Hormone therapy for women

Perimenopause is not a single event

It is years of fluctuation, often starting in the early forties, and it rarely announces itself. Cycles change. Sleep breaks. Anxiety arrives without a reason. Weight redistributes. Libido and comfort during sex change. Many women are told this is simply age — which is true and also beside the point, because much of it is treatable.

• Hot flashes and night sweats
• Insomnia and early waking
• Mood swings, anxiety, low mood
• Brain fog and word-finding trouble
• Vaginal dryness and painful sex
• Weight and body composition changes
• Thinning hair and skin

How we evaluate

Symptoms lead. Lab work confirms where you are and rules out the conditions that mimic hormonal change — thyroid disease and iron deficiency in particular. We ask about your personal and family history because it shapes whether hormone therapy is a good idea for you and in what form.

Treatment

Bioidentical estrogen, progesterone and — where appropriate — low-dose testosterone, prescribed as creams, pellets or oral medication by a licensed provider. Doses start conservative and get adjusted at follow-up based on symptoms and repeat labs. Local vaginal estrogen is a small treatment with a large effect on comfort, and it is often overlooked.

The risk conversation

Hormone therapy has benefits and risks, and both depend on your age, your history and how long since menopause began. You deserve that conversation in specifics rather than headlines from twenty years ago. We will have it with you before anything is prescribed.

Individual results vary. A licensed provider determines whether a treatment is appropriate for you.