Women's Hormone Replacement Therapy (HRT)
Perimenopause and menopause can change how you sleep, think, feel, and recover — often years before anyone calls it menopause. Our providers use comprehensive lab testing to understand your hormones, then build a personalized protocol designed around your symptoms and your goals.
Provider-led consultation · Comprehensive lab testing · Personalized protocol
Symptoms We Help Women Address
Hormone changes rarely show up as one obvious symptom. If several of these sound familiar, a hormone evaluation may help explain what you have been feeling.
Hot flashes & night sweats
Sudden heat, flushing, and overnight sweating that disrupts rest
Sleep disruption
Trouble falling asleep, or waking at 2–4am and not getting back down
Mood changes & anxiety
New irritability, low mood, tearfulness, or a shorter fuse than usual
Brain fog
Word-finding trouble, forgetfulness, and difficulty concentrating at work
Fatigue & low stamina
Feeling depleted even after a full night in bed
Low libido
Reduced desire, arousal, or satisfaction compared to your baseline
Body composition changes
Weight gain around the midsection despite unchanged habits
Irregular or changing cycles
Cycles that shorten, lengthen, get heavier, or become unpredictable
Vaginal dryness & discomfort
Dryness, irritation, or pain with intimacy
Hair, skin & nail changes
Thinning hair, dry or crepey skin, and brittle nails
Joint aches & stiffness
New morning stiffness or achy joints without injury
Bone & heart health concerns
Wanting to be proactive about long-term bone density and metabolic health
How It Works
A clear, four-step path from first conversation to an optimized protocol.
Book Your Consultation
Meet with our provider to talk through your symptoms, cycle history, health history, and what you want to feel like again.
Comprehensive Lab Testing
We order a full hormone and metabolic panel so we can see your real biomarker values instead of guessing from symptoms alone.
Your Personalized Protocol
Your provider reviews every result with you, explains what it means, and builds a protocol matched to your labs and goals.
Retest & Fine-Tune
We recheck your labs and symptoms, then adjust dosing until you feel your best — and keep monitoring you long term.
What We Test
We do not guess. Your provider orders comprehensive bloodwork so your protocol is built on your actual biomarkers — and so we can track how you respond over time.
Estradiol (E2)
The primary estrogen behind hot flashes, sleep quality, mood, skin, and bone health
Progesterone
Supports sleep, calm, and uterine protection when estrogen is prescribed
Total & Free Testosterone
Often overlooked in women — tied to libido, energy, mood, and lean muscle
FSH & LH
Helps identify where you are in the perimenopause-to-menopause transition
DHEA-S
An upstream adrenal hormone that feeds both estrogen and testosterone pathways
Thyroid panel (TSH, Free T4, Free T3)
Thyroid issues mimic menopause — fatigue, weight change, brain fog, hair loss
Cortisol
Chronic stress load that can amplify hormone symptoms and stall progress
Vitamin D, B12 & ferritin
Common deficiencies that drive fatigue, hair loss, and low mood
Metabolic & lipid markers
HbA1c, glucose, and cholesterol to protect long-term heart and metabolic health
Treatment Options Your Provider May Discuss
There is no single right protocol. Your provider will review the options below and recommend an approach based on your labs, symptoms, health history, and personal preference.
Bioidentical estradiol
Available in several delivery forms, dosed to the lowest amount that resolves your symptoms
Micronized progesterone
Commonly paired with estrogen for uterine protection, and often helpful for sleep
Low-dose testosterone
Considered for persistent low libido, energy, and lean-muscle concerns in women
DHEA support
May be considered when adrenal precursor hormones are low on your panel
Local vaginal therapy
Targeted options for dryness, irritation, and discomfort with intimacy
Thyroid & nutrient repletion
Correcting thyroid or nutrient gaps that are driving overlapping symptoms
Peptide therapy
May complement your plan for recovery, sleep, and body composition goals
Lifestyle & nutrition guidance
Protein, resistance training, and sleep strategy to make your protocol work harder
What Women Come to Us For
Individual results vary, but these are the goals we build protocols around.
Sleeping through the night
Fewer night sweats and less 3am wakefulness, so you wake up genuinely rested
Steadier mood
More emotional stability and patience, with less anxiety and irritability
Sharper thinking
Improved focus, recall, and mental clarity through the workday
Reliable energy
Consistent stamina that does not collapse in the afternoon
Renewed libido & comfort
Improved desire, arousal, and comfort with intimacy
Easier body composition
Better ability to build lean muscle and manage midsection weight
Healthier skin & hair
Improved skin hydration and reduced hair thinning over time
Long-term protection
A proactive plan that considers bone density, heart, and metabolic health
What to Expect
Hormone optimization is a gradual process. Here is a realistic timeline for most women.
Weeks 1–2
Sleep and night sweats are often the first things to shift as your body adjusts to the protocol.
Weeks 3–6
Mood, anxiety, and mental clarity commonly begin to stabilize. Your provider checks in on tolerability.
Weeks 6–8
Follow-up labs and a symptom review. This is where we fine-tune your dose rather than starting over.
Months 3–6
Libido, body composition, skin, hair, and stamina changes typically become most noticeable.
Ongoing
Regular monitoring every 6–12 months to keep your protocol matched to your changing physiology.
Individual results and timelines vary. Your provider will set expectations specific to you.
