Estrogen, progesterone & low-dose testosterone.
Perimenopause and menopause are not character flaws and they are not something to "just push through." Restoring estrogen and progesterone — and, when indicated, a small amount of testosterone — can dramatically improve sleep, mood, libido, cognition, body composition, and long-term bone and cardiovascular health.
Women have real choice here. We prescribe by patch, cream, gel, oral or pellet, and the route is chosen with you — based on your labs, your symptom pattern, your medical history and how much day-to-day involvement you want in dosing. Pellets are one good option, not the default.
Common symptoms we treat
- —Hot flashes & night sweats
- —Brain fog & memory complaints
- —Stubborn weight gain (especially abdominal)
- —Low libido & vaginal dryness
- —Mood swings, anxiety & irritability
- —Sleep disruption & insomnia
- —Loss of muscle tone & joint pain
- —Hair thinning & skin changes
Most patients begin with comprehensive labs, a symptom inventory, and a conversation about which route — patch, cream, gel, oral or pellet — fits best. The plan is yours, built around your physiology and your goals.