HRT & BHRT for Women · By Application · Telemedicine

Hot flashes. Broken sleep.
A mood you don’t recognize.
You are not imagining it.

Hormone replacement therapy for perimenopause and menopause, always bioidentical: estradiol, progesterone, and testosterone where appropriate, prescribed from your labs and your history.

Apply to Become a Patient See how it works

Accepting a limited number of new patients by application.

  • 25+years of clinical experience
  • 1:1provider-led care
  • 0templates

Sound Familiar?

Perimenopause does not send a calendar invite.

It shows up scattered across your sleep, your cycle, your mood, and your body, often years before anyone names it.

  • Hot flashes and night sweats
  • Sleep that falls apart at 3 a.m.
  • Cycles gone irregular or heavy
  • Anxiety or mood swings
  • Brain fog
  • Low libido
  • Painful sex or dryness
  • Weight settling at the middle

What Treatment Looks Like

Read together, not one lab at a time.

Hormones move. Your symptoms and history matter as much as any single value.

  1. 01

    A real female panel

    Estradiol, progesterone, LH and FSH, testosterone, thyroid, and metabolic markers, read against your symptoms and your cycle, not against a lone reference range.

  2. 02

    Options, explained honestly

    Micronized progesterone, estradiol patch or cream, low-dose testosterone when appropriate. Always bioidentical; we do not prescribe synthetic hormones. Risks and benefits in plain language.

  3. 03

    Care that adjusts with you

    Doses tuned to your response, follow-up labs on schedule, and the guardrails a careful practice keeps: current mammogram, regular gyn follow-up, honest contraindication screening.

Why HELM

Menopause care is suddenly everywhere. Careful menopause care is not.

Your protocol is written by a board-certified Family Nurse Practitioner with more than 25 years of clinical experience and advanced training in BHRT, on a panel kept deliberately small. This practice was built to be the alternative to one-size-fits-all hormone kits.

Availability

Where this care is available.

HRT via telehealth is available in all 15 states we serve and Washington, D.C.

Testosterone, when it is part of a woman’s protocol, is not available via telehealth in Connecticut, Delaware, Maryland, Nevada, New Hampshire, Utah, or Washington, D.C.

Apply to become a patient.

Every application is reviewed personally. Applying from this page marks your interest as HRT, so your intake and first labs are matched to it from day one.

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