Women's Hormone Care

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1. Initial Consultation
We’ll discuss your symptoms, medical history, current medications, previous hormone treatment, and your goals for care.

2. Laboratory Evaluation
Appropriate baseline laboratory testing helps me understand where you’re starting and make informed treatment decisions. I order testing based on your individual clinical needs.

3. Individualized Treatment
After your evaluation and necessary laboratory results have been reviewed, we’ll discuss whether hormone therapy is appropriate for you and develop an individualized treatment plan.

4. Ongoing Care
Hormone therapy requires ongoing monitoring. Your symptoms, response to treatment, laboratory results when appropriate, and any side effects will help guide adjustments to your treatment.

Estradiol — when appropriate for symptoms associated with declining or fluctuating estrogen.

Progesterone — may be considered during perimenopause when symptoms are consistent with declining or fluctuating progesterone even when estrogen levels remain sufficient. Progesterone is also prescribed with systemic estrogen for women with a uterus when needed to protect the endometrium.

Testosterone — when clinically appropriate based on symptoms, evaluation, and laboratory findings.

Vaginal Estrogen — for vaginal and urinary symptoms associated with declining estrogen.

 Hormone care is not about treating a laboratory number. Your symptoms, medical history, laboratory results, risks, preferences, and goals all matter.

My approach is to use the information we gather together to develop a treatment plan specifically for you and adjust it based on how you respond.