Menopause Hormone Therapy | HRT Care With Dr. Stacey Denise
Is This for You How It Works HRT Options FAQ Book the Foundations Consult
Menopause Hormone Therapy | The Neuroaesthetic MD™

Menopause hormone therapy
should be more than a prescription.

HRT can be life-changing for the right patient, but it should not be handed out like a shortcut. Dr. Stacey Denise provides physician-led menopause hormone therapy through telehealth, with care that considers sleep, stress, gut health, metabolism, nervous system load, medical history and your goals.

If hot flashes, night sweats, 2 a.m. waking, brain fog, mood shifts, anxiety, vaginal dryness, low libido or body changes are disrupting your life, this page will help you understand how hormone therapy fits into a fuller menopause care map.

Start With the Foundations Consult
Why Women Search for HRT

You are not looking for a hormone trend.
You are looking for your body to make sense again.

Many women search for menopause hormone therapy after months or years of trying to explain symptoms that keep shifting. One month it is sleep. Then heat. Then irritability. Then brain fog. Then sex hurts, libido changes or weight moves differently even though nothing about your effort changed.

At SDM Medical PLLC, Dr. Stacey starts with the clinical story: what changed, when it changed, what you have already tried, what feels urgent and what needs to be ruled in or ruled out before prescribing.

Hot flashes and night sweats

Vasomotor symptoms can interrupt work, sleep and confidence. HRT may help some patients when clinically appropriate, but the route, dose and safety profile matter.

Sleep disruption and 2 a.m. waking

Sleep symptoms often involve more than estrogen or progesterone alone. We look at hormones, cortisol rhythm, nervous system activation, sensory load and possible sleep apnea signals.

Brain fog, mood shifts and anxiety

Cognitive and mood changes can feel like the lights dimmed inside. Hormone therapy may be considered alongside stress physiology, sleep, nutrition, medications and life-stage context.

Vaginal dryness, pain or libido changes

Local vaginal estrogen, systemic hormone therapy and other strategies may be discussed depending on symptoms, history and goals.

What HRT May Help With

Hormones are one layer
of the menopause picture.

Menopause hormone therapy may help with several symptoms when the clinical picture supports it. The goal is not to chase a number or copy someone else's protocol. The goal is to understand whether hormone therapy is appropriate for your body, your history and your goals.

  • Hot flashes and night sweats
  • Sleep disruption related to vasomotor symptoms
  • Vaginal dryness, pain with sex or urinary symptoms
  • Mood changes or irritability in the menopause transition
  • Brain fog and quality-of-life changes
  • Joint aches or body discomfort in some patients
  • Early menopause or surgical menopause considerations
  • Bone health discussions when appropriate

HRT is not appropriate for everyone. Your medical history, bleeding history, uterus status, cancer history, clotting history, medications, cardiovascular risk and personal goals all matter. A formal medical review is required before any prescribing decisions are made.

Two women in a telehealth menopause care consultation
How HRT Care Works

How to get HRT for menopause
through telehealth.

Telehealth can make menopause care more accessible, but it should still feel like medical care. It is not an instant-prescription model. Hormone therapy decisions require a real clinical relationship, careful screening and follow-up. Dr. Stacey Denise provides telehealth hormone therapy for eligible patients physically located in California, D.C., Georgia, Kentucky, Maryland, Ohio, Texas and Virginia at the time of the visit.

01

Start With the Foundations Consult

We review symptoms, timeline, medical history, medications, goals and what you have already tried.

02

Review safety and candidacy

Dr. Stacey reviews risk factors, contraindications, uterus status, bleeding patterns, cancer history, clotting history and cardiovascular considerations.

03

Use labs when clinically appropriate

Labs can support the clinical picture, but they do not replace your symptoms, history or safety review.

04

Discuss hormone and non-hormone options

Options may include estradiol, progesterone, local vaginal estrogen, testosterone when appropriate, non-hormonal strategies and pathway-based support.

05

Monitor and adjust

HRT is not set-it-and-forget-it care. Symptoms, side effects, safety markers and goals are reviewed over time.

06

Ready to start?

The Foundations Consult is the clinical entry point. Everything begins there.

Book the Consult
HRT Options

Estradiol, progesterone, testosterone
and local vaginal estrogen.

The right hormone plan depends on your symptoms, anatomy, medical history, route preferences and clinical risk profile. Dr. Stacey explains the options in plain language so you understand what each piece is meant to do.

