What the hormone visit actually reviews
Dr. Pejman Cohan is a board-certified endocrinologist. The work here is diagnosis and treatment of hormonal disease, not a menu of supplements. Thyroid nodules and thyroid dysfunction. Parathyroid disease and calcium. Adrenal and pituitary disorders, including the hormonal gaps that follow a pituitary tumor. Polycystic ovary syndrome and the metabolic pattern that travels with it. Osteoporosis and bone density. Lipids and cardiovascular risk. Type 2 diabetes, prediabetes, and insulin resistance. Fatty liver when it is part of that same metabolic picture.
Perimenopause and menopause are in that list, not beside it. A hormone plan is written against your breast history, your bone density, and your pelvic symptoms. If estrogen is being considered, breast health already has the imaging and the family history. If vaginal dryness and bladder symptoms are the loudest complaint, pelvic health treats that directly instead of leaving it as a footnote on a lab report.
The first visit is a history, an exam as needed, and a look at the labs you already have. New labs are ordered when the old ones do not answer the question, not as a panel for its own sake. "Normal" on a printout is not the end of the conversation when sleep, cycles, weight, and temperature say otherwise. It is also not a reason to start treatment that the rest of your record cannot support.
Men's hormonal care, including testosterone replacement when it is indicated, is part of this practice's endocrine work. It is evaluated the same way: a diagnosis first, then a plan, then follow-up that checks whether the treatment did what it was supposed to do.