Hot flashes and night sweats usually ease between four and twelve weeks. Sleep tends to shift first, often within two weeks if night sweats were the cause. Mood and concentration follow later. Vaginal symptoms treated with a local preparation take eight to twelve weeks because the tissue has to rebuild.
What it does
Las Vegas treatment options: topping up, not replacing
Replacement is a misleading name for what the treatment actually does, which is worth settling before any Las Vegas conversation about doses and forms. Your ovaries do not switch off. They wind down over several years, and the symptoms come from the fluctuation as much as from the eventual low level. Hormone therapy steadies that supply.
Estrogen is the part doing the work. It acts on the temperature-regulating center in the brain, on the tissue of the vagina and urethra, on bone turnover and on sleep architecture, which is why one medicine shifts several symptoms at once.
If you still have a uterus, progesterone is prescribed alongside it. Estrogen on its own thickens the uterine lining over time and raises endometrial cancer risk; adding progesterone returns that risk to baseline. There is more in progesterone, hormone pellets and treatment options for the rest of it. Hysterectomy history is therefore the deciding detail in any Las Vegas consultation, because estrogen alone is only appropriate when there is no uterine lining to protect.
