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MUKILTEO, WA
Personalized hormone evaluation and treatment for women and men through perimenopause, menopause, andropause, and age-related change.
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Hormone care is based on symptoms, medical history, goals, examination as appropriate, and laboratory evaluation included in every assessment. Treatment is individualized rather than based on age or a single laboratory number.
Patients commonly seek care for hot flashes, sleep disruption, fatigue, brain fog, low libido, anxiety, vaginal symptoms, fatigue, weight gain, erectile concerns, muscle loss, body-composition changes, or reduced well-being.
When appropriate, options may include topical estrogen or testosterone, oral progesterone, hormone pellets, vaginal therapy, thyroid treatment, or nonhormonal approaches. Women may benefit from carefully dosed testosterone, and men require appropriate estrogen balance through aromatization.
Follow-up includes symptom response, side effects, blood pressure and other clinical measures, and repeat laboratory testing. Unexpected postmenopausal bleeding or other concerning symptoms require prompt evaluation.
I take symptoms seriously, but I also want treatment to be medically thoughtful. We review the whole picture, discuss benefits and risks in plain language, and use follow-up symptoms and labs to keep the plan effective and safe. Explore BHRT, thyroid care, and monitoring.
Use medication exactly as prescribed and complete follow-up labs and visits on schedule. Report unexpected bleeding, significant mood changes, new breast symptoms, or other concerning changes. Seek urgent care for chest pain, severe shortness of breath, one-sided leg swelling, or sudden neurologic symptoms.
Schedule a personalized consultation to discuss your concerns, goals, and appropriate next steps.
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