hormonal contraceptives may be discussed when appropriate to reduce cyclical symptoms and suppress ovulation.
• Further evaluation: Thyroid disorders, depression, anxiety and other conditions may need to be considered when symptoms do not follow a clear menstrual pattern.

Our goal is to understand how your symptoms change across the month and how much they are affecting your daily life. At our Henderson clinic, PMS and PMDD treatment is individualized for women from Henderson and Las Vegas, with the plan adjusted according to symptom patterns, treatment response and your personal health needs.

• Irregular or changing periods: Cycles may become shorter, longer, heavier, lighter or occasionally skipped.
• Hot flashes and night sweats: Changes in temperature regulation may begin before periods stop completely.
• Sleep and mood changes: Insomnia, anxiety, irritability or changes in mood can occur as hormone levels fluctuate.
• Brain fog and fatigue: Some women notice changes in concentration, memory, energy or mental clarity.
• Vaginal and sexual health changes: Dryness, discomfort with sex or changes in sexual desire may develop.
• Other contributing factors: Thyroid disorders, stress, medications and other health conditions can sometimes cause symptoms that overlap with perimenopause.

• Pelvic floor therapy: We may recommend pelvic floor physical therapy to strengthen and retrain the muscles that support the bladder and urethra, which can improve control in some types of incontinence.
• Pessary fitting: For women with bladder prolapse or stress incontinence, a vaginal pessary may provide physical support without the need for surgery.
• Pessary fitting: For stress incontinence or pelvic organ prolapse, a vaginal pessary may provide additional support without surgery.
• Medications: Certain medications may be considered for urgency, overactive bladder or frequent leakage depending on the underlying pattern.
• Vaginal estrogen: For some postmenopausal women, low-dose vaginal estrogen may help improve vaginal and urinary tissue health when appropriate.
• Specialist referral: If symptoms require surgical treatment or more advanced bladder evaluation, we can coordinate referral for procedures such as sling surgery or pelvic floor repair.

Dr. Deepali Kashyap provides personalized gynecologic care focused on reducing leakage, improving bladder control and supporting better day-to-day comfort. Urinary symptoms are considered alongside your broader pelvic and reproductive health needs rather than treated as an isolated concern.

• Herbal options: Supplements such as black cohosh, red clover or maca may be discussed for symptoms such as hot flashes or mood changes, although the quality of evidence and individual response can vary.
• Sleep and nervous system support: Magnesium and selected nutrients may be considered when sleep disturbance, stress or mood symptoms are part of the menopause picture.
• Bone and nutritional support: Vitamin D, calcium and other nutrients may be recommended when dietary intake, bone health or laboratory findings indicate a need.
• Omega-3 and metabolic support: Omega-3 fatty acids and other targeted nutrients may be considered as part of a broader plan for cardiovascular, metabolic and overall midlife health.

Because supplements can interact with medications and are not appropriate for every woman, Dr. Deepali reviews them in the context of your complete health history. With menopause specialist Dr. Deepali Kashyap, nutraceutical support is used selectively and alongside evidence-based menopause care, not as a replacement for appropriate medical evaluation or treatment.

• SSRIs and SNRIs: Certain medications in these groups can reduce hot flashes and may also be useful when mood symptoms occur alongside menopause.
• Gabapentin: This may be considered when hot flashes or night sweats are particularly disruptive, including when sleep is affected.
• Other non-hormonal prescription options: Depending on your symptoms and health history, additional medications for vasomotor symptoms may be discussed when appropriate.
• Sleep and mood support: When insomnia, anxiety or mood changes are significant, treatment is selected according to the underlying concern rather than using the same medication strategy for every woman.
• Vaginal comfort without hormones: Vaginal moisturizers and lubricants can help reduce dryness and discomfort for women who prefer or need a non-hormonal approach.

At Galleria Women’s Health, our board-certified OBGYN doctor, Dr. Deepali Kashyap, considers hot flashes, sleep, mood, vaginal symptoms and other midlife concerns together when discussing treatment. This allows hormonal and non-hormonal options to be compared within the context of your overall gynecologic health and personal treatment preferences.

