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Hormone Replacement Therapy

HRT for Women

Your Hormones Changed.
You Don't Have to
Change With Them.

Hormonal decline is a natural part of aging, but the fatigue, brain fog, weight gain, low libido, and mood changes that come with it are not something you simply have to accept. 

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Is This What
Perimenopause Feels Like?

Hormonal changes are natural, but the symptoms that come with them are often dismissed or left untreated. Perimenopause can begin as early as your late thirties, and by menopause, estrogen and progesterone levels have declined significantly. The impact on your daily life can be profound.

At Saltwater Wellness, we offer bioidentical hormone replacement therapy using hormones chemically identical to those your body naturally produces. We start with a thorough evaluation and lab work, then build a personalized protocol around you.

You may benefit from HRT if you are experiencing:

  • Hot flashes or night sweats
  • Fatigue and low energy
  • Decreased libido
  • Dull, dry, or brittle hair
  • Mood swings or irritability
  • Brain fog or poor memory
  • Vaginal dryness
  • Poor sleep quality

If several of these resonate, a hormone evaluation is the right next step.

Book a Women's HRT Consultation

Understanding Your Hormones

Hormonal Imbalances and
Why It Matters

Women produce three key hormones that decline with age. Understanding each one helps explain why you feel the way you do when levels drop.

Estrogen

Estrogen is the primary female sex hormone responsible for regulating the reproductive system, maintaining bone density, supporting cardiovascular health, and influencing mood and cognition. When estrogen declines during perimenopause and menopause, the effects are felt throughout the entire body.

Low Estrogen Symptoms:

  • Hot Flashes
  • Dry Skin
  • Vaginal Dryness
  • Weight Gain
  • Decreased Libido
  • Difficulty Concentrating

Progesterone

Progesterone works alongside estrogen to regulate the menstrual cycle and support overall hormonal balance. It plays an important role in sleep quality, mood stability, and reducing the risk of certain estrogen-related conditions. Many women notice its decline through worsening sleep and increased anxiety.

Low Progesterone Symptoms:

  • Irregular Periods
  • Poor Sleep
  • Hot Flashes,
  • Headaches
  • Breast Tenderness,
  • Weight Gain

Testosterone

Women produce testosterone too, and it plays a meaningful role in libido, energy, muscle strength, mood, and bone health. Testosterone levels begin declining in a woman’s thirties and can contribute significantly to fatigue, loss of drive, and reduced sexual desire, even when other hormones are adequately managed.

Low Testosterone Symptoms:

  • Fatigue
  • Decreased Libido
  • Thinning Hair
  • Dry Skin
  • Reduced Muscle Strength
  • Depression

Life Before and After
Hormone Optimization

Before Treatment

  • Waking up exhausted no matter how long you sleep
  • Mood swings you cannot explain or control
  • Weight creeping up despite no change in diet
  • Brain fog making simple tasks feel hard
  • No libido, no drive, no energy reserves
  • Dismissed and told your labs look fine

After Hormone Optimization

  • Waking up rested, sharp, and ready for the day
  • Stable mood and emotional resilience
  • Body composition responding again
  • Mental clarity and focus returning
  • Libido, drive, and motivation restored
  • A provider who actually listens and adjusts

Ready to Find Out If Hormone Therapy Is Right For You?

One consultation is all it takes. We will review your symptoms, run the right labs, and walk you through exactly what a personalized hormone protocol looks like for you.
Book Your Consultation Now

Women's HRT Pricing

Simple, Transparent
Monthly Plans

Initial consultation is $275 and includes labs. This is a one-time fee separate from your monthly plan. Medication and supplies are included in your monthly fee.

Package 1

HRT Single Hormone

$125 /month

Includes medication

Ideal for patients who need support with one primary hormone. A focused, effective starting point.
  • Monthly provider appointment
  • Monthly B-12 injection
  • Medication and supplies included
  • Styku body scanner evaluation
  • Text and phone support
  • Labs included in fee
Get Started

* Initial consultation $275 includes labs

Package 2

HRT Two Hormones

$145 /month

Includes medication

For patients who need comprehensive support across two hormones for more complete symptom relief.
  • Monthly provider appointment
  • Monthly B-12 injection
  • Medication and supplies included
  • Styku body scanner evaluation
  • Text and phone support
  • Labs included in fee
Get Started

* Initial consultation $275 includes labs

Package 3

HRT Three Hormones

$185 /month

Includes medication

Full hormonal optimization across estrogen, progesterone, and testosterone for complete, whole-body balance.
  • Monthly provider appointment
  • Monthly B-12 injection
  • Medication and supplies included
  • Styku body scanner evaluation
  • Text and phone support
  • Labs included in fee
Get Started

* Initial consultation $275 includes labs

Your Questions,
Answered Honestly.

We believe you should fully understand your options before you start. Here are the questions we hear most often from women considering hormone therapy.

Still have questions?

Book your consultation or give us a call. We are happy to talk through whether HRT is right for you.
Call (503) 689-1228

Bioidentical hormones are chemically identical to the hormones your body naturally produces, which is why many patients and providers prefer them. Like any medical treatment, they require proper evaluation, appropriate dosing, and regular monitoring. We review your complete health history and labs before recommending any protocol and adjust based on how you respond over time.

Many women notice improvements in sleep and mood within the first two to four weeks. Energy, libido, and hot flash reduction often improve by weeks six to eight. Full optimization typically takes three to six months as your protocol is fine-tuned based on your labs and how you feel.

No. We will discuss your goals and timeline openly at every visit. Some women choose to continue long-term for sustained benefits. Others transition off once symptoms resolve. This is always your decision, made with full information. We never pressure either direction.

Your initial consultation is $275 and includes a comprehensive evaluation and lab work to establish your current hormone levels. This is a one-time fee separate from your monthly plan. It gives us the full picture we need to build a protocol that is actually tailored to your biology.

Yes, significantly. Hormonal decline is one of the most common contributors to decreased libido, vaginal dryness, difficulty with arousal, and painful intercourse. Restoring hormonal balance addresses these issues at their root. We also offer additional sexual health options for women who need more targeted support.

Your monthly plan includes your provider appointment, your medication and supplies delivered to the clinic for pick-up, a monthly B-12 injection, Styku body scanner evaluation, and text and phone support. Package 1 also includes labs in the monthly fee. Packages 2 and 3 have labs available for an additional fee.

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