- 9720 Wilshire BLVD, STE Lower Level
- (424) 479-1770
- info@drkarentoubi.com
Menopause is a natural transition. Suffering through it isn't. Evidence-based, individualized care grounded in honest conversation — not outdated fear.
Book a Consultation About the TransitionThe research is clear: starting hormone therapy earlier in the menopausal transition is associated with greater cardiovascular, cognitive, and bone-protective benefit. The "window of opportunity" is real — and it's one of the most important things Dr. Toubi discusses at a first visit. There is no badge of honor for toughing this out.
Book Your ConsultationDr. Toubi's role is not to tell you what to do — it's to give you excellent, accurate information so you can make powerful decisions about your own health. That starts with honest, nuanced risk-benefit conversations not colored by outdated data.
You'll leave this appointment understanding your options, what the evidence actually says, what the tradeoffs are, and what a plan tailored to your specific goals looks like. That's the entire point of the visit.
Labs are ordered at the first visit and used to refine and personalize the plan over time. Dr. Toubi generally begins the conversation about treatment early — your symptoms tell a story that labs alone cannot capture.
Struggling with sleep, mood, brain fog, or a body that doesn't feel like yours? You're not just "getting older." There are answers.
Book a ConsultationMenopause is a whole-body event. Most women are told about hot flashes. Few are counseled about the rest — and the rest matters enormously.
The genitourinary symptoms — dryness, painful sex, urinary changes — are chronic and progressive without treatment. Unlike hot flashes, they do not improve on their own. They deserve specific, targeted management.
Perimenopause begins years before your last period. Hormones fluctuate wildly — which is why a single lab draw often looks "normal" even when symptoms are severe.
One of the meaningful advantages of seeing a board-certified gynecologist for menopause care is that irregular or unexpected bleeding — from perimenopause itself or as a response to HRT — can be evaluated and managed in the same practice.
Dr. Toubi performs in-office pelvic ultrasound and endometrial assessment when indicated, and manages the common bleeding concerns that arise during the hormonal transition and with HRT. No referrals, no extra appointments, no fragmented care.
"If your period has become unpredictable, heavier, or simply confusing — that conversation belongs here, alongside everything else."
The goal isn't just symptom reduction. It's optimizing your long-term health — protecting your bones, brain, and heart — while making sure you feel like yourself again.
For most healthy women under 60 or within 10 years of menopause, HRT is safe, effective, and associated with reduced risk of osteoporosis, cardiovascular disease, and cognitive decline — in addition to profound symptom relief. Dr. Toubi has honest, individualized risk-benefit conversations based on your specific history. Labs ordered at the first visit refine the plan over time. Options include oral, transdermal, and vaginal estrogen.
Essential for libido, energy, mood, muscle mass, and cognitive function — and it declines significantly with age. Dr. Toubi is experienced in female testosterone dosing, monitoring, and how it interacts with estrogen. Available as topical, injectable, and pellet formulations. This single intervention changes lives for many women.
Subcutaneous bioidentical pellets providing steady, consistent hormone levels over 3–6 months — avoiding the peaks and troughs of daily applications. Ideal for women who prefer convenience and stable levels.
Targeted treatment for GSM — dryness, thinning, painful sex, and urinary symptoms. Low-dose local estrogen doesn't carry the systemic risks of HRT and is safe even for many women with a history of hormone-sensitive cancers. Ospemifene (Osphena) available as an oral alternative.
For vaginal dryness, painful sex, vaginal laxity, and stress urinary incontinence — the EmFemme stimulates collagen, elastin, and moisture in vaginal tissue. Comfortable, no downtime, and produces meaningful improvement over a series of sessions. An excellent complement to or alternative for hormonal approaches to genitourinary symptoms.
Evidence-based alternatives for women who cannot or prefer not to use hormones — fezolinetant (Veozah), certain antidepressants, gabapentin, and behavioral strategies for hot flashes, sleep, mood, and genitourinary symptoms. Real options, not consolation prizes.
Menopause shifts fat distribution and increases metabolic risk. Body composition scanning, evidence-based nutrition and exercise counseling, and when appropriate, GLP-1 therapy — to support long-term vitality, not just symptom management.
Dr. Toubi is an active member of The Menopause Society (NAMS), ISSWSH, and ISSVD — the three leading professional organizations in menopause, sexual medicine, and vulvovaginal health. She attends international conferences regularly and applies the latest evidence directly to patient care.
Dr. Toubi practices based on current evidence — not the outdated WHI misinterpretations that caused a generation of women to be undertreated.
Many physicians don't offer testosterone to women or aren't comfortable dosing it. This practice does it well — and it changes lives.
Bleeding concerns, contraception during perimenopause, structural issues — all managed here, without bouncing between providers.
Menopause care requires titration, monitoring, and adjustment over time. This practice is built for exactly that.
Real risk-benefit discussions — not blanket refusals or uncritical enthusiasm. Your informed, empowered decision is the goal.
Dr. Toubi created Power Unpaused — a community for women navigating this transition. Education isn't an add-on here. It's the whole point.
Whether you're deep in perimenopause, recently post-menopausal, or want to get ahead of it — Dr. Toubi will meet you where you are and build a plan that works. Most patients wish they had come sooner.
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