Why start in perimenopause...
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Perimenopause offers nearly a decade of opportunity—a window to strengthen your body, protect your heart and bones, and balance your hormones and emotions. These years aren’t just preparation; they’re a gift to step into menopause with clarity, steadiness, and power. Think of perimenopause (or even the years before) as your invitation to prioritize your health early, so you can move into menopause not in crisis, but with confidence and vitality.
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Assess where you are in your perimenopause journey, what your body is missing, and address what is exactly needed at this moment in time as your body is shifting and changing.
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What is Hormone Replacement Therapy (HRT)?
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Hormone Replacement Therapy (HRT) is one of the most effective tools we have to support women through the transitions of perimenopause and menopause. As estrogen, progesterone, and sometimes testosterone levels shift, women may experience hot flashes, night sweats, mood changes, sleep disturbances, low libido, brain fog, bone loss, and changes in skin and hair.
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HRT works by restoring these hormones to more balanced levels - helping you feel more like yourself again, while also protecting long-term health including bones, brain, and cardiovascular wellness.
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Types of HRT We Use:
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Estrogen – Available as patches, gels, creams, and sprays.
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Progesterone – prescribed orally, vaginally, or topically to protect the uterine lining.
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Testosterone – In carefully measured doses, can support energy, libido, and muscle mass.
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Vaginal Estrogen – Direct relief for dryness, urinary issues, and painful intimacy, with minimal systemic absorption.
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Topical Estrogen for Skin/Face – In safe and effective amounts. Designed to improve collagen, elasticity, and hydration for healthier, more resilient skin.
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Non-hormonal, yet less effective, natural therapies available to elevate your symptoms.
Routes of Administration:
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Oral – Pills taken by mouth.
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Transdermal – Patches, creams, or gels absorbed through the skin.
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Vaginal – Creams, tablets, or rings placed locally for targeted relief of vaginal dryness, bladder issues, and sexual discomfort.​​
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Our approach is tailored to your needs—balancing safety, symptom relief, and whole-body health.​
What patients say after their first or second strategy session: "I am so glad I found your practice." Experiencing new insights about their health and hormones that were not detected anywhere else for decades at times.
Beyond Hormones, Whole-Body Longevity & Wellness
At PeriRosa, we see HRT as one piece of the longevity puzzle. It can be paired with additional therapies to optimize quality of life and long-term resilience:
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Peptides & Advanced Medications – For metabolic health, cardiovascular protection, and vitality.
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Nutrient Support – Supplements designed to strengthen bones, protect the brain, and boost resilience.
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Weight & Metabolic Support – Evidence-based options to improve energy, weight management, and metabolic balance.
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Endocrine & Thyroid Optimization – Addressing underlying imbalances for steady energy and mood.
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Skin & Hair Regenerative Therapies – PRP, growth factors, microneedling, prescription medications, and other regenerative options to restore confidence from the outside in.
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Referrals: a network of providers that complement your care.
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The PeriRosa Promise
We understand that hormones affect more than just symptoms—they shape how you age, how you feel, and how you show up in your life. With the right balance of HRT, combined with personalized longevity tools, our goal is to help you not only manage menopause, but thrive through it.
