Women’s hormones

For women whose energy, sleep, mood, and metabolism changed and were told it was normal.

Bioidentical hormone therapy

Hormone therapy is not a single dose you get right on the first try. It is a starting point, a recheck, and an adjustment.

Hormone optimization means measuring what your body is actually producing, comparing that against how you feel, and correcting the gap with the smallest effective intervention.

That can mean estradiol, progesterone, testosterone, thyroid support, or none of the above. The labs come first, and they decide.

All women’s hormone services

Everything is chosen with you, after the results are in.

  1. 01

    Bioidentical hormone replacement

    Estradiol and progesterone matched to your labs and symptoms, started conservatively.

  2. 02

    Hormone imbalance testing

    Comprehensive panels drawn before your first visit, so the conversation starts with data.

  3. 03

    Estradiol and progesterone management

    Dose and delivery adjusted at each recheck.

  4. 04

    Female testosterone therapy

    Considered for low libido and energy where the labs support it.

  5. 05

    Hormone pellets

    One delivery option among several, discussed where appropriate.

  6. 06

    Thyroid and Hashimoto’s screening

    A full thyroid panel with antibodies, not TSH alone.

Concerns we help with

Start with what you are noticing. Each page explains the causes and how we approach them.

How it works

  1. 1

    Labs first

    Drawn before your consultation, so the first conversation happens with data on the table.

  2. 2

    Your first visit

    45 to 60 minutes going through the results line by line, with options and tradeoffs.

  3. 3

    Start conservatively

    The smallest effective intervention, chosen with you.

  4. 4

    Recheck and adjust

    A recheck at around eight to twelve weeks tells us whether the dose is right.

Visit fees

Full pricing →
{{ p.price }} {{ p.name }} {{ p.dur }}

Labs and medications are quoted separately. Medication is billed by the pharmacy, since its cost varies by pharmacy and dose.

Before you start

What to know about hormone therapy before your first visit.

Risks and benefits

Bioidentical hormone replacement therapy (BHRT) carries risks as well as benefits, and it is not appropriate for everyone. Your history, your labs, and your own risk factors decide whether it is right for you.

No promised outcomes

Nothing here is a promise of a specific outcome.

Off-label and compounded use

Some hormone therapy is prescribed off-label, and compounded preparations, including pellets and compounded creams, are not FDA-approved. Where that is the case it reflects clinical judgment and published research rather than an approval that does not exist, and Nicole will go through the evidence, the benefits, the risks, and the alternatives with you before you consent to anything.

Further reading

For background reading, The Menopause Society and the Endocrine Society both publish patient guidance.

Frequently asked questions

Women’s Hormones

{{ f.q }}

{{ f.a }}

Your labs, your plan

Start with a clear picture of what is changing.

Request a consultation