What is HRT?
Hormone replacement therapy uses estrogen, progesterone, and sometimes testosterone to relieve symptoms caused by changing hormone levels during perimenopause and menopause.
What's the difference between FDA-approved HRT and compounded bioidentical hormones?
FDA-approved HRT products have been tested by the FDA for safety, effectiveness, and consistency as finished products. Compounded bioidentical hormones (cBHT) are custom-mixed by a licensed pharmacy at clinician-specified strengths — the active ingredients are individually FDA-approved, but the final compounded preparation is not separately FDA-evaluated.
Is HRT safe?
For most women under 60 or within 10 years of menopause without contraindications, current guidelines support HRT to relieve symptoms — and the benefits typically outweigh the risks. Your clinician will review your medical history before prescribing.
How long until I feel better?
Many women notice improvement in hot flashes and sleep within 2–6 weeks. Mood, libido, and vaginal symptoms typically improve over weeks to a few months.
Do I need bloodwork?
Bloodwork is not always required to start HRT, but it's often recommended depending on your symptoms and history — and is especially helpful for titrating dosing of testosterone when prescribed.
Will I gain weight on HRT?
HRT itself does not typically cause weight gain. Many women find it easier to maintain weight once sleep and energy improve.
What are the side effects?
Possible effects include breast tenderness, spotting, headaches, or mood changes. Most are mild and improve with dose adjustment — which is why ongoing clinician check-ins are built into every plan.
Who shouldn't take HRT?
HRT is not appropriate for women with a history of certain hormone-sensitive cancers, blood clots, severe liver disease, or unexplained vaginal bleeding. Your clinician will screen for these during intake.
How much does it cost?
HRT starts from $89/month, depending on the protocol your clinician prescribes. The eligibility check and clinician review are free — you only pay if you qualify and decide to start.
