WOMEN'S MIDLIFE MEDICINE

Perimenopause & Hormone Care for Women in Montana

Personalized naturopathic care for changes in mood, weight, energy, sleep, and desire.

At Montana Center for Vibrant Living, Dr. Dawn Dalili provides individualized naturopathic medical care for women navigating perimenopause, menopause, and the health concerns that often accompany midlife.

From hormone replacement therapy to medical weight management, treatment begins with understanding your health—not assuming every symptom has the same cause.

Telemedicine appointments for eligible patients throughout Montana.

When your body changes, your care should change with it

Maybe you're gaining weight despite eating and exercising the way you always have.

Maybe you're exhausted but can't sleep, more anxious or irritable than usual, or struggling to concentrate.

Maybe your periods have changed. Your desire has disappeared. Or you simply don't feel like yourself anymore.

These changes are common during midlife, but that doesn't mean you have to dismiss them as inevitable.

They deserve to be understood.

And you deserve care that looks at the whole picture.

HOW WE CAN HELP

Hormone Therapy

Hormone therapy can be an effective treatment for many menopause-related symptoms. We evaluate your symptoms, medical history, goals, and individual risk factors to determine whether estrogen, progesterone, or other treatment options are appropriate.

Perimenopause Care

Changes in menstrual cycles, mood, sleep, energy, and cognition can begin years before your final period. We help you understand what's changing, investigate other possible contributors, and develop an individualized treatment plan.

Medical Weight Management

If weight management has become more difficult, the answer isn't always to eat less or exercise harder. We assess metabolic health, lifestyle factors, relevant medical conditions, and treatment options—including prescription medication when appropriate.

Answers begin with better questions.

It's tempting to assume that every new symptom in midlife is hormonal.

And sometimes hormones are exactly where we need to focus.

But changes in mood, weight, energy, sleep, and cognition can also involve thyroid function, metabolic health, nutritional deficiencies, medications, chronic stress, and other factors.

That's why we don't begin with a predetermined protocol.

We begin with your history, your symptoms, appropriate testing, and a careful look at how the pieces fit together.

Because effective treatment begins with understanding what we're treating.

Your care should be as individual as you are.

MEET YOUR PHYSICIAN

Dr. Dawn Dalili, ND

I've spent much of my career helping women navigate complex and often overlapping health concerns.

My background includes naturopathic care in a multidisciplinary medical setting, where I worked alongside physicians and other healthcare professionals to help patients understand their health and make informed treatment decisions.

Today, my clinical practice focuses on women's midlife health, including perimenopause, menopause, hormone therapy, mood, energy, sleep, and metabolic health.

I believe in careful assessment, honest conversations, and individualized treatment.

My goal isn't to promise that one medication or protocol will fix everything.

It's to help you understand what's happening in your body and make thoughtful decisions about what comes next.

More About Dr. Dalili →

What to Expect from Care

STEP 1 - CONNECT

Begin with a conversation about your health concerns, what you've already tried, and what you're hoping to change. We'll determine whether this practice is a good fit for your needs.

STEP 2 - UNDERSTAND

We'll review your medical history, symptoms, medications, lifestyle, and previous testing. Additional labs or evaluation may be recommended when clinically appropriate.

STEP 3 - CREATE A PLAN

Your treatment plan may include hormone therapy, medication, nutrition and lifestyle interventions, or other individualized recommendations, with follow-up to assess your response and make adjustments.

Common Questions

Do you bill insurance?

I do not bill insurance directly, but a superbill can be provided for eligible services. This option is only available to MT residents.

Can you be my primary care provider?

No. Montana Center for Vibrant Living is a telemedicine-only practice, which means that I cannot provide the screening that falls under primary care services.

Are all visits virtual?

Yes. Montana Center for Vibrant Living is a telemedicine practice. We serve women across Montana from the comfort and privacy of your home. You never need to travel to Missoula for an appointment. Lab collection kits are shipped to your door, and appointments take place via Zoom video conferencing.