Estradiol

Estradiol is the primary estrogen used in many menopause hormone therapy plans. It may be discussed for hot flashes, night sweats, sleep disruption related to vasomotor symptoms, vaginal symptoms and other menopause-related concerns. Routes may include patches, gels, sprays, pills or other clinically appropriate options.

Progesterone

Progesterone is often used for endometrial protection in patients with a uterus who are prescribed systemic estrogen. It may also be discussed in relation to sleep in some patients, but it should be prescribed based on the full clinical picture.

Testosterone

Testosterone may be considered for select women, often in the context of low libido or sexual wellness concerns, after careful review of symptoms, labs when appropriate and safety considerations.

Local Vaginal Estrogen

Local vaginal estrogen may be discussed for vaginal dryness, pain with sex, recurrent urinary symptoms or genitourinary syndrome of menopause. This can be part of care even when systemic hormone therapy is not the best fit.

Vaginal Dryness and Genitourinary Symptoms

Genitourinary syndrome of menopause is a clinical category that includes vaginal dryness, painful sex, urinary symptoms and related changes. Several options may be appropriate depending on history, symptoms and goals.

Compounded and Bioidentical

Bioidentical means the hormone molecule is chemically identical to what the human body produces. That does not automatically make a product safer or better. FDA-approved options and compounded options may be discussed when clinically appropriate, with attention to route, dosing, monitoring, cost and safety.

The Neuroaesthetic Difference

Hormones matter.
So does the system they are trying to work inside.

Some women start HRT and feel meaningful relief. Others improve in one area but still feel off. Sleep remains fragmented. Stress still hijacks the day. Food reactions show up. Brain fog lingers. Weight changes continue. That does not mean HRT failed. It may mean the body needs a wider clinical map.

The Neuroaesthetic Reset™ looks at hormones, sleep, stress physiology, gut health, sensory load, metabolism and nervous system capacity together. This is where my pathway model becomes different from a prescription-only hormone clinic.

Dr. Stacey Denise, The Neuroaesthetic MD
Stress Reset

Stress Less and Be Radiant

For women whose stress physiology, sensory overwhelm, masking fatigue and nervous system activation are the loudest signals.

Explore the Color Reset Pathway
Gut Reset

Fuel and Be Fierce

For women whose gut symptoms, histamine reactivity, bloating, metabolic changes, food reactions and energy shifts are the loudest signals.

Explore the Gut Reset Pathway
Sleep Reset

Sleep and Be Fabulous

For women whose insomnia, 2 a.m. waking, night sweats, hot flashes, fragmented sleep and fatigue are the loudest signals.

Explore the Sleep Reset Pathway
Full Year

Silver Goddess Year of Care

For women who already know one pathway is not enough and want a full year of physician-led care across stress, gut, sleep, hormones and metabolism.

Explore Silver Goddess
Safety First

Before HRT, the question is not just
"Can I take hormones?"

HRT decisions are individualized. Before prescribing, Dr. Stacey reviews your symptoms, medical history, medications, allergies, uterus status, bleeding history, cancer history, clotting history, migraine history, liver disease, cardiovascular risk and your goals.

Some patients are strong candidates. Some need more evaluation. Some need non-hormonal options or coordination with another clinician. That clarity is part of the care.

This page is educational and does not determine candidacy. A formal intake is required before medical advice, diagnosis, prescribing or treatment.

May need careful review

  • History of breast cancer or estrogen-sensitive cancer
  • Unexplained vaginal bleeding
  • History of blood clots or clotting disorders
  • Stroke, heart attack or high-risk cardiovascular history
  • Active liver disease
  • Complex migraine or neurological history
  • Significant medication interactions

Good starting points

  • Know your symptoms and timeline
  • Bring any current medications
  • Know your uterus status if applicable
  • Know your bleeding history
  • Bring recent labs if you have them
  • Know what you have already tried
  • Know your goals, not just your symptoms
“You do not need a shortcut. You need the full clinical picture.”
Dr. Stacey Denise Moore, MD, FACS | The Neuroaesthetic MD™
Dr. Stacey Denise on a telehealth video call
Cost and Access Clarity

Cash-pay care, clear expectations
and pharmacy costs handled separately.

SDM Medical PLLC is a cash-pay telehealth practice. Clinical fees cover physician-led evaluation, medical decision-making, prescribing decisions when appropriate, follow-up planning and care coordination.

Medication costs are paid directly to the dispensing pharmacy and vary by formulation, route, pharmacy, insurance coverage and cash-pay access. Lab costs depend on what is clinically appropriate and whether labs are included inside a pathway or ordered separately.