Is Women's HRT Right for You?
Only a licensed provider can determine whether hormone therapy is appropriate for you. Your consultation exists to answer exactly that question.
You may be a good candidate if
- You are in perimenopause and your cycles or symptoms are changing
- You are menopausal or post-menopausal and symptoms affect daily life
- You have had a hysterectomy or surgical menopause
- Hot flashes, night sweats, or insomnia are disrupting your sleep
- Brain fog, mood changes, or fatigue are affecting work and relationships
- Libido, dryness, or comfort with intimacy has changed
- You want to be proactive about bone, heart, and metabolic health
- You have tried supplements or lifestyle changes without enough relief
Requires extra evaluation first
- Certain hormone-sensitive cancer histories require specialist coordination
- Active or prior blood clots, stroke, or significant cardiovascular events
- Unexplained vaginal bleeding that has not yet been evaluated
- Active liver disease, or current pregnancy or breastfeeding
These do not automatically rule you out — they simply mean your provider will want additional evaluation or coordination before recommending therapy.
Safety & Monitoring
Hormone therapy should always be prescribed, dosed, and monitored by a licensed provider. Here is how we keep your care safe.
Licensed provider oversight
Every protocol is prescribed and supervised by a licensed clinician — never automated
Lowest effective dose
We aim for the smallest dose that fully resolves your symptoms, not the highest tolerable one
Scheduled lab monitoring
Follow-up bloodwork confirms your levels are in a healthy, intended range
Full informed consent
Your provider reviews benefits, risks, and alternatives before you begin anything
Coordinated care
We are glad to share records and coordinate with your OB-GYN or primary care provider
Preventive screening
We confirm you are current on age-appropriate screenings as part of your plan
What It Costs
Straightforward pricing for provider time, with the option to move into ongoing managed care. Lab testing and medication are billed separately — see the notes below.
Initial Consultation
Your first sit-down with a provider to discuss hormone therapy.
- Full symptom and health history review
- Provider discussion of whether therapy fits your goals
- Recommendations for which labs to run
- Your questions answered directly by a provider
Follow-Up Visit
Ongoing provider visits as needed, billed per appointment.
- Review of how you are responding to your protocol
- Provider adjustments to your treatment plan
- Interpretation of any labs you have completed
- No membership commitment required
Ongoing Care Membership
6-month minimum commitment
Continuous provider access for patients who want managed, ongoing optimization.
- Monthly bloodwork included
- Monthly consultation with your provider
- Protocol and medication adjustments each month
- Ongoing access to our physicians for support
Lab work is not included in visit pricing
Consultation and follow-up fees cover provider time only. Biomarker and lab testing is billed separately. Monthly bloodwork is included with the membership.
Medication is not included
The cost of any prescribed hormone medication or supplies is separate from all consultation and membership pricing.
Frequently Asked Questions
Still have questions? Call us and our team will walk you through it.
There is no single age. Perimenopause commonly begins in the early-to-mid 40s, but symptoms can start in the 30s, and many women seek care in their 50s and beyond. The better question is whether your symptoms are affecting your quality of life. If they are, it is worth an evaluation.
Yes. Comprehensive bloodwork is central to how we practice. Symptoms alone cannot tell us your estradiol, progesterone, testosterone, or thyroid values, and they cannot rule out other causes such as thyroid dysfunction or iron deficiency. Labs also give us a baseline so we can measure your response.
Bioidentical hormones are structurally identical to the hormones your body produces naturally. Your provider will explain which formulations they recommend for you, why, and how they differ from older synthetic options.
That is an individual decision you make with your provider, based on your symptoms, health history, risk profile, and goals. Some women use therapy through the menopause transition; others continue longer for symptom control and long-term health. It is reviewed at every follow-up.
Many women find that appropriately dosed hormone therapy makes it easier — not harder — to manage weight, largely through better sleep, energy, and ability to maintain lean muscle. Your provider will discuss realistic expectations and pair your protocol with nutrition and training guidance.
Yes. Women produce and need testosterone, and levels decline with age. When labs support it, low-dose testosterone may be considered for persistent low libido, low energy, and difficulty maintaining lean muscle. Dosing for women is a small fraction of male dosing.
Standard reference ranges are wide and are built to flag disease, not to define optimal. You can technically fall inside a lab range and still feel unwell. We interpret your results alongside your symptoms and goals rather than looking at a single flag.
Many of our services may be eligible for Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA), and we provide itemized receipts for your records. Please confirm eligibility with your plan administrator.
Your consultation and follow-ups can typically be handled conveniently, with lab work drawn locally. Our team will confirm the specifics when you book and let you know exactly how to prepare.
Ready to Feel Like Yourself Again?
Book a consultation with our provider. We will review your symptoms, order the right labs, and build a hormone protocol designed specifically for you.
- A real conversation about your symptoms and cycle history
- Your comprehensive hormone and metabolic lab order
- A line-by-line review of what every result means
- A personalized protocol matched to your biomarkers
- No obligation to start treatment that day
Provider-led · Lab-based · Personalized to your biomarkers
This page is for general educational purposes and is not medical advice, a diagnosis, or a treatment recommendation. Hormone therapy requires evaluation by a licensed provider, and it is not appropriate for everyone. Individual results vary. Any treatment plan is determined only after your consultation, health history review, and laboratory testing.