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Evaluation
Our approach to hormone care is individualized, evidence-informed, and grounded in a full understanding of your symptoms, medical history, goals, and risk factors.
Our approach to hormone care is individualized, evidence-informed, and grounded in a full understanding of your symptoms, medical history, goals, and risk factors. We do not believe in a one-size-fits-all approach. Instead, we work with you to determine whether hormone therapy is appropriate and, if so, which options best fit your body and lifestyle.
Bioidentical hormone replacement therapy, often called BHRT, uses hormones that are structurally similar to the hormones naturally produced by the body. Depending on your symptoms and health history, hormone therapy may include estrogen, progesterone, testosterone, or localized vaginal hormone therapy.Hot flashes and night sweats, sleep disruption, mood changes and irritability, brain fog, vaginal dryness or pain with intercourse, low libido or reduced sexual response, fatigue, skin and hair changes, perimenopausal cycle changes, menopause-related symptoms.Hormone therapy can be delivered in different forms, including patches, creams, sublingual tablets, subdermal pellets, vaginal therapies, injections, or other customized options depending on your needs. The right method depends on your symptoms, preferences, medical history, risk profile, and treatment goals.
Perimenopause can begin years before periods stop, and symptoms may show up long before traditional labs look “menopausal.” Many women experience changes in sleep, mood, weight, periods, libido, anxiety, and energy during this transition.Symptom assessment, hormone and metabolic lab evaluation when appropriate, menopause education, lifestyle and nutrition support, sleep and stress support, bioidentical hormone therapy when appropriate, non-hormonal options when HRT is not the right fit, vaginal and sexual health support.
Patients with a personal history of breast cancer deserve thoughtful, individualized care for vaginal, urinary, sexual, and quality-of-life symptoms.Hormone therapy decisions in this setting are highly personal and depend on cancer type, receptor status, treatment history, current medications, symptom severity, and collaboration with oncology when appropriate.For breast cancer survivors, care may include non-hormonal vaginal and sexual health support, vaginal moisturizers and lubricants, pelvic floor referrals, localized vaginal estrogen when clinically appropriate, testosterone therapy in selected cases, and consideration of progesterone and/or estrogen when the patient's breast cancer history and current risk profile make this clinically safe and appropriate.
Low libido and sexual health concerns are rarely caused by one thing alone. Hormones may play a role, but so can stress, relationship dynamics, medications, pelvic pain, nervous system overload, sleep, thyroid function, vaginal tissue changes, and metabolic health. Our sexual health approach may include androgen evaluation and testosterone therapy when appropriate, vaginal health treatment, compounded therapies to support arousal and comfort, topical support for sexual arousal, pharmaceutical interventions when clinically indicated, and education tools that support communication and pleasure.
Our approach to hormone care is individualized, evidence-informed, and grounded in a full understanding of your symptoms, medical history, goals, and risk factors.
We work with you to determine whether hormone therapy is appropriate and, if so, which options best fit your body and lifestyle.
Depending on your symptoms and health history, hormone therapy may include estrogen, progesterone, testosterone, or localized vaginal hormone therapy.
The right method depends on your symptoms, preferences, medical history, risk profile, and treatment goals.
We understand that choosing a procedure is a deeply personal decision. Here are answers to some of the most common questions about treatment, recovery, results, and the overall Alpenaura experience.
No. Hormone support may be helpful during multiple life stages, including PMS, PMDD, postpartum changes, perimenopause, menopause, and beyond. The appropriate treatment depends on symptoms, health history, and goals.
Hormone therapy may include estrogen, DHEA, progesterone, testosterone, thyroid hormone replacement, and localized vaginal hormone therapy.
Yes! But decisions must be individualized. Many patients can explore non-hormonal options, vaginal health support, localized vaginal estrogen, testosterone therapy, and other hormone options only when clinically safe based on their cancer history and risk profile.
Yes. Libido care may include vaginal tissue support, pelvic pain evaluation, medication review, relationship and communication tools, compounded arousal-support therapies, pharmaceutical interventions, and testosterone therapy when appropriate.
Explore simple medication support or a more guided membership with monthly check-ins, provider visits, supplies, and included labs on select tiers.
Best for patients who want medication access and pharmacy coordination with visits/labs handled separately.
Best for patients who want structure, accountability, supplies, labs on select tiers, and follow-up built in.
| Pathway | Semaglutide | Tirzepatide | Best Fit |
|---|---|---|---|
| Basic GLP Support | $225-$325/mo | $275-$499/mo | Lower-touch support; visits and labs handled separately. |
| Comprehensive Reset | $325-$475/mo | $375-$625/mo | More structure: supplies, monthly MA check-ins, quarterly provider visits, labs on Standard/Advanced tiers. |
Comprehensive Standard and Advanced Reset memberships include an Expanded Metabolic Panel at initiation and a Basic Weight Loss Safety Panel at 6 months; both annually thereafter. Microdose Reset and Basic GLP Support patients may choose cash-pay labs a la carte, if they opt out of billing through insurance.
Medication is prescribed only when clinically appropriate.
Titration is based on tolerability, goals, and response.
Standard/Advanced Reset tiers include baseline and 6-month labs.
Monthly check-ins help you stay supported between visits.
| Start-Up | Commitment | Good To Know |
|---|---|---|
| $149 one-time enrollment/setup fee | 3-month initial commitment for medication-inclusive plans | Medication is not guaranteed. Eligibility, medication choice, and dose are determined after clinical review. |
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