Is vaginal estrogen safe?

Yes. For most patients, vaginal estrogen has an exceptionally strong safety profile. It works locally, with minimal systemic absorption. The Menopause Society and current professional guidelines consider vaginal estrogen safe even for many breast cancer survivors. We'll work through your individual case carefully.

Will I need a referral?

No. You can come to Nova directly.

GSM stands for genitourinary syndrome of menopause. A cluster of symptoms caused by declining estrogen in the vaginal and urinary tissues, including dryness, irritation, painful intercourse, urinary urgency, and recurrent UTIs. It is one of the most under-diagnosed conditions in women's health, and one of the most treatable.

Can hormone therapy actually restore libido?

For many women. Yes, partially or fully. Estrogen, progesterone, and a small amount of testosterone, used appropriately, often restore desire, arousal, and the comfort of sex. It is not a guaranteed result for every patient, but it is a real one for many.

Is this conversation going to be awkward?

It can feel awkward going into it. Our patients consistently tell us it stops being awkward almost immediately. This is medicine. And a part of medicine that has been ignored for too long.

Menopause & Perimenopause Treatment in Roseland, NJ

If you’re experiencing hot flashes, poor sleep, weight gain, brain fog, mood changes, or simply don’t feel like yourself anymore, you’re not alone—and you don’t have to accept it as “just aging.” At Nova Wellness, we help women understand what’s driving their symptoms and creates personalized treatment plans that support both symptom relief and long-term health.

Personalized Menopause & Perimenopause Care in Roseland

Many women in their 40s, 50s, and beyond are told their symptoms are simply part of aging. At Nova Wellness in Roseland, Dr. Jennifer Knight helps women understand what’s driving symptoms such as hot flashes, poor sleep, weight gain, brain fog, mood changes, and fatigue—and creates personalized treatment plans to address them.

Our approach goes beyond symptom management. We evaluate hormonal changes alongside metabolic health, nutrition, sleep quality, stress, and lifestyle factors to develop a plan tailored to your needs, goals, and stage of life.

Whether you’re experiencing the early signs of perimenopause or navigating life after menopause, our goal is to help you feel better today while supporting your long-term health and vitality.

Benefits of Menopause & Perimenopause Care at Nova

Relief From Disruptive Symptoms

Hot flashes, night sweats, poor sleep, mood changes, and brain fog can interfere with daily life. A personalized treatment plan can help address the root causes behind these symptoms and improve overall quality of life.

Improved Energy & Mental Clarity

Many women feel exhausted, overwhelmed, or unlike themselves. We identify underlying hormonal, metabolic, and lifestyle factors to help restore energy, mental clarity, and confidence.

Support for Long-Term Health

Hormonal changes affect more than comfort—they can influence cardiovascular health, bone density, muscle mass, and metabolic function. Early intervention may help support healthier aging and long-term wellness.

Personalized, Evidence-Based Care

No two women experience menopause the same way. Whether treatment involves lifestyle optimization, nutritional support, hormone therapy, or a combination, care is tailored to your unique needs and goals.

Signs It May Be Time to Seek Menopause Care

Many women assume symptoms such as fatigue, poor sleep, weight gain, or brain fog are simply part of getting older. While hormonal changes are a natural part of midlife, you don’t have to navigate them alone.

You may benefit from a menopause or perimenopause evaluation if you’re experiencing:

Hot flashes or night sweats
Difficulty falling or staying asleep
Brain fog or memory concerns
Mood changes, irritability, or increased anxiety
Weight gain despite maintaining healthy habits
Irregular menstrual cycles
Decreased libido
Fatigue or low energy
Joint aches or loss of muscle mass

Whether symptoms are mild or significantly affecting your daily life, seeking care early can help you better understand what’s happening and explore options for feeling your best during this transition.

What Makes Nova Wellness Different?

Many women seek specialized care because menopause affects far more than reproductive hormones alone.

As a Menopause Society Certified Practitioner (MSCP) and Diplomate of the American Board of Integrative Medicine (ABOIM), Dr. Jennifer Knight takes a comprehensive approach to menopause and perimenopause care, considering how hormonal changes may affect sleep, metabolism, nutrition, cardiovascular health, and overall well-being.

Women choose Nova Wellness for:

Personalized, physician-led care
Comprehensive evaluations and treatment plans
Evidence-based guidance on hormonal and non-hormonal options
A focus on both symptom relief and long-term health
Convenient care at our Roseland location with free on-site parking

Dr. Chris Di Giorgio

Dr. Chris Di Giorgio, Nova’s cardiologist and former Chief of Cardiology at HUMC Mountainside, brings a prevention-first perspective focused on metabolic health, inflammation, insulin resistance, and cardiovascular risk reduction.

Dr. Jennifer Knight

Dr. Jennifer Knight, Nova’s lead for women’s health, oversees these cases. The conversations are confidential, clinical, and respectful. Never rushed, and never minimized.

Frequently Asked Questions

When should I seek help for perimenopause symptoms?

If symptoms such as irregular periods, sleep disturbances, mood changes, brain fog, hot flashes, or unexplained weight gain are affecting your quality of life, it may be time to schedule an evaluation. Many women benefit from support years before menopause officially begins.

Do I need hormone therapy to feel better?

What makes Dr. Jennifer Knight qualified to treat menopause?

Do you offer bioidentical hormone therapy?

Is Nova Wellness located in Roseland?

What happens during my first appointment?

Feel Like Yourself Again

You don’t have to accept fatigue, brain fog, poor sleep, weight gain, or hormonal symptoms as your new normal. Schedule a Menopause & Perimenopause Consultation with Dr. Jennifer Knight at Nova Wellness in Roseland and receive personalized, physician-led care designed to help you feel your best now and support your health for years to come.