The Blog
How Long Can You Stay on Hormone Therapy? What Current Guidance Actually Says
A patient six years into hormone therapy recently asked whether she was supposed to have stopped by now. No new symptoms, normal labs — she'd just absorbed the idea that five years was the ceiling. That number has been repeated for two decades without ever having been a rule, and the guidance it came from has since changed considerably. Here's what current evidence actually says about duration.
Progesterone's Role: Why It's Not Just "The Other Hormone"
Most women arrive at their menopause appointment knowing plenty about estrogen and almost nothing about progesterone beyond one line: it protects your uterus. True, but it leaves out the part where progesterone acts on the same brain receptors as anti-anxiety medications and measurably changes how you sleep. Here's the fuller explanation, from a physician trained in both internal medicine and menopause care.
Why Concierge Medicine Benefits Women: The Missing Piece in Midlife Health
There's a particular kind of exhaustion that comes not from illness, but from trying to get care. Fifteen minutes to explain broken sleep, unpredictable periods, and brain fog that's affecting your work. You leave with a referral and the quiet sense that the most important things didn't get said. For women in midlife, that experience isn't an outlier — it's the norm.