Menopause & Hormone Testing

Understanding hormone imbalance and treatment

Do you feel like something is “off”? Are you:

Struggling to lose weight?
Feeling more tired than usual?
Sleeping poorly?
Experiencing a low sex drive?
Dealing with adult acne or worsening PMS?
Noticing breast tenderness, fibroids, or endometriosis?

You’re not alone. Many women report symptoms that point to hormonal imbalance—and often, they’re right.

In women, hormonal balance is essential. Estrogen, progesterone, testosterone, thyroid hormones, and cortisol all need to work in harmony. When this balance is disrupted, it can lead to a wide range of symptoms including:

Hot flashes and night sweats
Brain fog and forgetfulness
Weight gain and low energy
Sleep disturbance and mood changes
Decreased libido
Menstrual changes or PMS

Take the first step

Think your symptoms could be hormone-related? Take our Hormone Quiz to help identify what your body may be trying to tell you.

Don’t let anyone tell you it’s “just aging” or “all in your head.” Let us help you feel like yourself again.

Additional Menopause Education & Resources

We believe informed patients are empowered patients. For those interested in learning more about menopause, perimenopause, and hormone health, the following educational resource may be helpful:

Menopause Masterclass: Your Complete Guide with Dr. Mary Claire Haver

This educational podcast episode provides an overview of:

Perimenopause, menopause, and postmenopause
Common symptoms and why they occur
Hormonal changes affecting sleep, mood, weight, and metabolism

Genitourinary Syndrome of Menopause (GSM)
Evidence-based hormone therapy options

(LINK) Listen or watch via Apple Podcasts

What Menopause Does to the Body – The New York Times

Disclaimer: External resources are provided for general educational purposes only and do not replace personalized medical advice. Treatment decisions should always be made in consultation with your healthcare provider.

Take Control of Your Health

Hormonal changes don’t have to control your life. Through proper testing and personalized care, you can regain energy, balance, and well-being. Contact our office today to schedule your hormone consultation. Don’t forget to take the Hormone Quiz to get started.

Hormones we test

We typically recommend testing at least estradiol and progesterone. For a more complete view, we may include:

Estradiol
Progesterone
Testosterone
DHEA-S
Morning Cortisol

This comprehensive panel allows us to create a customized treatment plan, often involving bioidentical hormone therapy.

Key Hormones and Terms to Know

Estrogen A group of hormones (estradiol, estrone, estriol) that support the reproductive system, breasts, bones, brain, and skin
Progesterone Produced after ovulation and by the adrenal glands, it balances estrogen, supports pregnancy, and helps regulate menstrual cycles. (Not the same as synthetic progestins.)
Progestins Synthetic hormones used in birth control and hormone replacement; can mimic but don’t fully replicate natural progesterone and may have side effects.
Testosterone Supports libido, muscle mass, bone strength, skin elasticity, and cardiovascular health in both women and men.
DHEA A hormone made by the adrenal glands that helps produce other hormones, including testosterone and estrogen. It supports energy, immune function, and mood.
Cortisol Your body’s primary stress hormone. Chronic elevation or imbalance can disrupt energy, sleep, and immune health.

Additional Key Terms

Adrenal Imbalance – Occurs when the adrenal glands cannot meet your body’s hormone demands due to prolonged stress.
Estrogen Dominance – Too much estrogen relative to progesterone. Can occur from hormone therapy, birth control, or natural imbalance. May cause bloating, mood swings, and breast tenderness.
Bioidentical Hormones – Lab-made hormones structurally identical to those your body produces naturally.
Thyroid – A gland that regulates metabolism. Imbalances can cause weight gain, cold sensitivity, hair thinning, or depression.
TSH (Thyroid Stimulating Hormone) – Signals the thyroid to produce T4 (thyroxine), which converts to T3 (triiodothyronine), your body’s active thyroid hormone.
Phytoestrogens – Plant compounds (like soy or black cohosh) that mildly mimic estrogen and are sometimes used for menopause relief.
Insulin Resistance – When your body doesn’t respond well to insulin, often leading to weight gain and metabolic issues.
Cholesterol – Essential for hormone production. Balanced levels are key to heart and overall health.
LDL (Bad cholesterol) – Can build up in arteries.
HDL (Good cholesterol) – Helps remove excess LDL.
Triglycerides – Blood fats that can increase your heart disease risk when elevated.

Hormone Therapy Delivery Options

Hormone replacement therapy (HRT) can be delivered in several ways, and the right option depends on your lifestyle, comfort, and health goals. Understanding these methods helps you make an informed choice about what works best for you.

Creams and Gels

Topical creams and gels are easy to apply and discreet. However, they must be used daily, and missing doses can affect consistency. There’s also a risk of accidental transfer to others through skin contact, which makes careful use important. This can be a popular choice for testosterone therapy for women. We can compound a testosterone cream at any strength desired, and it’s easy to dose up or down depending on side effects or effectiveness.

Pills

Oral tablets are familiar and convenient to carry. They allow for precise dosing but require daily use, and absorption can vary as the medication passes through the digestive system. This is the preferred method of delivery for progesterone; especially if a woman still has her uterus, it is important to use oral progesterone.

Patches

Patches provide a convenient option for estrogen hormone delivery, but they can be visible under clothing and may loosen with water or friction. Hormone levels may taper off toward the end of each cycle, which can cause symptoms to return. There is a weekly or twice a week patch for estrogen therapy. There is a patch that combines estrogen with progestin for those who can’t tolerate bio identical oral progesterone.

Injections

Injections deliver hormones directly into the bloodstream for effective absorption. They are typically given every 7–10 days. Some people experience fluctuations in hormone levels between doses, along with possible discomfort at the injection site. This can be a popular choice for testosterone therapy, with once or twice a month office injections.

Pellets

Pellets are a long‑lasting option that many patients prefer. Inserted under the skin during a brief office visit, they provide a steady release of hormones for 3–4 months. This method is long acting and eliminates the need for daily applications or frequent dosing.

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