How It Is Given
Getting Started
Most Common
All services
Assessment first, then treatment where it is appropriate, then review. Sixty-eight topics on this site cover the detail; this one puts the whole service in a single view so you can see what an appointment actually leads to. Serving women across Las Vegas and nearby.
What we will not do
What a clinic refuses to do says as much as its service list, and in Las Vegas that starts with declining to implant compounded pellets. We do not implant compounded pellets. They are not FDA-approved, no insurer covers them, and once placed they cannot be removed if the dose is wrong.
We do not sell saliva hormone testing or dose to a target number, because neither is validated for guiding this treatment. We do not present hormone therapy as a weight treatment, because the trials do not support that.
And we do not prescribe to everyone who asks. Being told that hormone therapy is not appropriate for you is a legitimate outcome of an assessment, and a service that never says it is not assessing anyone. The detail sits in hormone pellets, hormone panel and hormone testing. No is a real answer here, and a Las Vegas patient who receives it has been assessed properly, not turned away for convenience.
Treatments
Eight treatments: what each option is, who it suits and what it costs.
The systemic overview: what it treats and how well.
Learn moreThe estrogen most often prescribed, and why a patch usually comes first.
Learn moreWhy it is added, who needs it and the sleep effect.
Learn moreLocal treatment for dryness and urinary symptoms.
Learn moreSymptoms
Ten symptom guides. Most women arrive with several of these at once.
Testing
What is worth measuring, what is not, and how to read what comes back.
Safety
Six concerns, with the actual numbers rather than reassurance.
What goes up, what goes down and by how much.
Learn moreCombined therapy versus estrogen alone.
Learn moreWhy the route into your body changes this one.
Learn moreThe contraindications, stated plainly.
Learn moreCommon questions
What an appointment covers, what we prescribe and what we will not.
Patient reviews
I had been waking three or four times a night for two years and had been told it was just stress. The consultation actually went through my cycle history. Six weeks on a patch and I am sleeping through.
What I wanted was someone who would talk about the risks honestly rather than sell me something. They walked through the clot data and why a patch suited me better than tablets.
The brain fog was the part nobody warned me about. Having a clinician tell me it was a recognized symptom and not early dementia was worth the appointment on its own.
It took two dose changes before things settled, which they had told me upfront might happen. The three-month review was booked before I left the first appointment.
From the blog
Next step
One appointment covers your symptoms, your history and whether treatment suits you. Everything after that follows from it.
Consultations are by appointment. Prescriptions are issued only where clinically appropriate.