For women with systemic symptoms such as hot flashes, night sweats, sleep disruption, mood changes, brain fog, and fatigue, systemic estrogen therapy is the foundation. We prefer transdermal delivery (patches, gels) for most patients because it avoids first pass liver metabolism and carries a lower risk profile for clotting and metabolic effects. For women with an intact uterus, progesterone is added for endometrial protection. This is a safety requirement, not optional, and is not based on progesterone lab levels.
The majority of women in our program stabilize on estrogen and progesterone and feel significantly better. Libido often improves with estrogen alone.
Frequently Asked Questions
Do I need to take hormones forever?⌄
That depends on your symptoms and goals. Some women use hormone therapy for a defined period and taper off. Others continue long term because the benefits to their quality of life, bone health, and overall well being outweigh the risks. We reassess regularly and adjust your plan as your needs evolve. There is no pressure to continue therapy and no pressure to stop.
What does treatment typically cost?⌄
Most women on estrogen and progesterone can expect medication costs in the range of $20 to $40 per month. If testosterone is added, the total may be $60 to $120 per month. We do not upcharge on medications, injections, or tablets.
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