Menopause & HRT · Hormonal care
Hot flashes. Brain fog.
Sleep that just won't.
Symptoms-led care for perimenopause and menopause. You don't shop SKUs — you take a focused symptoms assessment, and your clinician personalizes a regimen from our formulary of estradiol, progesterone, biest, and combination preparations.
Take the menopause assessment
What you might be feeling
If even one of these is true, start with the assessment.
You don't need to wait until it's "bad enough." Many women find earlier conversations with a clinician make symptoms easier to talk about and easier to manage.
Hot flashes & night sweats
The flush comes on, sometimes during a meeting, sometimes at 3am soaking your sheets. Vasomotor symptoms are one of the most common — and most disruptive — signs of hormonal change.
Brain fog & mood
The word doesn't come. The decision feels heavier than it should. Estrogen plays a role in cognitive function and mood regulation; shifts in estrogen can show up as fog, irritability, or low mood.
Sleep disruption
You fall asleep fine. You wake up at 2 or 3am and can't get back. Sleep architecture changes during the menopause transition; sleep quality often drops before any other obvious symptom appears.
Low libido & vaginal changes
Decreased desire, vaginal dryness, painful sex. These are common, treatable, and worth talking about — even if you've never raised it with a clinician before.
Joint aches & muscle changes
Joints stiffen. Muscle mass shifts despite the same workouts. Hormonal change has musculoskeletal effects that show up gradually.
Skin, hair & energy shifts
Skin feels different. Hair thins or feels less full. Energy doesn't rebound the way it used to. These can have multiple causes; HRT may be one part of a fuller picture.
Heavier or irregular periods
Cycles closer together, then skipped. Heavier than they used to be. This is often perimenopause. A clinician can help you understand what's worth investigating.
"My labs were normal"
You've been told your labs are fine while you feel anything but. HRT decisions aren't only made on labs — symptoms matter, and a clinician trained in midlife care will treat them seriously.
How HRT works at Cypress
Symptoms in. Personalized regimen out.
You don't shop products. You answer focused questions about what you're experiencing, your history, and your goals. Your clinician determines the regimen.
Our formulary, briefly
What your clinician can prescribe.
You don't pick from this list — your clinician does, based on what you need. We share it for transparency, not as a menu.
A note on safety
HRT is not one-size-fits-all.
The science on HRT has evolved significantly since the 2002 WHI study that paused the field for a generation. Today, for most healthy women starting within 10 years of menopause, the benefits of HRT often outweigh the risks — but the calculation is individual.
HRT is not appropriate for everyone. A personal history of breast cancer, certain blood-clot disorders, active liver disease, unexplained vaginal bleeding, or pregnancy are among the reasons your clinician may recommend a different path. The assessment is designed to surface those factors carefully.
Take it seriously. Start the assessment.
It takes about 3 minutes. Your clinician follows up within 24 hours. You're not committing to anything by starting.
Take the menopause assessment