The goal is not to surprise you. The goal is to help you understand the clinical plan, expected next steps and what costs may sit inside or outside your care pathway before you proceed.

Where I Practice

Telehealth menopause hormone therapy
in eight states.

Dr. Stacey Denise provides clinical care to patients physically located in California, D.C., Georgia, Kentucky, Maryland, Ohio, Texas and Virginia at the time of the visit. Care is provided through SDM Medical PLLC after formal intake establishes a doctor-patient relationship.

California D.C. Georgia Kentucky Maryland Ohio Texas Virginia

Clinical care begins only after formal intake through SDM Medical PLLC establishes a doctor-patient relationship.

Frequently Asked Questions

Your HRT questions,
answered plainly.

Start with a medical consult. Dr. Stacey reviews your symptoms, health history, medications, risk factors, goals and whether labs are clinically appropriate. If HRT is appropriate and you choose to proceed, a prescription plan and follow-up structure are discussed.
Licensed clinicians who evaluate and treat menopause may prescribe HRT when clinically appropriate. Dr. Stacey Denise provides physician-led menopause hormone therapy through telehealth for eligible patients in the states where she is licensed.
In many cases, yes. Telehealth HRT care still requires medical intake, safety screening, state-specific eligibility, lab coordination when appropriate and follow-up. It is not an instant-prescription model.
Not always. Labs can be useful in some situations, but hormone therapy decisions are not made from lab numbers alone. Symptoms, medical history, bleeding history, medications, risk factors and goals all matter.
Estradiol is a form of estrogen commonly used in menopause hormone therapy. Progesterone is often used to protect the uterine lining when systemic estrogen is prescribed to a patient with a uterus. The right plan depends on your anatomy, symptoms and medical history.
Patches and pills have different considerations. Transdermal estradiol may be preferred for some patients based on risk profile and goals, while oral options may be appropriate for others. Dr. Stacey reviews route options with your history in mind.
Bioidentical hormones have the same chemical structure as hormones produced by the human body. The term does not automatically mean safer or better. FDA-approved options and compounded options may be discussed when clinically appropriate, with attention to route, dosing, monitoring, cost and safety.
HRT may help sleep when night sweats, hot flashes or hormone shifts are contributing to sleep disruption. Some sleep patterns also involve cortisol rhythm, nervous system activation, sensory load or possible sleep apnea, which may require a broader sleep care plan.
Some patients notice mood-related changes during perimenopause and menopause. HRT may be considered when clinically appropriate, but mood symptoms also require review of sleep, stress physiology, medications, trauma history, thyroid, nutrition and other contributors.
HRT does not work like a weight-loss medication. Hormones can influence sleep, appetite, body composition, recovery and metabolic signals. Dr. Stacey looks at weight changes in the context of menopause, gut health, sleep, stress and metabolic markers.
HRT may not be appropriate for patients with certain cancer histories, unexplained vaginal bleeding, blood clot history, active liver disease, recent stroke or heart attack, or other risk factors. A formal medical review is required.
Clinical visit or pathway fees are separate from medication costs. Medication costs vary by route, formulation, pharmacy, insurance coverage and cash-pay access. SDM Medical PLLC is a cash-pay telehealth practice, and costs are reviewed before care proceeds.

Menopause Hormone Therapy and HRT Care | Telehealth in California, D.C., Georgia, Kentucky, Maryland, Ohio, Texas and Virginia

Dr. Stacey Denise, The Neuroaesthetic MD™, provides physician-led menopause hormone therapy and HRT care through telehealth for eligible patients physically located in California, D.C., Georgia, Kentucky, Maryland, Ohio, Texas and Virginia at the time of the visit. This page addresses HRT questions including how to get HRT for menopause, who prescribes HRT, estradiol patches, progesterone, testosterone, bioidentical hormones, compounded HRT, telehealth HRT access, menopause hot flashes, night sweats, sleep disruption, brain fog, mood shifts, vaginal dryness, libido changes and metabolic symptoms during the menopause transition.

Clinical care is provided through SDM Medical PLLC after formal intake establishes a doctor-patient relationship. This page is educational only and does not constitute medical advice. HRT decisions require individualized clinical review of symptoms, medical history, safety factors and goals.

The Starting Point

You do not need another hormone shortcut.
You need the full map.

The Reset Foundations Consult is where we clarify whether HRT, a Reset pathway, Silver Goddess or another care plan is the right next step for you.

Start With the Foundations Consult

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