While "Intellectual Medicine" has relocated to Florida, the team in Rhode Island continues as Align Wellness

Estrogen & Progesterone for Women's Health

Restore the energy, clarity, rest, confidence, and sexual vitality that defined your prime years

Feel like yourself again

You don't have to endure years of hot flashes, sleepless nights, brain fog, and profound fatigue. You can address the estrogen and progesterone deficiency creating these symptoms through safe, properly-administered bioidentical hormone replacement therapy (BHRT) that restores the mental clarity, restorative sleep, stable mood, and vital energy that declining hormones have taken from you.

Estrogen

This primary female hormone regulates your menstrual cycle, supports brain function and mood stability, maintains bone density, promotes cardiovascular health, and influences skin elasticity and vaginal tissue health, with levels declining during perimenopause and menopause.

Progesterone

This hormone balances estrogen's effects throughout your body and protects your uterine lining from overgrowth, making it necessary when taking estrogen replacement therapy and supports sleep quality, mood stability, and metabolic function.

Perimenopause & menopause

Perimenopause is the transitional period lasting several years before your final menstrual period when hormone levels fluctuate wildly and symptoms often peak, while menopause is officially diagnosed after twelve consecutive months without a period when estrogen and progesterone production has permanently declined.

Causes and symptoms of low estrogen and progesterone

Your ovaries naturally reduce hormone production as you move through your forties and fifties toward menopause, though this can begin earlier or more rapidly depending on your circumstances including stress, medications, autoimmune conditions, thyroid dysfunction, and extreme diet or exercise patterns.
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Sudden intense heat, flushing, sweating that disrupts daily activities and sleep
Difficulty falling asleep, staying asleep, or waking unrefreshed regardless of hours in bed
Difficulty concentrating, word-finding problems, mental sluggishness, forgetting things you normally remember easily
Increased irritability, anxiety, depression, emotional volatility, or feeling unlike yourself
Uncomfortable or painful intercourse, decreased sexual desire, loss of arousal
Unexplained weight gain concentrated around abdomen despite unchanged diet and exercise
Persistent exhaustion and low energy that doesn't improve with rest or sleep

How does estrogen and progesterone replacement therapy work?

Testing determines your hormone levels

Your doctor evaluates your current hormone levels through blood testing, discusses your specific symptoms and health history, and works with you to select the delivery method that fits your lifestyle and preferences.

Bioidentical hormones restore what your body stopped producing

Hormones enter your system and bind to the same receptors your natural hormones once activated, signaling your cells to function as they did when your body produced adequate levels. Progesterone works alongside estrogen to protect your uterine lining while supporting restful sleep and emotional balance.

Regular monitoring maintains balanced results

Our BHRT Quarterly Program follows up with blood work every 3 months to track your estrogen and progesterone levels to ensure treatment produces optimal results. Your doctor adjusts your therapy as your body's needs shift throughout treatment, ensuring you receive exactly what supports your vitality without more than necessary.

Estrogen and progesterone HRT with
Align Wellness

Safety

Your physician stays current on bioidentical hormone therapy research, distinguishing between the outdated synthetic hormone studies and the modern evidence supporting safe, effective treatment with properly-administered bioidentical estrogen and progesterone. Treatment decisions are made using advanced testing, giving you the data needed to make informed choices about your care and longevity.
Dedicated team

Advanced testing

Your physician measures not just estrogen and progesterone but also thyroid function, testosterone, cortisol, and other hormones influencing how your body responds to therapy, providing complete understanding of your endocrine health. Regular follow-up testing tracks how your levels respond to treatment, ensuring dosages achieve optimal ranges.
Philosophy & Approach

Award winning care

Your physician takes time to understand your complete health, listens to your concerns, and answers your questions with clarity and respect. Our team has earned multiple awards for compassionate care and patient choice, reflecting our commitment to you as a partner in maintaining your health.
The Science of Longevity

Types of delivery methods

Injection

Embedded pellet

Oral capsules, tablets, & powders

Topical

Your plan begins with establishing your starting point and goals

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Hormone Level and Blood Panel Analysis
Functional Blood Chemistry Assessment
Health and Body Analysis
Discussion of goals and plans
A personalized treatment plan is created
Delivery methods are determined
Treatment is tracked and progress is measured over time

Frequently asked questions

Is bioidentical hormone therapy safe?

Bioidentical hormone therapy administered properly has an excellent safety profile for most women, particularly when started during perimenopause or early menopause before age 60 and within ten years of your final period. The 2002 Women’s Health Initiative study that created widespread fear used synthetic hormones (Premarin and Provera) in older women, not the bioidentical estrogen and progesterone we prescribe, and subsequent research has shown bioidentical hormones carry significantly lower risk. Your physician evaluates your personal and family health history to identify any contraindications and implements protocols that minimize risk through appropriate formulation, delivery method, and dosing while providing regular monitoring throughout treatment.

Can I start hormone therapy if I'm still having periods during perimenopause?

Yes, you can absolutely begin hormone therapy during perimenopause while still menstruating. Many women find this the ideal time to start because it often provides better symptom control and may offer greater long-term health benefits by starting earlier. Your physician evaluates your hormone levels through testing timed appropriately with your cycle and creates protocols that work with your body’s remaining hormone production.

How long will I need to stay on hormone therapy?

The duration of hormone therapy is a personal decision based on your symptoms, health goals, and quality of life rather than a predetermined timeline, with many women choosing to continue therapy indefinitely because the benefits to their daily vitality, cognitive function, bone health, and overall wellbeing significantly outweigh any small risks. Current evidence increasingly supports long-term use when started during perimenopause or early menopause for women without contraindications, as ongoing therapy provides protection for bones, brain, heart, and quality of life throughout the aging process. Your physician discusses your individual situation regularly and supports whatever decision aligns with your health priorities and comfort level.

Can I drink alcohol while on estrogen and progesterone BHRT?

Yes. Moderate alcohol consumption (one drink per day or less) is generally safe for most women on BHRT. Your physician discusses your individual situation, monitors your liver function through regular testing, and helps you understand how alcohol affects your specific response to therapy and overall health goals.

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Stay healthy and age well with a care team that works for you

When you partner with our team at Align Wellness, you can make informed decisions about your care with medical expertise and guidance at your fingertips. Together we’ll review your comprehensive test results, discuss your goals, answer any questions you have about maintaining your health, and explore alternative treatment paths aligned with your values and goals.

Questions? Contact Us Today!

Have Questions? Contact Us Today!