Hormone Therapy for Women · HRT

Perimenopause Isn't Something to Power Through.

The shift into perimenopause and menopause can rewrite your sleep, mood, focus, and body, often years before anyone names it. Hormone therapy can ease those symptoms when it's built around your labs and how you actually feel. Preamble measures first, doses it to you, and rechecks to keep you steady.

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Provider-led. Lab-monitored. Members from $150/month.

The Problem

"You're Just Getting Older" Isn't a Diagnosis.

You're told your bloodwork looks fine and sent home to cope, while the symptoms upending your sleep and mood go unexplained. Most care lands at one of two extremes, and neither one helps.

Dismissed

"Your labs look fine." Sent home to cope, with the symptoms wrecking your sleep and mood left unexplained.

Overtreated

A one-size pellet with no follow-up, and no one tracking how you actually feel over time.

There's a better path

Measure the hormones that actually shift in perimenopause, build a plan around them, and recheck. Care that listens to your symptoms as closely as your labs.

How Hormone Care Works

It Starts With Testing, Not Guessing.

Hormone care isn't always a straight line. It starts with testing and blood work, because different people have different goals, and it can take some adjusting to get there. You want a team that can do that, and one that tracks your numbers so the therapy is actually working.

This isn't just about feeling better. It's better blood work, better bone density, healthy hormone levels, and the muscle that keeps you strong as you age. We track your body composition with a DEXA scan included in your membership.

The hormones we know well

We treat estrogen, progesterone, and thyroid, plus testosterone where appropriate.

Better blood work

Better bone density

Healthy hormone levels

Muscle that keeps you strong

Sound Familiar?

The Symptoms Women Are Told to Live With

If a handful of these have crept in over the last few years, it may be hormonal, and it's worth measuring.

Hot flashes & night sweats

Sudden heat, flushing, and drenched sheets that wreck your rest.

Broken sleep

Waking at 3am, unable to settle back down.

Mood swings & anxiety

A shorter fuse and a low-grade unease that wasn't there before.

Brain fog

Lost words, dropped threads, and a memory that feels unreliable.

Low libido

A drop in desire and comfort that strains how you feel.

Joint aches

New stiffness and soreness that don't track with activity.

Body composition shifts

Weight that settles differently no matter what you change.

Low energy

A flatness that coffee and willpower can't quite fix.

What We Measure

Your Plan Starts With the Right Labs

Before anything is prescribed, we baseline the hormones that drive perimenopausal and menopausal symptoms, so your protocol is built on your numbers, not a template.

Estradiol The primary estrogen behind hot flashes, sleep, and mood.

Progesterone Key for sleep, calm, and balancing estrogen.

FSH & LH Signals that help place you along the menopausal transition.

DHEA-S An adrenal hormone tied to energy, libido, and resilience.

A Preamble provider reviewing lab results with a patient

How It Works

HRT at Preamble

Baseline labs and body composition

We measure your estradiol, progesterone, FSH/LH, and DHEA-S, plus a DEXA scan for body composition and bone density, before anything is prescribed.

A plan dosed to you

Your provider builds a protocol around your labs and symptoms, in real consultations, in person or virtual.

Adjust and recheck

Sleep, mood, and energy guide the fine-tuning as much as your numbers do, with ongoing rechecks to keep you in a healthy range over time.

Pricing

Preamble HRT

$150 /month, or $1,750/year

Medications are billed separately.

A protocol built around your labs and symptoms, with a provider who listens and rechecks over time. Anyone can hand out a prescription, this is the program that does it correctly.

Start HRT today

Provided through the Preamble Core+ membership. Medications are billed separately. Eligibility is determined by your Preamble provider.

Questions Worth Asking

Is HRT safe? What about the older risk studies?

The understanding of HRT has evolved a great deal since the early headlines, and for many women the benefits outweigh the risks when therapy is started thoughtfully and monitored. Your provider walks through your personal history and the current evidence so you can make an informed decision.

Perimenopause or menopause, does timing matter?

It can. Symptoms often begin in perimenopause, years before periods stop, and you don't have to wait until menopause to be evaluated. We measure where you are and tailor accordingly.

How is HRT delivered?

There are several options, including patches, gels, and oral forms. Your provider recommends the approach that fits your labs, symptoms, and preferences, and adjusts if needed.

Are the medications included in the membership price?

No. Membership covers the provider time, baseline and mid-year labs, and the dosing management. The medications themselves are billed separately.

How long will I stay on it?

That's an ongoing conversation with your provider, revisited as your symptoms and goals change. There's no fixed clock, just regular check-ins to make sure the plan still fits.

Feel Like Yourself Again, and Know Why.

Get hormone therapy that's measured, dosed to you, and monitored over time.

Start HRT today

Hormone therapy (including HRT and TRT) involves prescription medications. Eligibility and treatment decisions are made by a licensed Preamble provider based on your individual labs, symptoms, and health history. Medications are billed separately from membership. This page is for general education and is not medical advice. Individual results vary.