What Is HRT and Who Is It For?
Hormone replacement therapy replaces the sex hormones, estrogen, progesterone, and testosterone, that decline during perimenopause and menopause. It is often a good fit for women in perimenopause, menopause, and postmenopause who are dealing with moderate to severe symptoms. Whether HRT is right for you depends on your symptoms, health history, and personal risk profile, which Dr. Twist reviews with you before any prescription.
The Three Hormones Dr. Twist Replaces
Good hormone care looks at more than one hormone. Dr. Twist evaluates all three sex hormones as part of her HRT assessment:
Estrogen:
the primary hormone that declines at menopause. It drives hot flashes, vaginal changes, and bone loss, and is available as patches, gels, or oral forms.
Progesterone:
balances estrogen in women who still have a uterus, and can also support sleep and mood.
Testosterone:
often overlooked in women, testosterone declines with age and can contribute to low energy, reduced libido, and loss of motivation.
Because she assesses all three, Wild Women Medicine offers comprehensive hormone care rather than single-hormone prescribing.
HRT Formulation Options
There is no single right form of HRT. Depending on your evaluation, Dr. Twist may prescribe:
Estrogen therapy (ET):
for women without a uterus.
Combined estrogen-progesterone therapy (EPT):
for women with a uterus.
Bioidentical hormone therapy:
hormones structurally identical to those your body produces.
Testosterone supplementation:
low-dose and evaluated individually.
She reviews your history and risk profile before prescribing. See prescription management for how prescriptions are filled, or the sexual wellness page if libido is your main concern.
How HRT Supports Menopause Symptoms
For many women, HRT is the most effective evidence-based option for several symptoms, including:
- Hot flashes and night sweats
- Vaginal dryness and related discomfort
- Sleep disruption and mood changes
- Low energy and low libido
- Support for bone density
For the full picture of any symptom, the menopause condition page explains what to expect and when to seek care.
The Wild Women Medicine HRT Process
A virtual consultation with Dr. Twist to review your history, symptoms, and goals.
Lab work ordered and reviewed remotely, with all three hormone levels assessed.
A personalized prescription plan covering estrogen, progesterone, and testosterone as indicated.
Ongoing monitoring and adjustments through follow-up visits.
You can learn more about each appointment on the virtual visits page, and review pricing on the membership page.
Is HRT Safe?
This is the question most women want answered, and the honest answer is reassuring. Current evidence supports HRT as safe and effective for most healthy women who are under 60 or within about 10 years of menopause onset. The right decision is always individualized, which is why Dr. Twist reviews your personal and family health history before prescribing and weighs the benefits and risks with you, rather than applying a blanket rule.
Start HRT With a Telehealth Appointment
HRT care is available to women across Montana, and no referral is needed to begin. Your initial consultation and treatment plan is $500, and ongoing care continues through a $250 per month membership.
Frequently Asked Questions
Yes. Testosterone is one of the three hormones Dr. Twist evaluates as part of HRT. Where appropriate, low-dose testosterone is included alongside estrogen and progesterone in your personalized plan.
HRT is safe and appropriate for many women, but not all. Dr. Twist reviews your personal and family health history and risk factors to help you weigh the benefits and risks together.
Yes. Bioidentical hormone therapy is one of the options Dr. Twist may prescribe, depending on your individual evaluation, symptoms, and goals. The right choice is decided together during your visit.