Hormone therapy for women
Bioidentical hormone replacement for perimenopause and menopause — for the sleep, the heat, the mood and the body that stopped behaving like yours.
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.
Before you book
I am in my forties and my cycle is still regular. Is it too early?
No. Perimenopause commonly starts years before periods stop or become irregular, and the early symptoms — sleep breaking up, mood volatility, anxiety that is new, brain fog, changes in libido — usually arrive well before the obvious ones. Being told you are too young to be perimenopausal is one of the more common reasons women arrive here.
Is hormone therapy dangerous?
The honest answer is that the risk depends on you: your age, how long since menopause, your personal and family history of breast cancer and blood clots, and which hormones in which form. Those factors are exactly what the consultation is for. A licensed provider will go through them with you and will tell you if the balance does not favour treatment in your case.
What does 'bioidentical' actually mean?
It means the molecule is structurally identical to the hormone your body makes, rather than a related compound. It is a statement about chemistry, not a claim of safety — bioidentical hormones are still medications with real effects and real risks, and they deserve the same monitoring as anything else we prescribe.
What if it turns out not to be hormonal?
Then we treat what it actually is, or refer you to someone who should. Thyroid disease and iron deficiency in particular imitate perimenopause closely, which is why they get checked rather than assumed.
Start with a consultation.
Tell us what you want to change. A licensed provider reviews your history, explains the options in plain terms, and you decide together.