For many women, HRT started around menopause is a reasonable option. It carries risks, including blood clots, stroke and certain cancers, which depend on your age, health history and the type of hormone. Dr. Munib weighs these with you before you start.

What does bioidentical mean?

The hormone has the same structure as the one your body makes, such as estradiol or progesterone. It does not mean risk-free.

How soon will I feel a difference?

Hot flashes often ease within a few weeks. Sleep and mood can take longer. Dr. Munib adjusts the plan at follow-up.

The Pur Health

Hormone Replacement (HRT)

Hormone replacement therapy for perimenopause and menopause, guided by your labs and health history.

Hormone replacement for women

Hormone replacement therapy treats symptoms that come from falling estrogen and progesterone, usually in perimenopause and menopause. Symptoms often start years before periods stop, and they can be treated then.

Who HRT is for

Hot flashes and night sweats
Poor sleep, mood changes and brain fog
Vaginal dryness and lower libido
Bone loss after menopause

Who it is not for

A history of breast or uterine cancer
A past blood clot or stroke
Liver disease
Unexplained vaginal bleeding

Step 01

Your history

A full review of your symptoms, cycle history and family history.

Step 02

Labs

Blood tests when they help guide the plan.

Step 03

Your plan

The lowest dose that controls your symptoms, in the form that suits you.

Step 04

Follow-up

Regular visits to adjust the dose, with repeat labs when needed.

Your options

We use bioidentical hormones. They come as pills, patches, gels, creams, injections or pellets. Each has trade-offs in convenience and how steady the levels stay, and Dr. Munib goes through them with you. Sleep, nutrition and strength work matter alongside hormones.

Related care

Men with low testosterone: see Testosterone Therapy. Thyroid, PCOS and metabolic causes: see Hormone Balancing.

Clinically informed by Sabeen Munib, MD|Last updated: October 2026

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