3,500+ Patients HelpedPerimenopause and menopause care in Washington, D.C.
Menopause Treatment for a Stronger Second Half.
Hot flashes, broken sleep, a mood you don’t recognize, and advice to wait it out.
Perimenopause can last a decade, and the years after it shape your heart, bones and brain. One clinician reads your whole system (hormones, thyroid, adrenal function, blood sugar and gut), tests before treating, and builds a plan that may include bioidentical hormone therapy where it is right for you.
Care led by Dr. Isabel Sharkar, NMD, and Snejana Sharkar, FNP, ACNP, RND
“In just three months under Indigo’s care, my symptoms are steadily improving. This is truly the best care I’ve ever received.”
Maureen M., Indigo Patient- 4.8/5
- patient rating on Google
- 30+
- years of combined clinical expertise
- 30 min
- free discovery call to start
As featured in
The Years Nobody Prepared You For
Perimenopause rarely announces itself.
Cycles shift, sleep thins, anxiety arrives from nowhere, and because periods are still coming, what is happening often goes unnamed.
Estrogen and progesterone affect far more than your cycle. They govern sleep, temperature, mood, memory, joints, skin and how your body stores fat. When they fall unevenly, as they do through perimenopause, the effects turn up everywhere at once.
Common perimenopause and menopause symptoms
- Hot flashes and night sweats
- Broken sleep
- Anxiety or low mood
- Brain fog and word-finding trouble
- Weight gain around the middle
- Irregular or heavy periods
- Vaginal dryness and low libido
- Joint aches
- Heart palpitations
- Thinning hair and dry skin
- Bladder changes
- Fatigue
The Complete Picture
A Complete Picture of Your Hormones
Menopause is one hormonal transition landing on top of your thyroid, your adrenal glands, your blood sugar and your gut. We test all of it, because treating estrogen alone misses most of why you feel the way you do.
We Evaluate
- 01Estrogen, progesterone and testosterone, and how your body metabolizes them
- 02FSH and LH where they add to the picture
- 03Complete thyroid panel, not TSH alone
- 04Adrenal function and cortisol rhythm
- 05Blood sugar, insulin and lipid patterns
- 06Bone and cardiovascular risk markers
- 07Nutrient status: vitamin D, magnesium, B vitamins, iron
- 08Gut health and estrogen clearance
- 09Sleep quality and nervous system regulation
How It Works
Your Path Through Menopause
01
Comprehensive Hormonal & Functional Assessment
We build a precise picture of where you are in the transition and what else is in play:
- In-depth intake covering symptoms, history, lifestyle and prior treatments
- Advanced hormone panels, including how you metabolize estrogen
- Thyroid, adrenal and blood sugar assessment
- Bone, heart and nutrient markers
- Gut function and estrogen clearance
Every protocol begins with data.
02
Personalized Menopause Protocol
Your plan is built around your results, your history and your preferences:
- Bioidentical hormone therapy where clinically appropriate, at the lowest effective dose
- Non-hormonal options where therapy is not right for you
- Thyroid and adrenal support alongside
- Blood sugar and weight support through nutrition
- Targeted nutritional and botanical support for sleep and mood
- Gut repair to improve estrogen clearance
- Bone and heart protection planned in
Every element is chosen for your biology and your choices.
03
Ongoing Monitoring & Adaptive Care
Hormones keep moving through the transition, so your care moves with them:
- Scheduled follow-ups to assess symptom response and lab trends
- Dose adjustments as your body responds
- Re-testing at appropriate intervals
- Continued support for sleep, nutrition and stress resilience
We track progress on your labs as well as how you feel on the day.
04
Long-Term Health Beyond the Transition
The years after menopause are where the real protection happens:
- Bone density protected and monitored
- Cardiovascular and metabolic health kept in view
- Brain health supported
- Periodic reassessment as your needs change
The aim is a strong second half, not a managed decline.
Built for Patients Like You
Indigo Health Clinic was founded with one purpose: to give patients the kind of care we wish we had when we were searching for answers.
Our practice is built on compassion, curiosity, and the belief that healing happens when you’re truly seen, heard, and supported. Our integrative team looks beyond symptoms to understand the full picture, your history, lifestyle, environment, labs, and unique physiology.
A multidisciplinary care team
Trained in naturopathic, integrative, functional, and conventional medicine.
Advanced diagnostics and specialty testing
To locate root causes often missed by standard care.
Medical-grade IV therapy & targeted protocols
Tailored to your needs (immune support, detox, nutrient restoration, energy, gut health, etc.).
Long-term, relationship-based care
We don’t just prescribe; we guide, monitor, and adjust as your healing unfolds.
Patient Stories
In Their Own Words
Hashimoto's, autoimmune flares, chronic fatigue, gut health. These patients came to Indigo for different reasons. Press play and hear what changed.
Getting her energy and clarity back
Rina G. · Indigo Patient
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The Indigo Promise
Why Choose Indigo for Menopause Care?
