The Initial Workup for Hormone Optimization $250
At High Desert Vitality for perimenopause or postmenopause care, we don’t guess, we evaluate!
1. Detailed History and HPI (History of Present Illness)
We start with a focused discussion about your current health and concerns:
- Onset and progression of symptoms – hot flashes, night sweats, mood swings, fatigue, low libido, weight gain, brain fog, vaginal dryness.
- Menstrual history – last period, cycle changes, irregular bleeding.
- Medical and surgical history – thyroid disease, PCOS, hysterectomy, oophorectomy.
- Family history – breast or ovarian cancer, heart disease, osteoporosis.
- Current medications and supplements – including hormones, thyroid meds, or over-the-counter products.
- Lifestyle factors – stress, sleep patterns, diet, exercise, alcohol use.
2. Symptom Review
We assess the full range of changes that could be hormone-related. These may include:
- Vasomotor symptoms: hot flashes, night sweats
- Cognitive: memory changes, poor focus
- Emotional: mood swings, irritability, anxiety, depression
- Metabolic: weight gain, slowed metabolism
- Musculoskeletal: joint pain, muscle loss
- Sexual: low libido, vaginal dryness, discomfort
3. Laboratory Testing
Lab work helps confirm hormone changes and identify other issues. Depending on your symptoms, tests may include:
- CBC, Comprehensive Metabolic Panel, Estradiol (E2),Lipid Panel, Progesterone, Testosterone, Free & Total, w/SHBG, Thyroid panal, Vitamin B12, Vitamin D, 25-OH, Total, Cortisol, FSH and LH.
4. Individualized Plan and Follow-Up
Once we have your history and labs, we create a customized plan. Treatment may include oral medications, transdermal patches, topical creams, or injectable therapies. We start with baseline data, but ongoing follow-up focuses on your symptoms and how you feel, not just lab numbers. This ensures therapy is both safe and effective.
Women's Hormone Optimization
Treatment Options
At High Desert Vitality, we create customized plans based on your needs and preferences. Options include:
- Oral medications – Convenient and easy to adjust.
- Transdermal patches – Provide steady hormone levels with low side-effect risk.
- Topical creams and gels – Applied to the skin, effective for certain hormones and symptoms.
- Vitamin and peptide support – To complement hormone therapy and overall wellness.