It's not in your head. It's your hormones.
Hormone replacement therapy — estrogen, progesterone, thyroid, low-dose testosterone — built from your labs and a real provider. HRT at Medivive is for women navigating perimenopause, menopause, or other hormonal shifts who want an evaluation grounded in their own labs and reviewed by a licensed provider. Treatment is prescribed only when clinically appropriate following an evaluation, and individual results vary.
Symptoms a provider evaluates
- Hot flashes and night sweats
- Irregular cycles or cycle changes
- Sleep disruption and fatigue
- Mood changes, irritability, or low mood
- Reduced libido or vaginal dryness
- Brain fog and difficulty concentrating
What a provider may prescribe
- Hormone replacement therapy (HRT), including bioidentical options
- Estrogen, progesterone, or testosterone individualized to your labs — when endometrial protection is needed, bioidentical estradiol is paired with oral or vaginal micronized progesterone
- Thyroid or DHEA support where your panel indicates
- A delivery format chosen with you — cream, sublingual, or injection
What we monitor
- Estradiol, progesterone, and testosterone
- FSH and LH where relevant
- Thyroid panel (TSH, free T3 and T4)
- Personal and family history review
- Metabolic and bone-health markers as indicated
Protocols start with your labs — never a template
We do not prescribe hormones from a questionnaire. Every protocol begins with a full endocrine panel so your provider sees your actual baseline, then builds and adjusts around it. A comprehensive baseline panel comes before anything is prescribed, a licensed provider reviews every result and signs every protocol, follow-up labs confirm you are in range, and dosing is titrated to your numbers rather than a standard recipe.
A realistic timeline
- Weeks 1 to 4 — settling in. Your body adjusts to the new baseline. Some patients notice early shifts in energy or sleep; others feel little change yet.
- Weeks 4 to 12 — building momentum. As levels stabilize, many patients report steadier energy, mood and sleep. Your provider reviews follow-up labs and fine-tunes dosing.
- Months 3 to 6 — finding your range. With dosing dialed in, symptom relief tends to consolidate. Ongoing monitoring keeps your protocol safe and aligned with your goals.
- Individual experiences vary. Timelines are general and not a guarantee of any specific result.
Common questions
What is the difference between perimenopause and menopause care?
Perimenopause is the transition, often marked by fluctuating hormones and irregular cycles; menopause follows. Your provider tailors the approach to your stage, your labs, and your symptoms.
Is bioidentical hormone therapy different from synthetic?
Bioidentical hormones are structurally identical to those your body produces. Your provider will discuss the options and help you choose what fits your situation and preferences.
I have a history of breast cancer — can I be evaluated?
A personal or family history of hormone-sensitive cancer is an important part of your evaluation. Share it with your provider, who will weigh it carefully before recommending any protocol.
Is hormone therapy safe for my heart?
Cardiovascular health is part of every hormone evaluation. Your provider reviews your history and relevant markers, and monitoring continues throughout your protocol.