For women with infrequent periods who do not need contraception or control over periods. Select from patches or pills.
For women that want contraception and regulation of periods.
Useful in all women. A must have for uterine protection. Helps with anxiety and sleep.
For women suffering from sexual disfunction, low libido, brain fog, low energy, mood issues, weight gain.
For vaginal discomfort like dryness, irritation, painful sex, decreased sensation, urinary leakage, frequent UTIs, and bladder urgency.
For insomnia and sleep issues, anxiety, uterine protection.
Comes as patches or pills for systemic treatment. This is the foundational treatment-restoring estrogen.
For women suffering from sexual disfunction, low libido, brain fog, low energy, mood issues, weight gain.
For vaginal discomfort like dryness, irritation, painful sex, urinary leakage, frequent UTIs, and bladder urgency.
Progesterone can help with symptoms like insomnia, anxiety, and mood swings. Our treatment plans include bioidentical, FDA approved, micronized progesterone.
Progesterone serves multiple purposes beyond just protecting the uterus. It plays a crucial role in balancing estradiol treatment, mitigating fluid retention and swelling, and easing symptoms like irritability, anxiety, nervousness, and anger. Additionally, it contributes to improved sleep quality. Research reveals that progesterone has broader effects on neuroprotection, mood regulation, and systemic health. Progesterone reduces the risk of Alzheimer’s Disease, has cardiovascular protections, and benefits for bone health. In fact, patients who take birth control we put on progesterone because the synthetic progesterone in the birth control does not offer the same protections.
Yes. Progesterone counteracts the risk of endometrial hyperplasia and cancer that can be increased by estrogen therapy alone in women with an intact uterus.
Yes. We only prescribe micronized progesterone and not synthetic progestins.
The commonly available progesterone is formulated with peanut oil as a carrier. A peanut free version is available from our compounding pharmacy.
$39 month for commercially available pills (formulated with peanut oil). $59/mo compounded.
Estradiol helps with all symptoms of menopause including hot flashes, night sweats, mood issues, low libido, weight gain, insomnia. It is the foundation of hormone replacement.
Estradiol is available in both patch and pill forms. If you are already taking multiple pills, a patch may be more convenient for you. Additionally, your medical history influences which form is suitable; for instance, estradiol pills are not recommended for individuals who smoke or have a history of blood clots. For those considering adding testosterone, estrogen patches work better with it. Confused? Don’t worry- we’ll help you decide!
Estradiol one of three types of estrogen. Estradiol is considered the most potent and dominant form of estrogen in women of childbearing age. It plays a crucial role in regulating the menstrual cycle, affecting reproductive organs, and maintaining the health of tissues throughout the body, including bones and skin.
Estradiol is bioidentical.
$39/mo for oral pills, $89/mo for transdermal patches.
Yes. The bladder and urethra love estrogen! When they become deficient the tissue deteriorates becoming thin, weak and dry. This makes it hard to hold in urine and you might leak or have to pee constantly. You start to experience urinary symptoms similar to an infection- yet no infection is present. Or you get prescribed antibiotics but they don’t seem to work. One word ladies: Estrogen!
Vaginal estrogen comes in pills or creams. If you have internal dryness, painful sex you can use pills or cream. If you have external dryness and irritation- cream is best. You can use both! Pills internally and cream externally.
Yes! Vaginal estrogen is safe for all women in peri and menopause. It’s safe for those with a history of cancer. You don’t have to stop using it due to age. You can start using it at any age despite if you’ve taken HRT before. Vaginal estrogen is not systemically absorbed and only acts on the local tissue of the vagina, vulva (external genitals) bladder and urethra.
If you are currently taking an aromatase inhibitor for active cancer this product is contraindicated.
Wrinkles and skin! That’s right you can apply this same cream to your face, neck, back of hands. It improves skin thickness, tone, texture and wrinkles. Combine it with generic retin-a and your other skin care products. Find out more on our skin care page.
$39/mo for cream and $79/mo for tablets.
Testosterone helps with anxiety, irritability, depression, lack of well being, physical fatigue, bone loss, muscle loss, changes in cognition, memory loss, insomnia, hot flashes, rheumatoid complaints, pain, breast pain, urinary complaints, incontinence as well as sexual dysfunction.
Yes. This is a compounded cream applied to the thigh daily. There are no commercially available, FDA approved testosterone medications for women.
It varies based on your hormonal status. For those in menopause, taking testosterone alone is not recommended due to the significant side effects of unopposed testosterone without the balancing effect of estrogen. Many elect to begin with estrogen based hormone replacement therapy (HRT) for three months before introducing testosterone, although they can be started together. If you are perimenopausal and still experiencing relatively normal menstrual cycles (still making estrogen), it may be possible to use testosterone on its own.
Before initiating therapy, we’ll assess your testosterone levels to mitigate potential side effects. Additionally, we conduct follow-up tests six to eight weeks into therapy and any time we adjust dose. Your yearly membership includes labs. You’ll visit a local LabCorp for testing.
