WOmen’s health & Hormones
Your hormones changed. Your care should too.
Hormone therapy for perimenopause and menopause, built from a full panel and an honest conversation about the evidence.
- Restful sleep
- Stable mood
- symptom relief
- restored libido
The transition is normal. Spending years exhausted, foggy, and uncomfortable is not the part you have to accept.
The Program
1. Comprehensive Evaluation
Full hormonal baseline: estrogen, progesterone, testosterone, thyroid, and metabolic markers, alongside a thorough symptom review. Medical history, family history, cardiovascular risk profile. The evaluation exists to make the protocol accurate—not to delay it.
2. A Protocol Built for You
May include estrogen in the form that suits your symptoms and preference—patch, pill, gel, cream, or spray; systemic or localized depending on what's being addressed. Progesterone where indicated. And in select cases, off-label testosterone for persistent low desire, fatigue, or mood changes that haven't responded to other interventions. Where a recommendation is off-label, that's stated directly, with a clear conversation about the evidence and what informed consent means in practice.
3. Ongoing Monitoring
Regular labs and check-ins. Hormone levels, symptoms, breast health, cardiovascular markers, overall response. The protocol isn't set and renewed indefinitely—it's reviewed as your needs evolve.
4. Long-Term Perspective
Symptom relief is the near-term goal. But hormone therapy also carries longer-term structural implications for bone density, cardiovascular health, and cognitive function—considerations that shape what a well-designed protocol looks like beyond the first few months.
Frequently Asked Questions
1. Comprehensive Hormone Assessment
Complete medical history, physical examination, and comprehensive hormone testing including total/free testosterone, estradiol, DHT, thyroid function, growth hormone, and complete metabolic panel to establish your baseline and identify optimization opportunities.
2. Customized Hormone Treatment Plan
Development of your individualized hormone optimization protocol incorporating testosterone replacement therapy options (injections, creams, pellets), peptide therapy selections, growth hormone protocols, and estrogen management strategies based on your specific needs and goals.
3. Treatment Implementation
Begin your supervised hormone optimization with prescribed treatments, professional injection services available, and ongoing support. Evening clinic hours available for working professionals, EMS, police, and firefighters with flexible scheduling options.
4. Ongoing Hormone Monitoring
Regular follow-up appointments with Dr. Wasserman, quarterly lab monitoring, treatment adjustments based on results and symptoms, and 24/7 text access for questions about dosing, side effects, and optimization strategies.
Board certified. Personally involved in your care.
Dr. Wasserman holds dual board certification in Emergency Medicine and Obesity Medicine — one of a limited number of physicians in the country to hold both. His approach to weight and metabolic health is rooted in understanding the mechanisms driving your specific challenges and addressing them at the source.
Frequently Asked Questions
What symptoms can Estrogen Therapy help relieve?
Estrogen therapy supports temperature regulation, sleep, mood, vaginal and urinary comfort, bone strength, skin health, and overall well-being. It is frequently used during perimenopause and menopause to help reduce hot flashes, night sweats, sleep disruptions, mood changes, vaginal dryness, discomfort with intimacy, and shifts in body composition.
How is Estrogen Therapy administered?
Estrogen therapy can be prescribed in several forms depending on your specific symptoms and goals:
Systemic Therapy (Pill, patch, gel, cream, or spray): Works throughout the entire body to address whole-body symptoms like hot flashes and mood changes.
Localized Vaginal Therapy: Targeted treatment used primarily for vaginal or urinary concerns, allowing for minimal overall absorption into the body.
Why is Progesterone prescribed alongside Estrogen?
Progesterone works in tandem with estrogen to support hormonal balance. For women who have an intact uterus, progesterone is prescribed alongside estrogen to protect the uterine lining. Depending on your health profile, it may also support sleep quality and mood stability.
What is "off-label" Testosterone Therapy for women, and why is it used?
While produced in smaller amounts in women, testosterone plays a role in overall vitality. When symptoms such as low sexual desire, decreased arousal, low motivation, or fatigue persist after evaluating other causes, off-label testosterone therapy may be considered under strict medical supervision. Because it is not FDA-approved for women in the U.S., it requires informed consent, careful dosage management to remain within normal physiologic female ranges, and ongoing safety monitoring.
How does a provider determine if HRT is right for me?
Before beginning treatment, your care team conducts a comprehensive evaluation. This includes reviewing your current symptoms, medical and family history, medications, lifestyle factors, and lab work to identify hormone patterns, rule out underlying conditions, and ensure HRT is safe and appropriate for you.
What does ongoing monitoring look like once I start HRT?
Hormone therapy begins with a tailored dose and delivery method that is adjusted gradually based on your response. Regular follow-ups involve monitoring your symptoms, lab levels, blood pressure, metabolic markers, mood, and overall safety to ensure that the benefits of your treatment continue to outweigh any risks over time.
Frequently Asked Questions
1. Comprehensive Hormone Assessment
Complete medical history, physical examination, and comprehensive hormone testing including total/free testosterone, estradiol, DHT, thyroid function, growth hormone, and complete metabolic panel to establish your baseline and identify optimization opportunities.
2. Customized Hormone Treatment Plan
Development of your individualized hormone optimization protocol incorporating testosterone replacement therapy options (injections, creams, pellets), peptide therapy selections, growth hormone protocols, and estrogen management strategies based on your specific needs and goals.
3. Treatment Implementation
Begin your supervised hormone optimization with prescribed treatments, professional injection services available, and ongoing support. Evening clinic hours available for working professionals, EMS, police, and firefighters with flexible scheduling options.
4. Ongoing Hormone Monitoring
Regular follow-up appointments with Dr. Wasserman, quarterly lab monitoring, treatment adjustments based on results and symptoms, and 24/7 text access for questions about dosing, side effects, and optimization strategies.
The first step is understanding where you are
A consultation to review your hormone profile, your symptoms and what the right approach looks like for your situation.