Best Online HRT & BHRT Therapy for Menopause & Perimenopause | Serving California & Nevada
Evidence-Based Menopause Care Designed for You
Understand your symptoms and get safe, proven treatments for hot flashes, sleep, mood, sexual health, weight gain, and more.
Ways a Certified Menopause Specialist Can Support You
Hormone Replacement Therapy
Night sweats, mood changes, decreased libido, weight gain, and brain fog are among the most common—and treatable—symptoms of menopause. Hormone therapy can help you feel like yourself again.
HRT (Hormone Replacement Therapy) replaces the hormones that your body no longer produces enough of to restore balance and relieve symptoms that are interfering with your daily life.
HRT Can Help Improve Symptoms Like:
Hot flashes and night sweats
Sleep disruption
Mood swings or irritability
Vaginal dryness or discomfort
Brain fog or low energy
Decreased libido
The goal of hormone therapy is to help you feel comfortable and confident in your body again, while also protecting your bones, brain health, and cardiovascular system.
Treatment Options May Include:
Estrogen in oral, transdermal (Estradiol patch, gel, spray), and vaginal forms
Yes. For most women, hormone therapy is a safe and effective treatment. In the early 2000s, the misinterpretation of the WHI study led to widespread fear about hormone therapy. Decades of follow-up research from around the world have since clarified that hormone therapy is safe when prescribed appropriately.
Non-Hormonal Treatments
For women who cannot or prefer not to take hormones, there are safe, effective alternatives to manage symptoms like hot flashes, night sweats, sleep disruption, and mood changes.
These treatments can reduce discomfort and help you feel more in control of your body again.
Non-Hormonal Medication: Low-dose SSRIs and SNRIs such as paroxetine, venlafaxine, and escitalopram can ease both hot flashes and mood symptoms. Other medications like Fezolinetant, Oxybutynin, and Gabapentin have also been shown to reduce hot flashes and may be a good option for some women.
Cognitive Behavioral Therapy (CBT) and Clinical Hypnosis: Proven approaches that help reframe thought patterns, lower stress, and decrease the intensity of hot flashes.
Lifestyle and Mind-Body Strategies: Weight management, regular exercise, and stress-reduction techniques support long-term symptom improvement.
Non-hormonal treatments can make a meaningful difference for women whose symptoms disrupt daily life or sleep, helping restore a sense of calm, comfort, and focus.
Medical Weight Loss
Weight gain during perimenopause and menopause is common, and it’s not just a matter of needing more willpower. Hormonal changes, a slowing metabolism, and loss of muscle mass can all make it harder to maintain a healthy weight.
Medical weight loss helps address these underlying factors so you can feel strong, balanced, and confident in your body again.
Personalized Medical Evaluation: Every plan begins with an assessment that may include hormone and metabolic testing to understand what is driving weight changes.
Lifestyle and Nutrition Support: Guidance on protein intake, balanced nutrition, movement, sleep, and stress management helps support long-term success.
Medication Options: Evidence-based treatments such as GLP-1 medications (like semaglutide and tirzepatide) and other FDA-approved anti-obesity medications can support appetite regulation and metabolism when appropriate.
Ongoing Monitoring: Regular follow-ups ensure your plan stays safe, effective, and tailored to your changing needs.
Getting support from a Certified Menopause Expert can provide sustainable results that help you improve energy, protect bone and heart health, and feel good in your body again.
Sexual Health Care
Many women notice changes in sexual desire, comfort, or satisfaction during perimenopause and menopause. Fluctuating hormones can affect everything from libido to natural lubrication, making intimacy less enjoyable or even uncomfortable. These changes are common and treatable.
Treatment Options May Include:
Vaginal Estrogen Therapy: Low-dose vaginal creams, tablets, or rings can restore moisture, elasticity, and comfort during intimacy.
Ospemifene (Osphena): An oral, non-hormonal medication that helps relieve pain with intercourse.
Vaginal DHEA (Intrarosa): A hormone-containing insert that improves lubrication and reduces discomfort.
Non-Hormonal Lubricants and Moisturizers: Over-the-counter products that provide additional comfort and can be used alone or with prescription treatments.
Testosterone Therapy: For women who have been diagnosed with low sexual desire, low-dose testosterone can help improve libido and satisfaction.
Pelvic Floor Therapy or Dilator Support: Strengthening or gently retraining pelvic muscles can improve comfort, sensation, and sexual confidence.
Addyi: A non-hormonal medication to increase desire.
Intimacy and connection should feel good during midlife and beyond. With the right care, it’s possible to regain comfort, desire, and confidence again.
Hair & Skin Treatment
Changes in hormones during perimenopause and menopause can affect the way your hair and skin look and feel. Many women notice thinning hair, dryness, or a loss of elasticity in their skin. These changes are normal, but that doesn’t mean you have to live with them.
With a medical approach to hair and skin health, your appointment with Thrive Midlife Medicine will help you understand what is happening beneath the surface and create a treatment plan that supports you.
Treatment Options May Include:
Hormone Optimization: Balanced hormone levels can help improve skin texture, hydration, and hair fullness.
Medical-Grade Skincare: Evidence-based skincare routines and professional-grade products that target dryness, fine lines, and dullness.
Topical and Prescription Medications: Options such as minoxidil may support hair growth, while prescription-strength retinoids like tretinoin can improve skin tone, texture, and collagen production.
Lifestyle and Stress Management: Since stress and poor sleep can impact both skin and hair, addressing these factors is part of your overall care plan.
Nutritional Support: Guidance on essential nutrients, hydration, and supplements that promote healthy hair, skin, and nails.
You deserve to look as vibrant as you feel. A thoughtful, individualized plan can help restore the healthy glow and confidence that reflect the best version of you.
Lifestyle & Nutrition Counseling
How you eat, move, and rest plays a powerful role in how you feel during perimenopause and menopause. Even small, consistent changes can improve energy, mood, metabolism, and sleep. Lifestyle and nutrition counseling are integrated into every care plan to help you build sustainable habits that support hormone balance and long-term health.
Focus Areas Include:
Balanced Nutrition: Learn how to build meals that stabilize blood sugar, reduce inflammation, and support muscle maintenance.
Protein Intake: Guidance on meeting your protein needs to preserve lean muscle and improve metabolism.
Exercise Planning: Incorporating both strength training and cardiovascular movement to support bone, heart, and brain health.
Sleep and Stress Support: Practical tools and evidence-based strategies to improve sleep quality and manage stress.
Supplements and Micronutrients: Recommendations for vitamins and minerals that can fill gaps and support energy, mood, and cognitive function.
The goal isn’t perfection—it’s progress. Together, you’ll create realistic, sustainable changes that help you feel your best at every stage of midlife.
Are You Ready for a Better Midlife?
Evidence-based care can change how you experience perimenopause and menopause. It starts with one appointment and a plan that’s made for you.
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