Labs help to ensure a safe and effective treatment. Once your well established on a dose where you feel your best we only grab a lab test once a year.
Because testosterone is a controlled substance we must conduct a quick video telemedicine visit after your labs come back and yearly. This is included in the cost of membership.
Adverse effects of testosterone in women are uncommon if levels are maintained within the female physiological range. The most common are excess hair growth, acne, increased body odor which are usually reversible with reduction in dosage or discontinuation. Alopecia, deepening of voice and clitoral enlargement are rare with physiological testosterone replacement.
It typically takes 8-12 weeks to notice a difference in libido. Other improvements such as joint pain, mood, cognition can be seen earlier. We start slow and titrate up to a dose where you feel your best this can take 6-8 months.
Creams are applied daily and must completely dry before picking up kids/pets as there is the possibility of transferring. Creams may not be ideal for individuals involved in sweaty activities, water sports, or frequent swimming, as moisture and sweat can affect absorption. Consistent application to clean, dry skin is crucial for effectiveness. Injections are done with a small insulin needle into the fat usually once or twice weekly.
$129 per month. This does not include labs which are done at the start of therapy, 8-12 weeks later and 8 weeks after each increase in dose. You can use insurance to pay for labs or cash pay $65.
Low dose birth control is for women in earlier stages of perimenopause who want contraception, are still having fairly regular periods (one every 6-8 weeks). It can regulate heavy periods, periods that don’t seem to end, spotting and other issues. It helps alleviate the symptoms of menopause (hot flashes, insomnia, mood, etc).
No. This is synthetic hormone just as you would find in regular birth control- only at a lower dose.
In the early stages of perimenopause, it’s common for women to experience what’s known as estrogen dominance. This is essentially the ovaries producing a significant amount of estrogen in a kind of final effort, which paradoxically can lead to symptoms similar to those of menopause. To balance the effects of high estrogen levels, we use progesterone.
If your later in perimenopause-no regular periods or very infrequent (months between) transitioning to traditional HRT is an option (estradiol pills, patches).
$39/month for low dose birth control.
Bloom prescribes hormone therapy if appropriate, for women of any age. Starting HRT over 10 years after menopause or after age 60 poses different risks than starting sooner. Vaginal estrogen has not been shown to pose any risks for post menopausal women of more advanced age. In fact, it decreases incidence of UTI’s which pose significant risk as we age. Based on your health history we will discuss the risks and benefits with you so you can make the best decision for yourself. For women over age 60 we require a separate work up which you can learn about here.
Menopausal symptoms can start in your 30’s. At Bloom, we treat all women who are experiencing symptoms. Women younger than 35 need to submit proof that they have been seen in person (copy of pap smear results/pelvic ultrasound/doctor letter/note, etc) with a physical exam to rule out other causes before initiating therapy with Bloom.
You don’t have to stop HRT at any particular age or after 5 years. The decision to continue or stop HRT should consider personal health risks, such as the risk of blood clots, stroke, heart disease, and breast cancer, versus the benefits, including relief from menopausal symptoms and protection against osteoporosis. Once therapy is stopped symptoms can return. We advocate, when appropriate, continuation of HRT for life regardless of age. Read more about it here.
Please be aware that although you may medically qualify for HRT, Bloom does not treat this group of women via telemedicine, as we believe in-person care with necessary testing, frequent monitoring and physical exams is essential, which we cannot provide.
If you have a family history of breast, ovarian, or uterine cancer, it’s natural to be concerned. We use the DUTCH test to look at how your body is processing your hormones. Hormones can be cleared through “good” or “bad” pathways, with the latter potentially increasing cancer risk. We can encourage the body into metabolizing down the “good” pathway using simple supplements.
The downside is that this specialized test costs $399 and isn’t covered by insurance, but it offers valuable insights into your hormonal health and risk management.
Labs are optional. We can treat based off your symptoms and what your menstrual cycle is doing if you have one. However, they can be helpful to monitor treatment or see where you’re starting from. Labs can be done via your insurance or cash pay with Bloom done at LabCorp. For women still having periods labs must be drawn on certain day of the cycle so please track cycles even if they are irregular. Bloom charges a fee for interpretation $50 limited to female hormone labs. If you want to cash pay labs with Bloom including interpretation $175. Again, this is an optional service not required to start hormone therapy.
Booking services with Bloom Health does not guarantee the writing or dispensing of a prescription. Individual results may vary. The information provided on this website is for informational purposes and not a substitute for professional medical advice, diagnosis, or treatment. If you have questions or concerns about your health, please talk to your medical provider. Images depicted on this site are stock or actor portrayal and do not represent actual patients. This site is an advertisement for services and not any specific medication. Medications displayed are those that may be used in a service package and not for sale individually.
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Early Perimenopause:
Late Perimenopause:
Menopause:
Postmenopause:
Menopause is officially defined as the time in a woman’s life when her menstrual periods permanently stop, and she is no longer able to bear children. It is diagnosed after a woman has gone 12 consecutive months without a menstrual period. Menopause typically occurs in women in their late 40s to early 50s, but the age can vary.
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