Testosterone Replacement Therapy
To Relieve Your Pre-menopause Symptoms
If you’re between 35 and 50, you might be feeling off—low energy, fatigue, brain fog, and a fading libido can make daily life a challenge. These are common signs of premenopause, a transitional phase marked by hormonal shifts that can impact many aspects of your life.
Testosterone Therapy: A Key Solution
Most women have never had their testosterone levels checked, and even fewer have their levels optimized, making it unclear how many women may be taking medications that don’t address the underlying causes of their symptoms.
Optimizing testosterone levels for women of all ages, from 20 to 80, can offer significant benefits for overall quality of life. Many women report improvements in energy, motivation, productivity, focus, mood, and libido. Pursuing total, free, and bioavailable testosterone levels beyond the standard ranges can help restore vitality and may bring noticeable improvements. We don’t always know what optimal health feels like until we experience it.
Know Your Body’s Changes
Premenopause, also known as perimenopause, often begins in your late 30s to 40s and can last anywhere from a few months to up to 10 years. This phase involves hormonal changes that can affect everything from mood and energy to metabolism and sleep.
One of the most noticeable signs of this change is irregular menstrual cycles. Along with this shift, many women experience uncomfortable symptoms that disrupt daily life.
32% experience a waning sex drive
45% of women report mood swings or irritability, often feeling overwhelmed
Up to 85% experience fatigue or low energy during this time
These symptoms can significantly impact your daily routine, relationships, and overall well-being.
Testosterone replacement therapy (TRT) has helped many of our patients, with improvements in::
- Energy
- Motivation
- Productivity
- Libido
- Focus
- Mood
How to Get Started
STEP 1: Comprehensive Labwork
We begin with bloodwork to assess your hormone levels—either in our office or at any Quest Diagnostics location, whichever is most convenient for you. This simple step helps us understand your body’s unique needs.
STEP 2: Follow-Up Consultation
During your consultation, our medical team will thoroughly review your bloodwork results, medical history, symptoms, and health goals, either in-person or virtually. We’ll then provide a personalized treatment recommendation to help restore your hormonal balance and improve your quality of life.
STEP 3: Start Your Treatment
If you qualify, we’ll seamlessly get you started on the recommended treatment that’s right for you. Your membership ensures continuous support:
★ Medications delivered directly to your door.
★ All necessary supplies and shipping
★ Unlimited consultations for ongoing care.
You don’t have to settle for feeling off. If you’re in your 30s or 40s and something just isn’t right, it’s time to get your hormones checked. We’re here to help you get answers—and feel like yourself again.
Health Risks Associated With Perimenopause
While perimenopause is a natural phase of life, it can bring increased health risks due to hormonal changes. Women may face a higher likelihood of developing conditions such as osteoporosis, heart disease, and high cholesterol as estrogen levels decline. Mood disorders like anxiety and depression may also become more common, along with weight gain and changes in insulin sensitivity. Understanding these risks allows women to take proactive steps—such as regular health screenings, lifestyle adjustments, and hormone management—to protect their long-term well-being during this transitional time.
When To See a Doctor for Perimenopause Symptoms
Many women feel they should tolerate the perimenopausal symptoms they experience. However, there’s no need to suffer if those symptoms are interfering with your daily life or your sense of well-being. Treatments are available to help you cope with everything from mood swings and hot flashes to discomfort with sexual intercourse.
Call your doctor if your symptoms are causing you enough discomfort to affect daily life. And definitely seek medical help if you experience blood clots during your period, excessively long or heavy periods, bleeding after sex or spotting when you don’t have your period. These symptoms may have causes that require medical attention.
Help for Women in Massachusetts
Perimenopause Treatment Options
While hormone replacement therapy remains the top choice of treatment for most women experiencing menopausal symptoms, other options may also be of some help.
Estrogen and Hormone Replacement Therapy
Hormone replacement therapy delivers estrogen or a combination of estrogen and progestogen to boost your hormone levels after your body reduces its production of estrogen. (Estrogen alone is used for women who don’t have a uterus, typically as a result of a hysterectomy.)
This therapy normalizes your estrogen levels so you don’t experience symptoms caused by the hormonal imbalance of menopause. It reduces or does completely away with symptoms such as hot flashes and mood swings, and it can reduce the risk of osteoporosis.
Your doctor will prescribe estrogen in any of several forms. While most women prefer the ease of taking a pill, estrogen skin patches, gels and creams are also available.
Lifestyle Remedies
Various lifestyle changes can also help you decrease menopausal and perimenopausal symptoms. Try some of these options to see if they help you feel better:
- Exercising can help with weight gain, mood swings, sleep disturbances and even hot flashes.
- Practicing good sleep habits, including a regular sleep routine and relaxing activities before bedtime, can help with insomnia
- Avoiding spicy foods, caffeine, alcohol and hot drinks can help you minimize hot flashes
- Lowering the temperature in your home can help with night sweats
- Using over-the-counter vaginal moisturizers and lubricants can alleviate vaginal dryness
Other Medications
While hormone replacement therapy treats most of the major symptoms of menopause simultaneously, other pharmaceutical treatments target specific symptoms. Prescription and over-the-counter options include:
- Vaginal creams to minimize dryness and painful intercourse
- Vitamin D and calcium to decrease the risk of osteoporosis
- Antidepressants to regulate mood swings
- Neurontin (a prescription seizure medication) to treat hot flashes
- Supplements, including black cohosh and dong quai, to treat hot flashes — though they may not be effective and may have dangerous complications
- Clonidine (a prescription blood pressure medication) to treat hot flashes
- Testosterone to treat loss of sex drive and boost bone density
- Osphena (a non-hormonal prescription medication) to treat vaginal dryness
Many of these medications have side effects, so you should discuss them thoroughly with your doctor before trying them.
