services · menopause & perimenopause care
menopause & perimenopause care

It's time to stop being dismissed and start feeling like yourself again.

Bio-identical hormone replacement therapy (BHRT) is a powerful, science-backed solution for perimenopause and menopause — addressing the root causes of hormonal imbalance rather than masking symptoms. Hormones identical to those your body naturally produces, dosed to your labs.

Schedule your free call 20 minutes. No pressure.
75%

of women with significant menopausal symptoms who seek care remain untreated.

1 in 21

women in the US will be offered life-changing HRT.

250,000+

osteoporosis-related hip fractures occur annually in the U.S. FDA-approved estradiol helps prevent osteoporosis.

1.3M

women in the US enter menopause every year.

what's really going on
perimenopause can start a decade before your last period.

Perimenopause is the transition leading up to menopause — often starting in your 40s, sometimes in your 30s. Estrogen and progesterone begin fluctuating unpredictably, driving irregular cycles, hot flashes, mood changes, brain fog, and sleep disruption years before a period ever stops. Menopause is official after 12 months without a period (average US age: 51). The symptoms are real, they're hormonal, and they're treatable.

sound familiar?
irregular cycleshot flashes & night sweatsbrain fogmood changesfatiguelow libidoweight gain around the middlesleep disruptionjoint achesanxiety that's new to you

"Your doctor said your hormones are fine. Here's what they didn't check: estradiol, progesterone, FSH, DHEA-S, and SHBG — read against optimal ranges, not just lab cutoffs."

how we treat it
root cause, not band-aids.
01
bioidentical hormones

Estradiol, progesterone, and testosterone — identical to what your body makes, dosed to your labs and symptoms, re-tested until optimal. Estradiol supports brain, bone, and heart health, not just hot flashes.

02
metabolic support

Declining estrogen shifts fat storage toward visceral fat and raises cardiovascular risk. We track insulin, lipids, and body composition — and treat the shift before it becomes disease.

03
the whole picture

Sleep, thyroid, vaginal and urinary health, cognition — hormone decline touches all of it. Your protocol covers what your labs and your life actually show.

what we test
labs first. always.

Estradiol, progesterone, FSH, LH, DHEA-S, and SHBG are measured through comprehensive blood panels — evaluated against functional, optimal ranges, not just conventional cutoffs — so we catch imbalances before symptoms become severe.

see the labs we run
EstradiolProgesteroneFSHLHDHEA-SSHBGThyroid panelVitamin DFasting insulinLipid panelhs-CRPBone markers
questions we hear every week
asked & answered.
Is HRT safe?

HRT is safe for most women and provides significant symptom relief. The risks depend on individual factors like age, health history, and the type of HRT used — which is exactly why we assess your personal risks and benefits together, with your labs in front of us.

Why am I gaining weight around my middle? +
Can hormones help my brain fog? +
What about intimacy and recurrent UTIs? +
Does menopause affect my heart and bones? +
get the care you deserve.

A free 20-minute conversation. No pressure — just a chance to talk through where you are and whether we can help.

Schedule your free discovery call