Dismissal should never be your diagnosis

Dr sian WEST

I'm Dr Sian West, board-certified OB-GYN and Menopause Society Certified Practitioner.

ABOUT

I treat the perimenopause and menopause your last clinician didn’t

I came to medicine the long way. Through a household that didn't trust it. That history is why I can hear what’s underneath the question “is this safe?” and answer it the way you actually deserve to be answered.

I take both your symptoms and your skepticism seriously.

Read my full story

somebody should have told you this sooner

You haven't slept through the night in months. Your last appointment ended with a shrug and a low-dose Zoloft script. You've tried the supplements, the hormone panels, Pilates, every app that promised to fix it.

None of it worked, because none of it would. What you're experiencing has a name. There's real, evidence-based treatment for it. You just haven't been offered it yet.

IF YOUR DOCTOR EVER TOLD YOU TO DRINK MORE WATER AND GET BACK TO YOGA, YOUR DOCTOR FAILED YOU.

Most clinicians get fewer than two hours of menopause training in their entire medical education. That isn't your fault, but it has become your problem. You've been told to track your sleep, manage your stress, cut the wine, and come back in six months.

  • You're not stressed. Your estrogen is in complete chaos. Your progesterone is MIA. Your nights are broken, and your nervous system is running without a thermostat. Stress is a downstream effect. Not the diagnosis.

  • Perimenopause begins on average four to seven years before your final period. For some people, it can show up a decade earlier. If you're between 38 and 55 and something's changed, your hormones are likely part of the story.

  • Untreated perimenopause does not end well. Bone loss accelerates. Cardiovascular risk climbs. Cognition takes a measurable hit. Pushing through is not a treatment plan.

But it doesn't have to keep going like this.

Ways to connect
with dr west

All the places and spaces you can learn more from me:

  • 01. THIS MENO LIFE PODCAST

    Coming soon. The podcast for women who are too smart for the wellness internet and too symptomatic for the standard seven-minute appointment. New episodes weekly. Short enough for school drop-off, dense enough to send to your sister.

    JOIN THE WAITLIST

  • 02. NEWSLETTER

    Free, no fluff. What perimenopause & menopause actually are, what to do about it, and how to stop being dismissed by clinicians who haven't done the work.

    SUBSCRIBE

  • 03. BECOME A PATIENT: THE TELEPAUSE

    Real menopause care over telehealth. One-hour first visits with a board-certified OB-GYN and a hormone plan built for your body. Currently caring for women in Michigan.

    WORK WITH ME

what patients are saying

what patients are saying

TESTIMONIALS

  • "As I hit my 40’s things began to rapidly change for me. I was gaining weight, having horribly painful periods, and barely sleeping. Not to mention the mood changes- I was angry all the time and would have long depressive episodes. My previous doctor told me that, unfortunately, this was just a stage of life and due to my family history of breast cancer I had no options available to me. My husband convinced me to get a second opinion and I was so lucky to find Dr. West! I started hormone therapy and I have never felt better. She listened to me and let me know that this was absolutely no way to live. After some adjustments we found what works for me. I am finally sleeping through the night and feeling clear headed. I have made consistent gains and PR’s at the gym and have been able to lose weight and gain muscle. Dr. West made me feel heard and seen and developed a clear, informed plan that has truly changed my life."

    - SB

  • "From the moment you walk into her office, she makes you feel like you’re her only patient. She is incredibly kind, attentive, and truly takes the time to tailor her care to your specific needs. You never feel rushed, and every concern, big or small, is treated as important. She listens without judgment, is never dismissive, and makes sure you feel heard and understood. It’s clear that she genuinely cares about your well-being and wants you to be the happiest, healthiest version of yourself. Having a doctor like her makes all the difference."

    -CD

  • "I don’t even know if I’m able to articulate my appreciation and love for Dr West. She went above and beyond in caring for me. Listened to me. Actually heard me. As a woman going through the rigors of perimenopause, she worked with me to get to the heart of my hormonal and reproductive issues . I honestly feel like she saved my life. Definitely my sanity. I hold her in the highest esteem as a doctor and human being. She is just amazing."

    - CB

  • "Dr. West is an exceptional OBGYN. Two qualities I strongly value in a physician are truly listening to my concerns and practicing up-to-date, evidence-based care — and she excels at both. I came to her with a problem, and she didn’t dismiss it or rush the visit. She listened carefully, asked thoughtful questions, and offered a clear, modern solution. I could genuinely feel how much she cared about helping me. It’s rare to find a physician who combines compassion with such strong clinical knowledge. I left feeling heard, supported, and confident in my care. I’m incredibly grateful to have found her."

    -DG

  • "I will never forget the day I walked into Dr. West’s office. I was two years into an infertility journey, among other medical concerns I brought to her. In addition to incredibly high-quality care, she made me feel heard and supported, something I don’t think the medical system always remembers to value. Thank you, Dr. West for all you do for your patients, always."

    - FE

  • "Dr. West helped my husband and me conceive by truly listening to me and trusting my body when I needed it most. Throughout my very difficult pregnancy, she was a constant source of support, reassurance, and compassion. She took my anxiety seriously and helped ease it with patience, understanding, and genuine care. I never once felt dismissed or unheard. I would not trust anyone else with my care. Dr. West is the kind of doctor who truly listens, deeply cares, and makes an overwhelming journey feel a little less scary. I am endlessly grateful for her."

    -TD

  • "I left my appointment feeling more heard and supported than I have in years. She took the time to really listen to everything I was experiencing and didn’t dismiss my symptoms or rush through the visit. She considered my other chronic health issues and looked at the whole picture. She walked me through what might be going on, answered my questions, and helped me understand my options. Together we came up with a plan that included education, lifestyle changes, and medication to start addressing my symptoms. I walked out feeling informed, hopeful, and like I finally had someone on my team. It’s such a relief to find a provider who truly listens and takes your concerns seriously. She’s really the best!"

    -NH