Starting Hormone Replacement Therapy (HRT)

What You Should Know

Beginning hormone therapy is an important step toward feeling better. We want you to understand what to expect and how to get the best results from your treatment.

Your First Prescription Is a Starting Point

Hormone replacement therapy is highly personalized. There are multiple hormones, doses, and delivery options available — including creams, injections, pellets, patches, and pills.

Because everybody responds differently, your initial prescription is designed as a starting point. From there, we fine-tune.

Finding your ideal hormone balance is a process — and it may take adjustments to discover your personal “sweet spot.”

Why Adjustments Are Normal

Hormones affect energy, mood, sleep, metabolism, cognition, and more. Small dose changes can make a meaningful difference.

Additionally, your hormone needs may shift over time due to:

Stress
Weight changes
Aging
Lifestyle changes
Other medical conditions

This is why HRT works best as ongoing, collaborative care.

We Partner With You Long-Term

We are a continuing care practice. Our goal is not just to prescribe hormones — it’s to help you consistently feel your best.

That requires communication.

When to Check In

We ask that you begin providing feedback within:

3–4 weeks after starting therapy

You do not need to wait for a formal follow-up appointment if you notice changes.

What Kind of Feedback Helps Us Most?

The more specific you are, the better we can adjust your treatment.

Let us know about changes in:

Energy levels
Sleep patterns
Mood stability
Anxiety
Hot flashes or night sweats
Focus or memory
Libido
Weight
Skin or hair
Any new symptoms

Helpful examples:

“My energy improves in the morning but crashes by 2 pm.”
“I’m sleeping more deeply but waking earlier.”
“My mood improved initially, but feels unstable again.”

Detailed feedback allows us to tailor your dose or delivery method for optimal results.

The Bottom Line

Hormone therapy is not one-size-fits-all.
It’s a process of refinement.

Your feedback is essential to making your care effective.

We are committed to working with you continuously to help you feel your best — now and over time.