Why Perimenopause and Postmenopausal Hormone Optimization ?

Hormones control nearly every system in the body—energy, mood, metabolism, sexual health, bone strength, heart function, and more. During perimenopause (often ages 35–50) and postmenopause (typically age 50+), levels of estrogen, progesterone, and testosterone drop significantly. These changes are natural, but the symptoms can disrupt daily life and long-term health

Hot flashes, night sweats, and poor sleep
Weight gain and slower metabolism
Brain fog, mood swings, and fatigue
Vaginal dryness, low libido, and sexual discomfort
Loss of muscle and bone strength, increasing risk for fractures and heart disease

For years, women were told to “just deal with it.” That’s outdated thinking. You no longer have to suffer with these symptoms.

Why Optimize Hormones?

Restore balance and quality of life – Tailored therapy can calm symptoms and improve mood, energy, and focus.
Support long-term health – Proper hormone support helps protect bones, muscles, and heart health.
Address testosterone too – Many women don’t realize testosterone plays a major role in strength, libido, and energy. Declines here can affect confidence and daily function.
Safe and effective options – Modern bioidentical and carefully monitored therapies are designed to minimize risk and maximize benefit.

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The Initial Workup for Hormone Optimization $200

At High Desert Vitality for perimenopause or postmenopause care, we don’t guess, we evaluate!

1. Detailed History and Physical Exam

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, and 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 $190 Annual/Initial $100

Lab work helps confirm hormone changes and identify other issues.

Depending on your symptoms, tests may include:

CBC, Comprehensive Metabolic Panel, Lipid Panel, Ferritin, Estradiol (E2), Progesterone, Testosterone, Free & Total, w/SHBG, FSH, LH, DHEA, Thyroid panel, Fasting Insulin, Vitamin B12, Vitamin D, 25-OH, Total, Cortisol.

4. Individualized Plan

Once we have your medical history and lab results, we create a customized plan. Treatment may include oral medications, transdermal patches, topical creams, or injectable therapies. We begin with baseline data, but our ongoing follow-up focuses on your symptoms and how you feel, rather than just lab results. This ensures therapy is both safe and effective.

5. Monthly Membership $165

30-minute office visits with the provider every 3 months or as needed.
Follow-up labs are included at 3 and 6 months.
Prescription refills for Progesterone, Estrogen, and/or testosterone are sent to the pharmacy of your choice.

Women's Hormone Optimization

Treatment Options Monthly Subscription $ 165

At High Desert Vitality, we create customized plans based on your needs and preferences. Options include:

Oral medications, such as oral Progestrone, are convenient and easy to adjust.
Transdermal patches – Estrodial patches provide steady hormone levels with low side-effect risk.
Topical creams and gels – Estrodial and/or testosterone. Applied to the skin, effective for certain hormones and symptoms.
Vitamin and peptide support – To complement hormone therapy and overall wellness.