Bioidentical Estrogen & Progesterone

Estrogen and Progesterone Therapy at DrStileRx

Hot flashes in the middle of a meeting. Night sweats at 2 a.m. Sleep that never quite catches up. When estrogen and progesterone shift during perimenopause and menopause, you feel it in your sleep, your mood, your thinking, even your joints.^[1]

At DrStileRx, we start with your symptoms and lab work, then build your plan with FDA-approved estradiol and progesterone, the same hormones your body makes. We treat both women and men.

Signs Your Hormones May Be Shifting

Common symptoms in perimenopause and menopause:^[1]

• Hot flashes and night sweats
• Trouble sleeping
• Mood changes or brain fog
• Period changes
• Vaginal dryness
• Joint aches

These symptoms can have other causes too, which is why we start with a full evaluation and labs.

What Estrogen and Progesterone Therapy Can Do

FDA-approved hormone therapy reduces moderate to severe hot flashes. It also helps prevent bone loss and relieves vaginal dryness and discomfort.^[2] In 2026, the FDA updated the labeling on menopausal hormone therapy. It noted that in randomized studies, women who started within 10 years of menopause, generally before age 60, had lower all-cause mortality and fewer fractures.^[3]

Progesterone has its own job. If you have a uterus, taking progesterone with estrogen helps protect the lining of your uterus.^[2]

How It’s Given

The FDA has approved a range of estrogen and progesterone products.^[4] At DrStileRx, estradiol comes as a cream, an injection, or a pill. FDA-approved progesterone is usually taken as a pill. Your clinician recommends the form that fits your symptoms, your labs, and your routine.

How It Works at DrStileRx

1. Consultation. We talk through your symptoms, history, and what you want to feel like.
2. Lab work. We check your hormone levels before you start.
3. Your plan. Your clinician recommends the hormones, dose, and form that fit you.
4. Follow-up. We recheck how you feel and your labs, then adjust as needed.

What Results Can I Expect?

Some people notice changes in hot flashes, night sweats, or sleep within a few weeks. Others need more time or a dose adjustment. We track your symptoms and labs and adjust your plan at every follow-up.

Frequently Asked Questions

What does “bioidentical” mean?

Bioidentical hormones have the same chemical structure as the hormones your body makes. DrStileRx uses FDA-approved estradiol and progesterone.

Why take progesterone with estrogen?

If you have a uterus, progesterone helps protect its lining while you take estrogen. If you don’t, your clinician will tell you whether you need it.

How is it given?

Estradiol comes as a cream, an injection, or a pill. FDA-approved progesterone is usually taken as a pill. Your clinician will recommend the form that fits you.

Do I need lab work?

Yes. We check your hormone levels before you start and recheck them as your plan moves along.

How soon will I feel a difference?

It varies. Some people notice changes in hot flashes or sleep within a few weeks. For others it takes a few months or a dose adjustment.

Is this only for menopause?

It’s most often used in perimenopause and menopause. Your clinician will look at your symptoms and labs to see whether it fits you.

Do you treat men?

Yes. DrStileRx treats both women and men. Your clinician will walk you through the hormone options that fit your symptoms and labs, including our TRT program.

How is this different from BHRT?

Estrogen and progesterone therapy focuses on the two hormones that change during perimenopause and menopause. Our BHRT page covers our broader hormone care, including testosterone.