Test the hormones behind your symptoms

Hormone replacement therapy replaces hormones — most often estrogen, usually with progesterone — that decline through perimenopause and menopause. Clinicians consider it for women with symptoms such as hot flashes, night sweats, disrupted sleep, mood changes, brain fog or vaginal dryness. Whether it is right for you depends on your age, symptoms, lab results and medical history, which is why a licensed clinician makes that call after reviewing all four.

It is the difference between treating a checklist and treating you. A hormone panel shows what is actually shifting — and can surface causes such as thyroid or pituitary issues that hormone therapy would not address. It also gives you a baseline: without one, there is nothing to compare later results against, so nobody can tell whether your dose is working. Lab results on their own do not diagnose any condition; they inform a clinician who reads them alongside your symptoms and history.

The Female Hormone Panel covers eight core hormonal biomarkers: estradiol, FSH, AMH, LH, free testosterone, DHEA-S, SHBG and prolactin. Those sit within a broader panel of 70+ biomarkers across nine biological systems, so your clinician sees hormones alongside metabolic, thyroid and inflammatory markers rather than in isolation.

Current options, all prescribed only after clinician review, are the Estradiol Patch and Bi-Est 50/50 Cream for vasomotor symptoms such as hot flashes and night sweats, Micronized Progesterone for sleep and hormonal balance and to protect the uterine lining, and low-dose Testosterone Topical Cream for libido, mood and energy. Testosterone for women and compounded bi-est are used off-label. A clinician decides which, if any, fits you.

For many women in perimenopause and early menopause, clinicians consider hormone therapy a reasonable, evidence-based option — but the benefit-risk balance is individual and shifts with your age, time since menopause and medical history. Estrogen is prescribed together with progesterone for anyone who still has a uterus, because estrogen alone can increase the risk of endometrial cancer. Every protocol here is prescribed and monitored by a licensed clinician who weighs those risks for you specifically.

No. Hormone therapy is optional. Some people come for the testing and the clinical read on their results, and their protocol turns out to be non-hormonal — supplements, nutrition, movement and sleep interventions. If hormone therapy is not safe or not appropriate for you, your clinician will say so and build the plan without it.

No insurance is required. It is a one-time $99 fee for a consult with a licensed clinician, who reviews your symptoms, history and results and builds your plan. Labs and any medications your clinician prescribes are billed separately. The consult is HSA/FSA eligible.

Blood draws are done at more than 2,000 partner lab locations across the US. Standalone hormone panels are not available in New York, New Jersey or Rhode Island because of state lab regulations. Hormone analysis is more involved than routine bloodwork, so results typically take two to three weeks. Most people retest every six to twelve months.