Hormone Therapy for Women

Perimenopause and menopause, without the guesswork

Hot flushes, sleep that breaks apart at 3am, mood that doesn’t feel like yours, a body that changed shape for no clear reason. You’re not imagining it, and you’re not out of options.

At Vogue ND we look at what’s actually happening, explain the choices, and help you decide what’s right for you..

Let's Talk
Three women laugh while decorating a berry-topped cake in a warmly lit kitchen.
Treatment options

Bioidentical & menopausal hormone therapy

The terms bioidentical hormone therapy (BHRT) and menopausal hormone therapy (MHT) are often used interchangeably when discussing hormone treatment for women, although they have slightly different meanings.

MHT refers to hormone therapy used to manage symptoms associated with perimenopause, menopause and postmenopause. BHRT refers to hormones that have the same molecular structure as those naturally produced by the body. Many MHT treatments use bioidentical hormones, including estradiol and micronized progesterone.

science

What “bioidentical” means

Bioidentical hormones have the same molecular structure as the hormones your body produces. They may be commercially manufactured prescription products or individualized preparations compounded by a licensed pharmacy. “Bioidentical” doesn’t automatically mean safer or more effective, and we’ll go through the evidence, benefits, risks and limitations with you.

checklist

How your treatment is chosen

No single formulation is right for everyone. We consider your symptoms, medical history, risk factors, preferences and goals, then talk through what’s available: oral capsules or tablets, transdermal patches or gels, vaginal preparations, injections and compounded formulations.

The wider picture

Beyond estrogen and progesterone

Hormone therapy is often discussed as though estrogen and progesterone were the whole story. Other hormones influence how you feel, and they may form part of your assessment.

bolt

Testosterone

Testosterone plays an important role in women’s health, contributing to sexual function, muscle and bone health, and overall hormonal balance. Changes in testosterone levels may be considered alongside concerns such as low libido, fatigue and changes in physical well-being. At Vogue ND, we assess testosterone in the context of your symptoms, medical history and broader hormonal health to determine whether treatment may be appropriate.

medication

DHEA

DHEA is made by the adrenal glands and is a building block for other hormones. Levels decline with age, and its role in women’s health is still an area of active research.

monitor_heart

Thyroid hormones

Thyroid function influences energy, mood, metabolism and temperature regulation. Changes can produce symptoms that overlap closely with perimenopause and menopause.

Care that meets you where you are.

Sunlit glass carafe and ridged tumbler on a stone windowsill beside an olive-leaf bowl and cloth.
Non-hormonal options

Non-hormonal and natural treatment options

Hormone therapy isn’t the only route, and it isn’t right for everyone. Where it isn’t appropriate, or where you’d rather start somewhere else, we work on the factors we can influence and build a plan around them.

Book a Consultation →
Purple flower branches and green leaves beside a speckled ceramic bowl on a sunlit stone table.
MORE WAYS TO FEEL BETTER

Your Options Beyond Hormone Therapy

Treatment isn’t one-size-fits-all. We explore approaches that address your symptoms, health concerns and individual preferences.

Nutrition & Lifestyle

Personalized nutrition, movement, sleep and stress-management strategies to support your overall health.

Supplements & Botanical Medicine

Individualized vitamins, minerals and botanical therapies selected with consideration of your health history and available evidence.

Addressing Contributing Factors

Assessment of thyroid function, iron status, digestive health and metabolic factors that may contribute to your symptoms.

Non-Hormonal Prescription Options

When appropriate, non-hormonal prescription treatments may help manage symptoms such as hot flashes.

Your next step

Not sure which path is right for you?

Start with a conversation. We’ll go through your history, your symptoms and anything you’ve already tried, then explain the options in plain language — including the option of waiting.

Book a Hormone Consultation →