In Detail
Women in perimenopause and postmenopause with bothersome symptoms — hot flashes, night sweats, sleep disruption, mood changes, vaginal dryness, low libido, or cognitive complaints — are common candidates. Women under 60 or within 10 years of menopause generally have the most favorable risk-benefit profile.
Men with documented testosterone deficiency and consistent symptoms are also candidates. The evaluation parallels women's — symptoms plus confirmed labs, with attention to the underlying drivers and contraindications.
Patients with personal or strong family histories of hormone-sensitive cancers, active liver disease, unexplained vaginal bleeding, recent thromboembolic events, or certain cardiovascular conditions require more careful evaluation and may not be appropriate candidates. The consultation is where we sort this out.