What to Expect from a BHRT Evaluation

Before or during your visit, we review the symptoms you are experiencing and how much they are affecting your life.

Examples include sleep changes, mood changes, irritability, brain fog, fatigue, low motivation, hot flashes, night sweats, low libido, joint aches, and feeling unlike yourself.

We also ask about your goals. Some clients want better sleep. Some want steadier mood. Some want clearer thinking. Some want to understand whether hormone changes are contributing to symptoms they previously thought were only depression or anxiety.

Hormone therapy should be based on more than symptoms alone.

Your provider will review age and stage of reproductive transition, menstrual history, prior hysterectomy or uterine history, breast health and mammogram history, personal or family history of clotting, cancer, cardiovascular disease, current medications and supplements, psychiatric history, sleep, alcohol, nicotine, lifestyle factors, and prior hormone use or side effects.

This helps determine whether BHRT is a reasonable option, whether more information is needed, or whether a different approach may be safer.

Labs may be ordered when clinically appropriate. Labs do not replace the clinical interview, but they can help guide follow-up and treatment planning.

Your provider will explain which labs are being ordered, why they matter, and how they may affect the treatment plan.

Medication options, pharmacy process, and any expected out-of-pocket costs will be reviewed before moving forward.

BHRT is not “set it and forget it” care.

Follow-up may include symptom review, side effect review, medication adherence review, lab review, dose adjustment discussion, safety monitoring, and ongoing goals for care.

A 90-day follow-up structure may review symptom change, regimen, missed doses, side effects, urgent symptoms, lab completion, and goals for the visit.