Hormone therapy
Estrogen and progesterone in the form, dose, and route that suit you, including patches, gels, and pills, chosen carefully and reviewed regularly.
Menopause Care
Menopause is primary care.
For nearly 25 years, women going through perimenopause and menopause were too often told their symptoms were “just part of getting older” and sent home without real answers or options. Many physicians stopped offering treatment, and a generation of doctors was never taught how. That is changing. The science has caught up, and we are finally listening to women.
A Brief History
How we got here
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Before 2002
Hormone therapy was routine care
For decades, hormone therapy was a standard part of caring for women in midlife. Millions of women used it to relieve hot flashes, night sweats, and other symptoms of menopause, and to protect their bones.
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2002
The Women’s Health Initiative
Early results from the Women’s Health Initiative (WHI), a large national study, reported increased risks of breast cancer, heart disease, and stroke in women taking hormone therapy, and part of the study was stopped early. The findings made headlines around the world, and almost overnight, women stopped taking hormones and physicians stopped prescribing them.
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The years that followed
A gap in care
For the next two decades, hormone therapy was largely abandoned. Medical training moved away from menopause, and many physicians were never taught how to prescribe hormone therapy or manage menopause at all. Countless women went without effective treatment for symptoms that affected their sleep, work, relationships, and quality of life.
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What we know now
A clearer picture
Further analysis of the WHI showed that its participants were, on average, 63 years old, and nearly two-thirds were 60 or older, many years past menopause and not when most women begin treatment. For healthy women who are under 60 or within 10 years of menopause, The Menopause Society finds that the benefits of hormone therapy generally outweigh the risks. It is the most effective treatment for hot flashes and night sweats and helps prevent bone loss and fractures. Since late 2025, the FDA has been removing the long-standing “black box” warnings about heart disease, breast cancer, and dementia from hormone therapy labels. And in October 2026, the American College of Obstetricians and Gynecologists (ACOG) updated its guidelines to strongly recommend hormone therapy for hot flashes and night sweats in women without medical reasons to avoid it.
Today, hormone therapy is considered a safe and effective option for most healthy women in this window. It is not right for everyone, and some women, such as those with a history of certain cancers, blood clots, or stroke, may be better served by other approaches. That is why every plan starts with a careful, individual conversation.
Menopause Care at Our Office
Care that fits you, not a template
Dr. Hogan is a Menopause Society Certified Practitioner (MSCP), a credential that reflects advanced, up-to-date expertise in caring for women through perimenopause, menopause, and beyond.
Menopause is not one size fits all. Every woman’s symptoms, health history, and goals are different, and so is her care. With unhurried visits, we take the time to understand what you are experiencing and what matters most to you, then build a plan tailored to your individual concerns. We follow up, adjust, and keep partnering with you as your needs change.
Menopause and perimenopause care is included in your membership at no extra cost.
We can help with
- Hot flashes and night sweats
- Sleep disruption
- Mood changes, anxiety, and irritability
- Brain fog and trouble concentrating
- Irregular periods in perimenopause
- Vaginal dryness and painful intercourse
- Urinary symptoms
- Changes in libido
- Joint aches
- Weight and body composition changes
- Bone health
Many Tools
Options for every woman
There is no single right answer in menopause care. Depending on your symptoms, health history, and preferences, your plan may include:
Vaginal and local therapies
Low-dose local treatments for vaginal dryness, discomfort with intimacy, and urinary symptoms, which can be used safely by many women.
Non-hormonal options
Effective prescription medications for hot flashes, including newer treatments that act on the brain’s temperature-control center, for women who cannot take or prefer not to take hormones.
Lifestyle medicine
Nutrition, strength training and movement, sleep, and stress management to support your symptoms, heart, bones, and long-term health.
Integrative approaches
Evidence-based complementary therapies such as acupuncture, mindfulness, and cognitive behavioral therapy, thoughtfully combined with conventional care.
Prevention and screening
Bone density, heart health, and cancer screening so your plan looks after your health for decades to come.
Ready to feel like yourself again?
Schedule a complimentary, no-obligation meet and greet with Dr. Hogan to talk about your symptoms and your options.