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Hormone Replacement Therapy (HRT)

Hormone Replacement Therapy (HRT) is a proven, evidence-based treatment for managing menopause symptoms. It works by replacing the hormones your body is no longer producing—estrogen, progesterone, and/or testosterone. Together, we’ll talk about your symptoms, your goals for treatment, and decide the best form of HRT for you, as well as how you’d like to take it.

Types of Estrogen Used in HRT

Bioidentical estradiol (which is a form of estrogen that is chemically identical to what your body produces) .

Conjugated equine estrogen (derived from the urine of pregnant horses). You can take these hormones in different ways, including oral pills or transdermal methods like patches or creams/gel.

Use of Progestogen When Uterus is Present

If you have a uterus, then you will need to also be on a progestogen: forms can include oral such as micronized progesterone, which is bioidentical, or a synthetic progestin such as norethinedrone acetate. There are also transdermal options in combined patches with estrogen and cream from compounded pharmacies.

Testosterone Replacement Therapy

Evidence based benefits for improving low libido/sexual health, but also can improve mood, fatigue, muscle mass and bone health.

Hormone Stacking Approach

I believe in a step-by-step approach to prescribing HRT, called hormone stacking, something I learned from Dr. Heather Hirsch. This means we start with one hormone at a time and add others gradually, depending on how your body responds. This method helps us avoid side effects and ensures we don’t start with a dose that is too strong for you.

Goal of HRT

The goal of HRT is to reduce or eliminate your menopause symptoms by 80% or more.

Alternative to Systemic HRT

If you choose not to use systemic HRT, we recommend using vaginal estradiol. This can help prevent genitourinary syndrome of menopause
learn more

Types of Estrogen Used in HRT

Bioidentical estradiol (which is a form of estrogen that is chemically identical to what your body produces) .

Conjugated equine estrogen (derived from the urine of pregnant horses). You can take these hormones in different ways, including oral pills or transdermal methods like patches or creams/gel.

Use of Progestogen When Uterus is Present

If you have a uterus, then you will need to also be on a progestogen: forms can include oral such as micronized progesterone, which is bioidentical, or a synthetic progestin such as norethinedrone acetate. There are also transdermal options in combined patches with estrogen and cream from compounded pharmacies.

Testosterone Replacement Therapy

Evidence based benefits for improving low libido/sexual health, but also can improve mood, fatigue, muscle mass and bone health.

Hormone Stacking Approach

I believe in a step-by-step approach to prescribing HRT, called hormone stacking, something I learned from Dr. Heather Hirsch. This means we start with one hormone at a time and add others gradually, depending on how your body responds. This method helps us avoid side effects and ensures we don’t start with a dose that is too strong for you.

Goal of HRT

The goal of HRT is to reduce or eliminate your menopause symptoms by 80% or more.

Alternative to Systemic HRT

If you choose not to use systemic HRT, we recommend using vaginal estradiol. This can help prevent genitourinary syndrome of menopause

learn more

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