• Transdermal estrogen: Estradiol patches, gels or sprays deliver estrogen through the skin and may be preferred for some women based on their individual health profile.
• Progesterone: If you have a uterus and use systemic estrogen, progesterone or another progestogen is generally needed to protect the endometrium from excessive stimulation.
• Local vaginal therapy: Low-dose vaginal estrogen or vaginal DHEA may be considered for vaginal dryness, burning, painful intercourse and other symptoms of genitourinary syndrome of menopause, with relatively low systemic exposure.
• Testosterone: Testosterone therapy may be considered for carefully selected postmenopausal women with persistent hypoactive sexual desire disorder after other contributing factors have been evaluated. It is not routinely prescribed simply to increase energy.
• Individualized dosing and follow-up: Treatment is selected according to symptoms, age, time since menopause, medical history and risk factors. Follow-up allows us to review symptom response, side effects and whether the treatment plan still fits your needs.

Dr. Deepali Kashyap combines menopause expertise with her obstetrician gynecologist background, allowing HRT decisions to account for vaginal health, sexual health, bleeding patterns and long-term preventive care. At our Henderson clinic, hormone therapy is individualized rather than based on a single hormone level or a standard regimen for every woman.

• ThermiVa: Radiofrequency therapy may be considered for selected women with vaginal tissue changes, dryness or mild urinary symptoms. Suitability depends on the specific concern and overall health history.
• PRP therapy: Platelet-rich plasma may be offered for selected sexual wellness and vaginal health concerns after discussing the available evidence, expected outcomes and alternatives.
• Vaginal estrogen or DHEA: Local hormonal treatment may help improve vaginal dryness, irritation and painful intercourse associated with genitourinary syndrome of menopause.
• Pelvic floor therapy: Pelvic floor exercises or referral for pelvic floor physical therapy may help when muscle weakness, tension, prolapse symptoms or discomfort during intercourse are contributing to symptoms.

Dr. Deepali Kashyap’s gynecologist expertise allows vaginal and sexual health concerns to be considered alongside menopause symptoms, pelvic floor changes and urinary complaints rather than treated in isolation. At our Henderson clinic, treatment is selected around the specific symptom causing discomfort and the option that best fits your health history and preferences.

• Bone density screening: A DEXA scan may be recommended based on age, fracture risk, menopause timing, medication history and other osteoporosis risk factors.
• Cardiometabolic testing: Cholesterol, blood pressure, blood sugar and other relevant markers may be reviewed to assess cardiovascular and metabolic risk during midlife.
• Nutritional assessment: Calcium, vitamin D, protein intake and other nutritional factors are considered when discussing long-term bone and muscle health.
• Lifestyle review: Exercise, strength training, sleep, smoking, alcohol use and other habits are reviewed because they can influence both bone and cardiovascular health.

Dr. Deepali Kashyap is a women’s health specialist who incorporates bone health, cardiovascular risk and metabolic changes into menopause and midlife care. This allows preventive screening to address long-term health risks alongside current symptoms, helping women make informed decisions about their health beyond the menopause transition.

• Cognitive concerns: Changes such as brain fog, forgetfulness or difficulty concentrating are reviewed alongside sleep quality, stress, medications and other menopause symptoms.
• Mood evaluation: Irritability, anxiety, low mood and emotional changes are discussed to understand their severity, pattern and effect on daily life.
• Depression and anxiety screening: Standard screening tools may be used when symptoms suggest depression or anxiety that needs closer evaluation.
• Counseling and therapy referrals: When additional mental health support would be beneficial, we can coordinate referral for counseling or therapy.
• Medication and nutritional support: Depending on your symptoms and medical history, treatment may include prescription medication, nutritional support or other appropriate options.

Dr. Deepali Kashyap is an OBGYN specialist who considers mood, cognition, sleep and hormonal changes together during menopause care. This makes it easier to identify which symptoms may be related to the menopause transition and which may need additional evaluation or treatment.