At what age should I consider hormone therapy?
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.
Do I need lab work before starting?
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.
What does bioidentical mean?
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.
How long will I need to stay on hormone therapy?
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.
Will HRT cause weight gain?
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.
Is testosterone really used in women?
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.
What if my primary care doctor said my labs were normal?
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.
Are visits in person or virtual?
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.