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Hormone Optimization

Hormone Optimization · Women

Hormone Replacement Therapy for Women

Perimenopause and menopause shift estrogen and progesterone — and with them, sleep, mood, energy, bone health, and comfort. Hormone therapy, prescribed and monitored correctly, is a well-established way to manage these changes.

The difference is in the precision: we build your plan from labs, then adjust it over time.

From $399 first month, $149/month after

See if you're eligibleA short assessment. Reviewed by a clinician.

We measure first. Then we act.

Measure first

What we measure first

Before any prescription, we establish a baseline — hormone panels, history, and symptoms. This tells us what's changing, what to address, and which delivery method fits your life. Estrogen and progesterone are usually considered together; the right form and dose are individual.
Estrogen

Estrogen therapy options

Prescribed only for eligible patients after clinical evaluation. Results vary. For eligible patients, estrogen therapy may help support relief from menopausal symptoms and bone health. We offer several delivery methods so the plan fits your preferences and physiology.
Hormones

Estradiol (Clear)

Compounded

Topical estradiol that may help support relief from menopausal symptoms.

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Hormones

Estradiol Cream

Compounded

A cream-based estradiol option, applied as directed by your clinician.

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Hormones

Estradiol Patch

Compounded

A transdermal patch for steady estradiol delivery.

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Hormones

Estriol Vaginal Cream

Compounded

Targeted estriol that may help support vaginal and genitourinary comfort.

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Products marked Compounded are prepared by a licensed compounding pharmacy under a prescription written for you. Compounded medications are not FDA-approved and are not equivalent to or interchangeable with any branded product.

Progesterone

Progesterone therapy options

For eligible patients, progesterone may help support sleep and cycle-related symptoms — and where you have a uterus and take systemic estrogen, it does something more important: it protects the uterine lining. That is not an optional addition, and oral micronized progesterone is the route with the established evidence for it.
Hormones

Progesterone Capsule

Compounded

Oral progesterone — endometrial protection alongside estrogen, and the route many women notice on sleep.

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Hormones

Progesterone Cream

Compounded

A topical progesterone option, for use where endometrial protection is not the goal.

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Products marked Compounded are prepared by a licensed compounding pharmacy under a prescription written for you. Compounded medications are not FDA-approved and are not equivalent to or interchangeable with any branded product.

The bigger picture

Where testosterone fits for women

Testosterone often declines in perimenopause too, affecting energy, strength, and libido. Where appropriate, it may be considered alongside estrogen and progesterone — see the full hormone optimization program. Peptides can also complement hormone care; explore peptide therapy for menopause.
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Hormone Optimization
Questions

Frequently asked questions

  • For eligible patients under proper clinical monitoring, hormone therapy is a well-established option for managing perimenopausal and menopausal symptoms. Safety comes from the oversight — labs, dosing, and follow-up.

  • That depends on your symptoms, preferences, and labs. A clinician helps you choose and adjusts over time.

  • Often, yes — they're typically considered together. Your plan is individual and based on your assessment.

  • Results vary. We track your response on a regular cadence and adjust the plan accordingly.

Results vary. Clinical trial results apply only to the FDA-approved branded medication specifically identified and do not apply to compounded medications. All medications must be prescribed by a licensed provider based on medical necessity.

Own your next chapter

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We measure first. Then we act.

ACT 2 Health provides clinician-led care. Treatments described are available only to eligible patients following clinical evaluation and within applicable regulations. This page is educational and is not medical advice. Individual results vary.