Hormone Therapy

Hormone Concerns:

All hormones interact in the body together and they can affect each other. For that reason we seek to address not only sex hormone imbalances (like testosterone and estrogen) but also stress hormones, thyroid function, and insulin resistance. We treat both male identifying and female identifying people of all ages for hormonal concerns.


PCOS (polycystic ovarian syndrome)

Pain with Sex

Perimenopausal changes

Thyroid Dysfunction

Heavy Periods

Menopausal Symptoms

Irregular Cycles

Premenstrual Tension Symptoms (PMS)

Low Testosterone Levels

Infrequent or Absent Periods

Low Sex Drive

Sexual Function Concerns

Fertility Concerns

Weight Gain 


More on Treatment of Menopausal Symptoms: 

The menopausal transition is unique to each individual. Some people experience minor symptoms while others suffer from a variety of different symptoms. The significant drop in hormones during this time can lead to uncomfortable symptoms as well as potentially put women at a greater risk of developing certain diseases, such as osteoporosis and heart disease. 

Common Menopausal/Hormonal Symptoms:

  • Hot Flashes/Night Sweats
  • Insomnia
  • Mood Changes: Irritability, Anxiety, And Depression 
  • Low Libido
  • Hormone Related Weight Gain
  • Urinary Incontinence Or Increased Urinary Tract Infections
  • Vaginal Dryness
  • Pain With Sex
  • Thinning Skin

Potential Recommended Testing:

Your doctor may recommend different lab tests to get a better understanding of your overall health or your hormone status. 


There are both pharmaceutical options (like bioidentical hormone replacement therapy) and alternative treatment options that your doctor can talk to you about during your visit to help you pick the best course of treatment for you. 

Guidelines for appropriate use of hormone replacement therapy:

  • HRT should only be initiated for women who are symptomatic and within 10 years of menopause
  • HRT should not be used beyond 5 years and after the age of 60
  • HRT should be used for the shortest duration that it is necessary for severe menopausal sx 
  • Mammograms should be done yearly
  • Lab work should be done at least yearly but ideally every 6 months
  • Estrogen should never be done without progestin (for anyone with an intact uterus)
  • Contraindications to HRT include history of breast cancer, coronary heart disease, previous venous thromboembolic event or strike, acute liver disease, unexplained vaginal bleeding, those who are at high-risk of endometrial cancer, or transient ischemic attack
  • For women at moderate risk for cardiovascular disease (5 to 10% 10-year risk) transdermal is preferable to oral estrogen
  • Women with a greater than 10 percent 10-year risk for cardiovascular disease should not use HRT
  • Women who are at moderate or high risk of breast cancer should not use HRT

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“What stands out is the personal service and attention to detail. I like the one-on-one. She is really thorough and caring.”

– Patient

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