Hormone Replacement Therapy for Cypress Women
Night sweats that wake you, mood swings that feel out of character and a mind that feels foggy are common in perimenopause, and they can be treated.
Women from Cypress are seen for hormone replacement therapy at our Katy office, reached by heading south on the Grand Parkway. Dr. Solafa Elshatanoufy, a board-certified OB/GYN and urogynecologist, evaluates sleep, mood and concentration changes in the context of menopause, checks for other causes, and explains hormonal and non-hormonal options along with their risks. We do not have an office in Cypress.
Sleep, Mood and Focus During Menopause
Many women expect hot flashes in midlife but are surprised by how much perimenopause can affect sleep, mood and thinking. Fluctuating estrogen influences the brain’s temperature control center and the chemical messengers involved in mood and sleep.
Night sweats can wake you several times a night, and poor sleep then makes irritability, anxiety and brain fog worse. Some women develop low mood or anxiety for the first time during this transition, and women with a history of depression may notice symptoms returning.
Treating night sweats often improves sleep, and better sleep often improves mood and focus. That is why hormone therapy can help several symptoms at once for the right candidate.
Symptoms and Other Possible Causes
Midlife symptoms deserve a careful look, because not all of them come from hormones.
Menopause-related symptoms
- Night sweats and hot flashes
- Trouble staying asleep
- Irritability and mood swings
- New anxiety or low mood
- Forgetfulness and trouble concentrating
- Fatigue
Other causes we consider
- Thyroid disorders
- Iron deficiency or anemia
- Sleep apnea
- Depression or anxiety disorders
- Medication side effects
- Waking at night to urinate
Waking at night to urinate is often a bladder issue rather than a hormone issue. As a urogynecologist, Dr. Elshatanoufy can evaluate and treat both. Learn more about nighttime urination.
Understanding the Risks
For healthy women under 60 or within ten years of menopause, the benefits of hormone therapy for bothersome symptoms generally outweigh the risks. HRT is usually not recommended for women with a history of breast or endometrial cancer, blood clots, stroke, heart attack, active liver disease or unexplained vaginal bleeding.
Risks include blood clots, stroke and, with long-term combined therapy, a small increase in breast cancer risk. Hormone therapy is not a treatment for depression on its own, and mood symptoms sometimes need counseling or other medication as well.
If you are having thoughts of harming yourself, call or text 988 to reach the Suicide and Crisis Lifeline, or call 911. For chest pain, sudden shortness of breath or sudden weakness, call 911.
Care From Dr. Solafa Elshatanoufy
Dr. Solafa Elshatanoufy is board-certified in obstetrics and gynecology and in female pelvic medicine and reconstructive surgery, with more than 21 years of experience in medicine. Her Doctor of Pharmacy background is valuable when you already take medications for sleep, mood or other conditions, because she reviews interactions and side effects before adding hormone therapy.
What Your Visit Includes
- A detailed look at sleep, mood, concentration and hot flash patterns
- Your period history and any bladder symptoms
- Personal and family history to assess hormone therapy safety
- Lab tests when helpful, such as thyroid function and blood count
- A plan that may include hormone therapy, other medication and referrals when needed
Treatment Options
Plans are personalized and reviewed regularly.
Hormone therapy
- Estrogen patches, gels, sprays or pills
- Progesterone if you have a uterus, which some women find helps sleep
- Low-dose options during perimenopause
- Vaginal estrogen for dryness and bladder symptoms
Non-hormonal and supportive care
- Non-hormonal medications for hot flashes and night sweats
- Certain antidepressants that can help both mood and hot flashes
- Sleep habit guidance and treatment of nighttime urination
- Referral for counseling or a sleep study when appropriate
Read more on our main hormone replacement therapy page.
Why Cypress Women Choose Our Katy Office
Thoughtful menopause care that looks at the whole picture.
- Board-certified OB/GYN and urogynecologist
- Other causes of symptoms checked
- Medication review by a physician with a PharmD
- Hormonal and non-hormonal options
- Bladder causes of night waking treated
- Most major insurance plans accepted
What Our Patients Say
Patients share their experience of care at our Katy office. Individual results vary.
Dr. Elshatanoufy is simply wonderful! She took the time to thoroughly explain my extensive lab results and other tests, answered all of my questions, and gave me the confidence and peace of mind I needed before moving forward with the procedure.
The entire staff was also incredibly attentive, courteous, and welcoming throughout my visit. I truly loved my experience there and felt very well cared for. I definitely trust Dr. Elshatanoufy and her team with my health needs and would highly recommend them!
I can’t say enough good things about Dr. Solafa. She is warm, attentive, and incredibly compassionate. She takes her time during appointments, listens carefully to concerns, and never makes you feel rushed. Her bedside manner is truly wonderful, and she creates such a comfortable and reassuring environment. You can tell she genuinely cares about her patients. Very sweet, professional, and knowledgeable. I’m so grateful to have found her for my mom’s treatment.
