Menopause & Perimenopause Care
Dr. Maria Casiano is a board-certified gynecologist and a Menopause Society Certified Practitioner (MSCP), a credential earned by passing The Menopause Society's competency exam in menopause care.
At Whole Women's Care, your first visit is a full 60 minutes with Dr. Casiano, so there is time to understand the whole picture, not just one symptom.
Located in Marietta, the practice is a short drive from Kennesaw, Acworth, East Cobb, Smyrna and Vinings, serving women across Cobb County and the greater Atlanta area.
Whole Women's Care is a direct-pay practice and does not bill insurance.
Could this be perimenopause?
Perimenopause often begins in your 40s, sometimes earlier, and can start years before your periods stop. Many women don't realize their symptoms are connected. Common signs include:
Irregular, heavier, or closer-together periods
Hot flashes and night sweats
Trouble falling or staying asleep
Anxiety, irritability, or low mood
Brain fog and forgetfulness
Joint aches
Vaginal dryness or painful sex
Lower libido
Weight gain around the midsection
Already past menopause?
Menopause doesn't end when your periods do. Hot flashes and night sweats last seven years or longer for many women, and some changes, like vaginal dryness and bone loss, tend to progress without treatment. It's not too late to get care. Dr. Casiano also helps women in the years after menopause with:
Hot flashes and night sweats that haven’t gone away
Vaginal dryness, painful sex, or urinary symptoms
Sleep problems
Bone health and osteoporosis prevention
Heart and metabolic health
Changes in weight and body composition
Deciding whether to start, continue, or stop hormone therapy
What your visit includes
A detailed review of your symptoms, cycle history, and personal and family health history
Lab testing when it adds useful information, with blood draws and pelvic ultrasound available in the office
InBody 580 body composition analysis
A clear discussion of your options, including hormone therapy when appropriate, non-hormonal medications, vaginal treatments, and sleep and lifestyle strategies
A personalized plan and ongoing follow-up
Why see a physician who specializes in menopause?
Menopause care has changed significantly in recent years, and many women are told their symptoms are “just part of aging.”
Dr. Casiano is a board-certified gynecologist with more than 15 years of experience, a Menopause Society Certified Practitioner, and board-certified in obesity medicine. That combination matters most when care isn’t straightforward.
Every visit is with Dr. Casiano. She can examine, order and interpret tests, perform in-office procedures, and adjust your plan herself, without handing your care off or starting over with someone new.
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No. Whole Women's Care is a direct-pay, out-of-network practice and does not bill insurance. Payment is due at the time of service. HSA and FSA cards are accepted, and a superbill is available on request if you'd like to seek reimbursement from your insurer. See Your Care Options for visit fees.
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Menopause is reached after 12 months in a row without a period; in the U.S. the average age is about 51. Perimenopause is the transition leading up to it, and it often lasts several years.
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Usually not. Hormone levels swing from day to day during perimenopause, so a single test can be misleading. The diagnosis is usually based on your age, symptoms, and cycle changes. Labs are used to rule out other causes, such as thyroid problems. Normal lab results do not rule out perimenopause.
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For most healthy women under 60, or within 10 years of their last period, the benefits of hormone therapy for bothersome symptoms generally outweigh the risks. Dr. Casiano reviews your personal and family history to decide what is right for you.
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There are effective non-hormonal options, including prescription medications for hot flashes and targeted treatments for vaginal symptoms.
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Hormonal changes in midlife tend to shift fat toward the abdomen and reduce muscle. Dr. Casiano is also board-certified in obesity medicine and uses body composition analysis to address these changes directly.
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Your first visit is typically in person. Follow-up visits can often be done virtually.