Discover. Diagnose. Design. Defend.

The 4D Method for menopause care in Henderson.

Four steps. The same order every time.

Most women I see have been treated in pieces: a sleeping pill for the nights, an antidepressant for the mood, a diet for the weight. Nobody put it together. The 4D Method is how I put it together. It’s how I care for my patients once they enroll: how I find what’s driving your symptoms, build a plan around your body, and keep that plan working over time. It’s a framework for how I work, not a promise of a particular result.

Book your free 15-minute Ask Dr. Wells call

Fifteen minutes to ask about the practice and what your next step should be. It’s a conversation, not a medical consultation.

Four steps of care

The plan starts with understanding.

The steps can overlap, and timing depends on your situation. The order doesn’t change.

Discover

We start with your story. When did things change? How is it affecting your work, your marriage, your sleep? What’s your cycle doing, what medications and supplements are you on, and what have you already tried? What do you want back?

Then we test, and not just the standard panel. I look at hormones alongside thyroid, iron, blood sugar and lipids, and I run a fasting insulin and hormone metabolite testing, two tests almost nobody orders. Those two are my clinical judgment rather than guideline requirements, and I’ll always tell you so. Bring a short timeline and any records you have. You don’t need to walk in with a diagnosis. That’s my job.

Diagnose

Your history usually tells me whether you’re in perimenopause or menopause. A single hormone level bounces around too much during the transition to prove it either way. What the labs do is find everything else standing in the way, like a thyroid that’s struggling, iron that’s run low, or insulin that’s been working overtime for years, and tell me whether anything makes treatment riskier for you.

I read those results against optimal, not just normal, and I tell you what’s known, what’s still uncertain, and whether anything needs another specialist.

Design

Now we build your plan, together. For a woman with real symptoms and no reason she shouldn’t take them, I treat hormones as the foundation, not the last resort. Nutrition, supplements, sleep and stress work build on top of that foundation. For some women the plan is nonhormonal, and that’s a legitimate plan too.

You’ll hear the benefits, the risks, the costs and the alternatives in the same conversation, and you’ll leave knowing what every piece of the plan is for.

Defend

This is the step most care skips. We measure your progress against your own baseline, not a textbook average, and we adjust. Improvement matters, no change matters, side effects matter, and new concerns matter.

Think about football. The team that gets a lead and stops playing is the team that loses it in the fourth quarter. Defend is how we protect what you’ve gained, with regular reviews and a clear way to reach us between them.

Testing with a purpose

Every test has a job.

I don’t order a big panel to look busy, and I don’t skip the tests that matter because they aren’t on a standard list. Your history tells me where you are in the transition. The labs are there to find what’s in the way and to check for anything that makes treatment riskier for you. That’s why I run a fasting insulin: your blood sugar can look perfect for years while your insulin works overtime to keep it there.

Read the testing guide

Your next step

The method is how I think. Your agreement is what you get.

The 4D Method describes how I approach your care. Before you commit to anything, the office will walk you through the actual visits, what’s included, the fees and the support.

See how to prepare

Henderson, Nevada