Menopause & women’s health in Newtown, PA
Extended visits, evidence-based hormone therapy discussion, and integrated primary care from a doctor who has the time to listen.
Signature Medicine integrates menopause and women’s health into primary care: a 45–60 minute extended workup, comprehensive labs, bone-density screening when indicated, hormone therapy when clinically appropriate, and a longitudinal plan in the same chart as your annual physical.
What’s included
- Extended 45–60 minute menopause / perimenopause workup
- Comprehensive labs: FSH, estradiol, thyroid panel, lipid panel, A1C, complete metabolic panel, vitamin D
- Symptom inventory + shared decision-making on hormone replacement therapy
- Bone-density screening (DEXA) when indicated
- Cardiovascular risk assessment integrated with the rest of preventive care
- Coordination with gynecology, endocrinology, and breast imaging when needed
- Optional advanced screening via PPA partners (genomic risk, longevity-focused workup)
Why integrated matters
Menopause-specific clinics and med-spas operate as standalone businesses with their own protocols. They handle one slice. Signature Medicine handles the slice plus the cardiovascular, bone, breast, thyroid, and longevity picture around it — same doctor, same chart, same continuity. The cardiovascular conversation that comes with HRT, for example, lives in the same place as your lipid panel and family history.
For women not in menopause
The women’s health pathway also covers thyroid management, contraception consultation, fertility-adjacent labs when relevant, baseline bone density, and a full preventive plan. Membership is most useful for women managing complex care, planning longevity, or wanting a primary care doctor who has the time.
Frequently Asked Questions
Does Dr. Sitapara manage menopause and perimenopause care?
Yes. Many women find that their primary care visit doesn't have time for an honest conversation about perimenopause and that a separate menopause specialist is hard to find in the Bucks County area. Signature Medicine integrates menopause and perimenopause workup into primary care — extended visits, comprehensive labs, and a longitudinal plan.
Does the practice prescribe hormone replacement therapy (HRT)?
Yes, when clinically appropriate. Dr. Sitapara discusses the risk-benefit framing, the current evidence base (including the post-WHI re-evaluation of the original trial findings), and works with patients on shared decision-making. Compounded and FDA-approved preparations are both available pathways depending on what fits the patient.
What does a menopause workup at Signature Medicine include?
A 45–60 minute extended visit, a comprehensive symptom inventory, baseline labs (FSH, estradiol, thyroid panel, lipid panel, A1C, complete metabolic panel, vitamin D), bone-density screening when indicated, cardiovascular risk assessment, and a written plan covering HRT consideration, sleep, mood, and longevity factors.
How is this different from going to a menopause-specific clinic or a med-spa?
Menopause-specific clinics typically operate as standalone businesses with their own protocols, separate from primary care. Med-spas often run one-size-fits-all hormone protocols without a longitudinal physician relationship. Signature Medicine integrates menopause care into the same chart as your annual labs, cardiovascular risk, bone health, breast health, and any other adjacent issues — same doctor, same chart, same continuity.
I'm in my 30s and not in menopause — does this care pathway apply to me?
Some of it. The women's-health care pathway covers thyroid management, hormonal contraception consultation, fertility-adjacent labs when relevant, bone density baselines, and full preventive workup. Membership at Signature Medicine is most useful for women managing complex care, planning longevity, or wanting a primary care doctor who actually has time to listen.
Last reviewed by Dr. Ashish Sitapara, MD, FACP on