Why I start menopausal hormone therapy one hormone at a time — and how building your regimen in layers finds the right fit faster than starting everything at once.

When women come to me about hormone therapy, one concern comes up more than any other: cancer. It's fair, and it deserves a real answer instead of a quick reassurance. But "does MHT cause cancer?" isn't one question — it's three, and the answer depends on where you're starting from. Here's what the evidence says for women with no known risk, for women with a BRCA or Lynch mutation, and for women who have already had a gynecologic cancer.

Learn about the differences between natural and surgical menopause, how surgical menopause worsens long-term health outcomes, and treatment options.

If ovary removal is in your future, your hormone replacement plan should start before surgery.

If you feel like you're coming down with something every month right before your cycle — and it always passes — this one's for you.

How do you know you’re spending your money on what actually matters?

Low libido in perimenopause is more common than you think — and more treatable than you've been told. Here's what the science says about female desire, the hormone connection, and why you are absolutely not broken.

Perimenopause accelerates muscle loss — but it doesn't have to define your future. Learn how protein, strength training, and hormone therapy work together to protect your longevity.

Pellets are everywhere. But high hormone levels, hormonal rollercoasters, and zero ability to remove them? There's a better way. 

Testosterone isn't just a male hormone — women need it too. Learn how low testosterone affects energy, libido, and brain fog, and what treatment looks like.

Heart disease kills more women than any other condition — yet most don't know estrogen plays a key role. Learn why perimenopause is your window for prevention.

PCOS is now PMOS: a more accurate name aims to increase recognition of this complex, chronic condition that bears far-reaching health consequences.

Sudden estrogen depletion comes with real risks. Thankfully, the risks are easily mitigated with proper post-operative management.

Perimenopause is so much more than hot flashes. From itchy ears to palpitations, discover 30+ lesser-known symptoms of hormone fluctuation — and what you can do about them.

Suddenly feeling like you’ve got ADHD in midlife? You’re not alone!

Itching, dryness, peeing frequently and pain with sex? Could be GSM. Learn more about this common and easily treatable midlife condition.