Dr. Elshatanoufy was truly lovely to work with. I’ve had a hard time pinning down my symptoms but she was willing to hear my concerns and do a thorough examination to rule out more serious conditions. She was thorough, efficient, patient, gentle, and kind during the pelvic examination, which is a vulnerable position for women. I felt that she genuinely cared for my wellbeing. After receiving less than ideal care at a neighboring practice in Katy, I am really grateful to Dr. E for validating my concerns, making me feel heard, and reassured with my next steps.
The waiting room was pretty busy and cold when I went. Suggest bringing headphones and some long sleeves!
My experience perfection. From check in to check out. Dia was my MA and she was so professional and a pleasure. She answered all my questions and made sure I was taken care of. Dr Elshatanoufy was AWESOME! Great bedside manner and make my exam comfortable. Then I had the pleasure to check out with Elizabeth and she was just as pleasant. I can tell this is an office that cares greatly for their patients!
This was my first visit at Katy Women’s Pelvic Health. It was a great experience, from checking in with a very helpful and friendly receptionist to being seeing by Nida the office manager, Oyin the NP and Dr. E. Everyone was very friendly, professional, and made the visit very comfortable. They thoroughly explained all the finding and the options for treatment. I highly recommend this practice.
Dr E. and her whole staff are gems! They have the best customer service, energy, and I noticed they are great with all other patients besides me. Dr E. really listens to your problems, offers solutions and she explains things so well. You can tell she loves what she does and does a wonderful job at it. I definitely recommend her practice to anyone seeking top notch, high quality care.
Just the kindest people! I was so at ease with the whole experience!! Very knowledgeable, explained everything and answered all my questions!!! Wish I had found her earlier in my life!!
Mi nombre es Nidia, I am a patient at Katy Women’s Pelvic Health and had my surgery less than 15 days ago. This clinic is highly recommended for its excellent medical and humane care. This type of care is provided by the entire staff, in addition to the doctor, including the receptionist, nurses, and health technicians. The surgeon is Solafa Elshatanoufy, who has more than 20 years of experience in women’s pelvic health, offering modern, effective, and minimally invasive treatments in many cases. She is a compassionate and empathetic person who makes you feel safe, listened to, and cared for by expert and professional hands. The environment is clean and welcoming, and thanks to its modernity, I felt almost no discomfort or pain during the procedures, and everything was quick.
One of the best places to see OBGYN. My mom sees Dr. Solafa. The staffs, nurses, Doctors and the services they provide are very professional and welcoming. Highly recommended.
Top-tier doctor and extremely skilled surgeon, I could not have been more blessed to have her taking care of me. Thank you, Dr. E!
Dr. E is a super great Doctor who listens attentively and collaborates closely with patients throughout every step of the process. Additionally, the office staff was professional, courteous, and efficient.
Dr. E is so kind and professional. She listened to all my concerns and had an answer to all my questions. She made sure I was happy with my medications. Her staff is so helpful and make the visit go quickly and efficiently. I am so glad I found Dr E!
Dr. E has the best bedside manner compared to all the doctors I have seen before. She is so knowledgeable and truly cares for her patients and wants the best for everyone. I feel incredibly lucky to find a doctor willing to always spare time for patients. She is amazing and 1000% worth the wait!!!!
Questions From Cypress Patients
Do you have an office in Cypress?
No. Cypress patients are seen at our Katy office at 410 W Grand Pkwy S, Suite 320. Many reach us by taking the Grand Parkway (SH 99) south.
Can hormone therapy help me sleep better?
For women whose sleep is disrupted by night sweats, hormone therapy often improves sleep significantly. Other causes of poor sleep may need different treatment.
Can perimenopause cause anxiety?
Yes. Hormone fluctuations can trigger new anxiety or worsen existing anxiety. Treatment may include hormone therapy, counseling or other medication.
Is brain fog in menopause permanent?
For most women, memory and concentration problems improve after the menopause transition, especially as sleep improves.
What if I cannot take hormones?
Several non-hormonal medications reduce hot flashes and night sweats, and some also help mood. We will find an option that suits your health history.
Do you accept insurance?
Yes. We accept most major insurance plans. Our team can help you check your coverage.
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Read article: Brain Fog in Women: Is It Hormones, Stress, or Something Else?Getting to Our Office From Cypress
Our office is at 410 W Grand Pkwy S, Suite 320, in Katy. From Cypress and Bridgeland, most patients take the Grand Parkway (SH 99) south. We are open Monday through Friday, 8 am to 5 pm, and accepting new patients. Contact our office for help scheduling.
Sleep Better and Feel More Like Yourself
Get a thorough evaluation and a plan for your menopause symptoms. Schedule a consultation at our Katy office.
410 W Grand Pkwy S, Suite 320, Katy, TX 77494