Your hormones changed. Your care should keep up.

Perimenopause is the transition phase leading up to menopause, often beginning in the early-to-mid 40s. During this time, hormone levels fluctuate unpredictably and symptoms like irregular periods, hot flashes, and mood changes may appear. Menopause is officially defined as 12 consecutive months without a period. Many women experience the most disruptive symptoms during perimenopause, which is why early intervention with hormone therapy can be so effective.

Bioidentical hormones are structurally identical to the hormones your body naturally produces. When prescribed by a licensed provider, monitored with regular lab work, and dosed appropriately, BHRT has a strong safety profile supported by clinical research. Your RenewRx clinician evaluates your full health history before recommending any treatment and adjusts your protocol based on ongoing lab results.

Many women begin noticing improvements in sleep, mood, and energy within the first 2-4 weeks. Hot flashes and night sweats often improve within 4-6 weeks. Full optimization — including improvements in libido, body composition, and cognitive clarity — typically develops over 2-3 months as your provider fine-tunes dosing based on follow-up labs.

No. Many of our patients are in perimenopause and experiencing significant symptoms well before their periods have stopped. If your labs show hormonal imbalance and you're experiencing symptoms, you may be a candidate for treatment regardless of your menstrual status. Your provider will evaluate your full picture during your consultation.

Your initial lab panel typically includes estradiol, progesterone, total and free testosterone, DHEA-S, a full thyroid panel (TSH, Free T3, Free T4), a complete metabolic panel, and a CBC. Depending on your history, your provider may add additional markers. We can order labs for you or review recent results if they're within 90 days.

RenewRx operates on a direct-pay model, which means consultations and medications are paid out of pocket. This allows us to spend more time with each patient, avoid insurance-driven treatment limitations, and keep your protocol decisions between you and your provider. Many patients use HSA or FSA funds to cover costs. We provide superbills upon request for potential reimbursement.

RenewRx is clinician-led from day one. You're not matched with a random provider or pushed through a one-size-fits-all protocol. Your clinician reviews your labs personally, builds a protocol tailored to your body, and monitors your progress with follow-up labs every 60-90 days. We use only pharmaceutical-grade bioidentical hormones sourced from 503A-compliant pharmacies.

Yes. Your consultation, follow-ups, and prescription management are all handled via telehealth. Lab work can be completed at any Quest or Labcorp location near you, or through a mobile phlebotomy service. Medications are shipped directly to your door. You never need to visit a physical clinic.