Individualized hormone replacement therapy for women navigating perimenopause, menopause, or hormonal imbalance — evidence-based, personalized, and carefully monitored.
⚖️ Women's Hormonal Health🌸 Perimenopause · Menopause🧪 Lab-Guided📍 Texas Only
About This Service
Hormone Replacement Therapy for Women
What Is HRT?
Overview
Hormone Replacement Therapy replenishes estrogen, progesterone, and/or testosterone that decline during perimenopause and menopause. Modern HRT uses bioidentical or FDA-approved hormones tailored to your labs and symptoms.
Who Benefits?
Candidacy
Women experiencing hot flashes, night sweats
Brain fog, mood changes, irritability
Low libido or vaginal dryness
Fatigue, poor sleep, joint pain
Early menopause or surgical menopause
Benefits of HRT
Clinical Evidence
Significant reduction in hot flashes (up to 90%)
Improved sleep quality and mood stability
Protection against osteoporosis
Improved libido and sexual function
Cardiovascular benefits when initiated early
Types of HRT
Formulation Options
Estradiol (patch, gel, cream, oral)
Micronized progesterone (Prometrium)
Testosterone (cream for women)
Vaginal estrogen (local therapy)
Bioidentical compounded hormones
Initial Consultation
30-Min HIPAA Video Visit · Hormone Replacement Therapy
Lab work may be ordered prior to or following your consult
Please complete this Women's Hormone Health Assessment before your visit. Your responses help Viola Sudheer, PA-C design a safe, individualized hormone therapy plan.
✅ Assessment submitted. Please proceed to the Consent Form tab, then book your $40 consultation.
Please read carefully and sign below.
Informed Consent for Hormone Replacement Therapy (HRT)
This consent is between you and Sonali Health PLLC, a Texas-licensed telemedicine practice operated by Viola Sudheer, PA-C.
Purpose of Treatment
HRT is prescribed to alleviate symptoms of perimenopause and menopause including hot flashes, sleep disturbance, mood changes, vaginal dryness, and low libido, and to support long-term bone and cardiovascular health where appropriate.
Benefits
Reduction of vasomotor symptoms (hot flashes, night sweats) by up to 90%
Improved sleep, mood, cognitive function, and sexual health
Prevention of osteoporosis and fracture risk
Possible cardiovascular benefit when initiated within 10 years of menopause
Risks
Combined estrogen-progestogen therapy may slightly increase breast cancer risk with long-term use (>5 years)
Increased risk of blood clots with oral estrogen (lower with transdermal forms)
Endometrial cancer risk if estrogen is used without progesterone in women with uterus
Possible spotting or bleeding, breast tenderness, bloating initially
Telehealth & Follow-up
You agree to receive care via HIPAA-compliant video, report any unusual symptoms promptly, undergo periodic lab monitoring as directed, and attend follow-up visits as clinically indicated. This is not emergency care.
Voluntary Participation
You may discontinue HRT at any time. Stopping should be discussed with your provider to plan an appropriate tapering schedule.
Patient Acknowledgment & Signature
🔒 HIPAA-compliant. Your consent is securely stored in your Sonali Health record.