WOMEN'S HORMONE CARE
Bioidentical Hormone Replacement Therapy
Physician-guided hormone evaluation and treatment for women experiencing symptoms associated with hormonal changes, perimenopause, menopause, or other clinically appropriate hormone concerns.
Care may be provided locally in Laramie or through telehealth for eligible patients when the treatment pathway can be managed remotely.
- Physician-guided
- Laboratory-informed
- Laramie + telehealth
- Individualized plan
GUIDED ASSESSMENT · LABORATORY EVALUATION REQUIRED
Prefer to talk first? Call (307) 745-8991
Personalized hormone care
Hormone therapy built around the individual patient.
Women's hormone needs can change throughout adulthood, especially during perimenopause and menopause.
BHRT evaluation combines symptoms, medical history, laboratory testing, and clinician review to determine whether hormone therapy may be appropriate and which hormones or delivery methods should be considered.
Treatment is individualized rather than assuming every woman requires the same combination of hormones.
At a glance
- Route
- Personalized hormone therapy
- Where care happens
- Laramie clinic or telehealth when eligible
- Treatment may include
- Estrogen, progesterone, and/or testosterone depending on clinical evaluation
- Laboratory testing
- Required as part of evaluation and monitoring
- Treatment plan
- Determined by the clinician based on symptoms, medical history, laboratory findings, and response
Treatment options
A personalized combination of hormone therapies
Not every patient requires the same hormones or the same delivery method. Treatment is individualized based on symptoms, laboratory testing, medical history, menopausal status, and clinician evaluation.
Considered when medically appropriate
Estrogen Therapy
For appropriate menopausal patients, estrogen may be incorporated into the treatment plan based on symptoms, laboratory findings, medical history, and clinician evaluation.
Treatment may include oral or transdermal options depending on the individual patient.
- Individualized
- Clinician-determined
- Laboratory-informed
- Laramie + telehealth when eligible
GUIDED ASSESSMENT · LABORATORY EVALUATION REQUIRED
At a glance
- May be considered for
- Appropriate menopausal patients
- Delivery may include
- Oral or transdermal options
- Determined by
- Symptoms, history, laboratory findings, clinician review
Whether this therapy is appropriate is determined by your clinician after evaluation.
Understanding hormone changes
Perimenopause and menopause are different stages.
Perimenopause
Hormone changes can begin before menopause and may be associated with irregular cycles and symptoms such as changes in energy, mood, sleep, body composition, sexual health, or overall well-being.
The appropriate treatment approach depends on the patient's symptoms, menstrual status, laboratory testing, and clinician evaluation.
Menopause
Menopause is generally defined by cessation of menstrual periods and can be accompanied by changes in hormone levels and symptoms.
The clinical protocol uses FSH and other clinical information as part of the evaluation rather than relying on symptoms alone.
Your evaluation
Laboratory testing helps guide treatment.
The female baseline evaluation is used to understand hormone levels alongside general health before any treatment decision is made.
Complete Blood Count
Complete Metabolic Panel
Lipid Panel
Estradiol
Progesterone
Total Testosterone
Free Testosterone
SHBG
FSH
LH
DHEA-S
Thyroid Panel
Vitamin D
Additional laboratory testing may be ordered when clinically indicated.
Before treatment begins
Important health documentation
Before hormone therapy begins, required women's health screening documentation must be current and available to the clinical team.
The prescribing guidelines identify Pap testing, pelvic evaluation, and mammography documentation as part of the women's hormone-therapy requirements.
Safety first
Hormone therapy is not appropriate for everyone.
Hormone therapy is prescription treatment. These considerations belong in the decision.
Contraindications in the prescribing guidelines
- Hormone-responsive cancers, including cancers of the breast, uterus, and ovaries, are listed as contraindications to hormone therapy.
- Testosterone is contraindicated in pregnancy or planned pregnancy.
How this is handled
- Your medical history is reviewed by a licensed clinician before any treatment decision.
- If hormone therapy is not appropriate, the clinical team discusses the reasoning and any other appropriate next steps.
- Prescription treatment requires medical review and is not guaranteed.
How you receive care
Local care and telehealth when appropriate.
Local — Laramie
Patients who live near LPWWC may have access to:
- In-person evaluation
- Local blood draws
- In-person follow-up when needed
- Treatment pathways requiring clinic participation
Telehealth
Eligible patients may be able to complete:
- Virtual clinical evaluation
- Remote follow-up
- Medication delivery when appropriate
- Outside laboratory testing when required
The exact treatment route depends on the therapy selected, medical history, clinician evaluation, licensure, and applicable requirements.
Guided assessment
Find the right care
Answer a few quick questions about your symptoms, goals, medical history, and where you live. We'll help guide you toward the appropriate next step.
GUIDED ASSESSMENT · LABORATORY EVALUATION REQUIRED
What to expect
A clear path from evaluation to personalized care.
- 01
Tell us what you're experiencing
Use the smart-routing questionnaire to tell us about your symptoms, goals, and health history.
- 02
Complete your laboratory evaluation
Laboratory testing helps the clinician understand your hormone levels and overall health.
- 03
Clinical review
Your medical history, symptoms, screening requirements, and laboratory results are reviewed.
- 04
Build the appropriate treatment plan
If hormone therapy is appropriate, the clinician determines which hormones, delivery methods, and follow-up plan fit your individual needs.
In-person pathway:Laramie Physicians Women & Wellness Clinic, Laramie, WyomingTelehealth where permitted
Monitoring
Treatment evolves with you.
Hormone therapy is monitored over time using symptoms, laboratory testing, side effects, and clinical response.
The women's protocol uses follow-up laboratory testing during the optimization phase and transitions stable patients to ongoing monitoring.
Questions women ask
Women's hormone care FAQ
What is BHRT?
BHRT refers to bioidentical hormone replacement therapy — hormone therapy used to address symptoms associated with hormonal changes when a clinician determines it is appropriate.
At LPWWC, BHRT begins with an evaluation that combines symptoms, medical history, laboratory testing, and clinician review.
Does every woman receive estrogen, progesterone, and testosterone?
No. Treatment is individualized. A patient may receive one or more hormones depending on symptoms, menopausal status, laboratory findings, medical history, and clinician evaluation.
Can women's BHRT be managed through telehealth?
Some aspects of evaluation and treatment may be managed through telehealth for eligible patients. Certain services may require in-person care, local laboratory testing, or additional documentation.
What laboratory testing is required?
Laboratory testing may include estradiol, progesterone, testosterone testing, FSH, LH, DHEA-S, thyroid testing, Vitamin D, CBC, CMP, and lipid testing.
Additional laboratory testing may be ordered when clinically indicated.
Can testosterone be part of women's BHRT?
Yes, testosterone may be considered for appropriate women based on symptoms, laboratory findings, medical history, and clinician evaluation.
What forms of hormone therapy may be used?
Depending on the patient, treatment may include oral medications, transdermal creams, patches, or other clinician-selected delivery methods.
Do I need current women's health screening?
Required screening and health documentation must be current before hormone therapy begins according to the clinical protocol.
Next step
Ready to find out what may be right for you?
Start with a guided assessment. We'll use your answers to help determine the appropriate next step for your hormone evaluation.
GUIDED ASSESSMENT · LABORATORY EVALUATION REQUIRED
Prefer to talk first? Call (307) 745-8991
Medical notice: this page is educational and does not replace individual medical advice. Whether hormone therapy is appropriate is determined by a licensed clinician after evaluation, and availability of virtual care depends on licensure, applicable requirements and clinical appropriateness.