The Standard Approach
- “You’re the right age, it’s menopause,” and no testing
- An antidepressant for the mood and a sleeping pill for the nights
- Hormone therapy refused outright or prescribed without a plan
- Thyroid, adrenal and blood sugar not part of the workup
- Weight gain treated as willpower, not physiology
- Bones, heart and brain not addressed until there’s a problem
- Seven-minute appointments
The Indigo Approach
- Hormones tested, including how you metabolize them
- Root-cause investigation of your symptoms
- Bioidentical therapy where appropriate, with monitoring
- Thyroid, adrenal and metabolic care in the same plan
- Nutrition and lifestyle built around your biology
- Bone, heart and brain health protected from the start
- Time to be heard at every visit
Starts with a free 30-minute discovery call
3,500+ Patients Helped
What Our Patients Say
“After four years of worsening chronic symptoms, wasted money on random tests, and the prospect of lifelong medications, I came to Indigo exhausted. In just three months under Indigo’s care, my symptoms are steadily improving. This is truly the best care I’ve ever received. Indigo shouldn’t be a last resort - it should be the first place you go to understand and heal your body.”
Maureen M.Indigo Patient
Is Indigo Right for You?
We Can Help If You…
If you have been told this is just your age, and you want a team that treats the transition seriously, this is the place to start. And if it isn't the right fit, we'll tell you that on the call.
Are in your forties or fifties and don’t feel like yourself
Though your periods may still be coming.
Have hot flashes, night sweats or broken sleep
And have been told to wait it out.
Want to understand your options for hormone therapy
Including whether it is safe for you.
Have gained weight that nothing shifts
And want the metabolic side addressed too.
Have a family history of osteoporosis or heart disease
And want protection planned in now.
Want a long-term partner in your health
With a clinician who knows your history and a plan that changes as you do.
Hormonal dysfunction is one of the most frequently missed and mismanaged areas in conventional medicine. I've seen patients, particularly women, spend years being dismissed, prescribed antidepressants for what turned out to be thyroid dysfunction, or handed birth control for PCOS without ever addressing the underlying metabolic drivers. At Indigo, we do the deep work: comprehensive testing, real conversations, and protocols built around your unique biology. You deserve to understand what's happening in your body, and to feel like yourself again.
Commonly Asked Questions
Your Questions Answered
If you’re in perimenopause or menopause, these are the questions we hear most. Yours are welcome on a free discovery call.
What is the difference between perimenopause and menopause?
Perimenopause is the transition, often lasting four to ten years, when hormone levels swing and symptoms begin while periods continue. Menopause is the point twelve months after your last period. Most of the symptoms people associate with menopause happen during perimenopause, which is why they are so often missed.
Do you prescribe hormone replacement therapy?
Yes, where it is appropriate. We use bioidentical hormones, matched to the ones your body makes, at the lowest effective dose and with monitoring. For many women the benefits for symptoms, bones and heart outweigh the risks, and for some it is not the right choice. We go through your history and your results together before recommending anything.
Is hormone therapy safe?
For most healthy women who start within ten years of menopause, current evidence supports its safety and benefit. This mirrors the 2022 guidance from The Menopause Society (formerly NAMS), which finds a favorable benefit-risk balance for healthy women under 60 or within ten years of menopause (The Menopause Society, 2022). The risk picture depends on your history, the type of hormone, the dose and the route. We assess you individually and talk it through, and if therapy is not right for you we have other options.
Can you help if I can’t or don’t want to take hormones?
Yes. Nutrition, targeted botanicals and supplements, thyroid and adrenal support, sleep work and blood sugar management each move symptoms on their own. Many of our patients do well without hormone therapy, and the rest of the plan matters whether or not you take it.
Why am I gaining weight around my middle?
Falling estrogen shifts fat storage to the abdomen and lowers insulin sensitivity, and a slower thyroid or a stressed adrenal rhythm often arrives at the same time. We test all three rather than telling you to eat less, and treat what we find.
Can menopause cause anxiety and brain fog?
Yes. Estrogen and progesterone act directly on the brain, and their fall is a common cause of new anxiety, low mood and word-finding trouble in midlife. Many patients find these symptoms ease substantially when their hormones are supported.
How soon will I feel better?
Sleep and hot flashes often improve within weeks of the right support. Mood, energy and weight take longer, and bone and heart protection is measured in years. We track progress with testing as well as how you feel. Individual results vary based on health history, condition severity, and personal factors.
Do you accept insurance?
Indigo is a cash-pay practice. This allows us to spend the time your case actually requires, without insurance constraints dictating your care. For eligible services (provider visits, in-clinic blood draws, and vitamin D and B12 injections), we can provide a superbill you may submit to your insurer for possible out-of-network reimbursement. Many patients find the investment worthwhile given the depth of evaluation.
Getting Started
Your Free Discovery Call
Thirty minutes on the phone with our patient care team, so you can ask your questions and find out whether Indigo is the right fit.
- 01Book a time that suits youChoose a slot online in under a minute.
- 02Share your storyTell us what you’ve been living with, and ask us anything. We listen first.
- 03Get your path forwardLeave with clear next steps, whether or not they’re with us.
Rather talk now? Call (202) 499 - 7535
Free · 30 minutes · A clear next step
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We Can Help.
Your Health Won’t Wait. Neither Should You.
The years after menopause are where the real protection is won or lost. Book your free discovery call and take the first step.
- 30+ Years Expertise
- 4.8/5 Rating
- Licensed Healthcare Provider
Water Front Center, 1010 Wisconsin Ave, NW, Suite #660, Washington, D.C. 20007 · (202) 499 - 7535
DISCLAIMER
The information on this page is intended for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Indigo Integrative Health Clinic provides personalized, data-informed care; individual results vary based on health history, condition severity, and personal factors. Functional medicine services are intended to complement, not replace, care from your primary healthcare provider or specialist. Please consult a qualified healthcare provider before making changes to your health protocol.