Perimenopause
Your periods can still show up every month and this can still be happening. Perimenopause starts years before your last period, and it’s the stage women most often get told to wait out.
Explore perimenopause care
Hormone Therapy Institute · Dr. Orlandis Wells, MD
I’m Dr. Orlandis Wells, the hormone guy. Normal is not the same as optimal.
If you’re waking at 3 a.m. wired, gaining weight no matter what you do, and looking in the mirror at a woman you don’t recognize, and somebody told you your labs are normal, I want to talk to you. I’m a board-certified OB/GYN in Henderson, Nevada, with 26+ years in women’s health and hormone therapy since 2008. I help women in perimenopause and menopause feel like themselves again.
Fifteen minutes to ask about the practice and what your next step should be. It’s a conversation, not a medical consultation.
Start where you are
Maybe your periods are changing. Maybe you haven’t slept through the night in a year. Maybe you just don’t feel like yourself, and you can’t put your finger on why. Start with whatever brought you here.
Your periods can still show up every month and this can still be happening. Perimenopause starts years before your last period, and it’s the stage women most often get told to wait out.
Explore perimenopause careHot flashes, broken sleep, dryness, a body that changed the rules on you. Let’s talk about what’s driving it and what your options really are.
Explore menopause careBioidentical hormones, FDA-approved and compounded, pellets, and nonhormonal options. What each one is for, the trade-offs of each, and how to choose.
Compare your optionsWhy your labs came back normal
A normal reference range was built to tell a doctor when a disease has already arrived. That’s its job, and it does that job. What it can’t tell you is that something has been drifting in the wrong direction for years before it ever becomes a diagnosis. That gap is where women lose years of their lives, told everything looks fine while nothing feels fine.
I read your labs against optimal, not just normal. I also run tests almost nobody orders, like a fasting insulin, because your blood sugar can look perfect for years while your insulin climbs to keep it there. Normal does not mean you’re healthy. It means nobody found a disease yet.
You will not be rushed. You will not be told it’s in your head. You will not be handed a prescription that nobody explains to you.
How I work
Once you’re my patient, you move through four steps. The details are yours. The order never changes.
Your story comes first: when it started, what you’ve tried, what you’ve been told, and what you want back. Then testing that goes past the standard panel, including fasting insulin and hormone metabolites.
Your history tells me whether this is perimenopause or menopause. Your labs tell me what else is in the way, like thyroid, iron or insulin, and whether anything makes treatment riskier for you.
A plan built from your labs, your history and your life. Hormones are the foundation when you need them, and nutrition and supplements build on top of it. Benefits and risks get explained in the same breath.
We measure you against your own baseline, not a textbook average, and adjust as you respond. Then we protect what you’ve gained.
Meet your physician
My patients started calling me the hormone guy years ago, and it stuck.
I’m board-certified by the American Board of Obstetrics and Gynecology, and I’ve practiced hormone therapy since 2008. I completed advanced bioidentical hormone therapy training through WorldLink Medical, trained in functional and integrative medicine, and I’m a member of The Menopause Society. I also wrote two books, Hormone Secrets and Doc, Please Listen.
I used to think bioidentical hormones were woo-woo medicine. Then I watched hormone therapy give my own mother her life back. I’m on hormone therapy myself. I tend to eat my own cooking.
Meet Dr. WellsWhat’s keeping you up
Plain-language guides, written the way I’d explain it to you in the exam room.
What happens next
Before you commit to anything, you should know how visits work, how decisions get made, what’s included, what it costs and how follow-up happens. Ask me all of it before you sign anything.
See the care experienceFree, three pages
Most women walk out of an appointment and remember the question they forgot to ask in the parking lot. This planner fixes that. Write down your symptom timeline, what you’ve already tried, and the questions that matter most to you, then bring it to your next visit, with me or anyone else.
No email required. Print it or keep it on your phone.
Henderson, Nevada
Bring the question you’ve been carrying around. In fifteen minutes you’ll know how the practice works and what your next step would be.
Free, 15 minutes. This call is not a medical consultation.
Call or message the office
Physician-led perimenopause and menopause care with Dr. Orlandis Wells in Henderson, Nevada. Time for your questions. A clear conversation about your options and next steps.
Copyright © 2026 Hormone Therapy Institute. All Rights Reserved