Areas of expertise
Hormone Health
Hot flashes, broken sleep, mood changes, brain fog, weight that will not move, low desire. Most women are told this is normal and to push through it. Being common is not the same as being nothing.
What is happening
Hormones do not act alone,so they cannot be read alone.
Estrogen, progesterone and testosterone sit inside a system that also includes your thyroid, your metabolism, your stress response and your sleep. Pull on one and the others move. That is why a single number inside a wide reference range can look perfectly acceptable while you feel nothing like yourself, and why treating one symptom at a time so often stalls.
What I do is look at the whole arrangement rather than one value: what your symptoms are telling us, what your history explains, what testing actually adds, and how those pieces fit together. Then I tell you plainly what I believe is happening and why, and we decide what to do about it together.
What you may recognize
Common signs your hormones need attention.
- Hot flashes or night sweats
- Trouble falling asleep, or staying asleep
- Mood changes, anxiety or irritability
- Brain fog, or trouble holding focus
- Weight gain when nothing else has changed
- Low energy, or not feeling like yourself
- Vaginal dryness or discomfort with intimacy
- A noticeable drop in sex drive
- Thinning hair or dry skin
- Changes in bone health over time
If these are affecting your life, you deserve more than a vague answer.
How this is approached
What your care can include.
- 01
A thorough review of your symptoms and your health history, including the parts that have never been connected to each other before.
- 02
Laboratory and hormone testing where it will genuinely change what we do, rather than testing for its own sake.
- 03
Treatment considered against your goals, your history and what is actually safe for you, explained in plain language.
- 04
Support for the things hormones sit alongside: sleep, stress, nutrition and energy.
- 05
Ongoing clinical adjustment, so your care keeps moving as your symptoms and your results change.
You will always know what we are doing and why. Decisions are made together, not handed to you.
← All areas of expertiseQuestions
The three I am asked most.
Do you prescribe hormone therapy?
Where it is appropriate for your symptoms and your medical history, yes. We talk through the options and what is safest for you before anything is decided.
Do I need labs?
Not always. Testing is recommended when the result will meaningfully guide your care, and not when it will simply give us a number.
Is care virtual?
Yes. Care at W.I.S.H. is delivered privately and securely online, and when something needs to happen in person I help guide that and bring the findings back into your overall picture.