While perimenopause and menopause are considered ‘normal’ life changes, you get no medals for suffering through it alone.
Join us in the movement where all women get to look and feel great from the inside out.
Help with Menopause is here.
Get Started
Manage menopause and perimenopause with ease. We’ll help you find the right therapies to get you feeling like you again.
Welcome to the sisterhood.
We're with you every step of the way.
Step 1
Complete the online health history and consent forms.
Step 2
Receive 1-on-1 care from our licensed health coach.
Step 3
Personalized treatments shipped right to your door.
What's included?
Board Certified Clinicians
Doctor Prescribed Medications
1-on-1 Coaching
Unlimited Messaging
Lifestyle & Nutrition Support
Women's Hormone Therapy
Women's Hormone Therapy
See important safety information
$149-$199 a month for medications; includes provider visits. Lab draws are $99.
Our hormone treatment options come as creams, troches, capsules, and injectables. We’ll work with you to customize a plan that best fits your individual needs. We also offer the option to mix personalized dosages into one cream for super easy application.
What are Bioidentical Hormones?
Bioidentical hormones are manmade hormones derived from plant estrogens that are chemically identical to those the human body produces. Estrogen, progesterone, and testosterone are among those most commonly replicated and used in treatment. Bioidentical hormones come in various forms, including:
- Pills
- Patches
- Creams
- Gels
- Injections
What can I expect?
HRT not only reduces or eliminates life altering symptoms but it has been proven to:
- Reduce the risk of heart disease by 30-50% (the #1 cause of death for women)
- Cut your risk for osteoporotic hip fracture by 50%
- Reduce your risk for developing alzheimers and other brain degenerating disease by almost 70%
- Increase your lifespan by 3-4 years
What is Perimenopause?
Perimeopause and the early years of menopause are a critical window for health, and that’s true even if you don’t have symptoms. It is a sensitive period or inflection point, during which time small health problems could, if not addressed, amplify into larger and more permanent health problems later in life. Symptoms can include:
- Change in cycle length
- Headaches
- Anxiety
- Mood swings
- Depression
- Low Libido
- Trouble sleeping
- Hot flashes
- Night sweats
- Vaginal dryness
- PMS
- Achy joints
- Irritability
- Brain fog
- Weight Changes
- Skin/hair changes
The signs and symptoms of menopause can vary greatly from person to person.
Mild Symptoms
in 33% of women
Bothersome Symptoms
in 33% of women
Ongoing Symptoms
in 33% of women
About Menopause
Some women have no symptoms during menopause. Their period stops and that’s it. But they are in the minority. 80% of women experience some symptoms and for half of them these symptoms last for years. The medium duration of hot flashes and vasomotor symptoms among these women was 7.4 years You should start BHRT during perimenopause. The closer you start to menopause the better the long term outcomes for preventing bone loss and osteoporosis.
Supported by Advocates of All Things Wellness
“For the last two decades perimenopausal and menopausal women have received misinformation about the benefits and risks of hormone replacement therapy. Now is the time to right that wrong and to offer women the relief they need today as well as the preventive therapies that will benefit them tomorrow.”
Amy Killen, MD
Medical Advisor
Real Women Who've Found Their Joi
FAQs
What is estrogen and what does it do?
Throughout our lives, our bodies depend on estrogen to keep us healthy and going strong. Not only is it essential for our reproductive activities, it also affects our urinary tract, heart and blood vessels, bones, breasts, skin, hair, pelvis muscles and our brain.
What is testosterone and what's it's role?
Women produce 3x as much testosterone as estrogen (before menopause). Testosterone in women helps keep bones healthy, promotes cognitive health and maintains sex drive. It is helpful for overall energy levels and to keep bodily functions running smoothly.
What is progesterone and it's role?
We produce progesterone when we ovulate. The first hormone to go down when we start ovulating less or sporadically is progesterone. Progesterone converts to a neurosteroid called allopregnanolone which calms GABA receptors. Progesterone is our calming hormone that helps with mood, anxiety and sleep.
What is DHEA?
DHEA is a hormone that is produced in our adrenal gland. It helps produce other hormones, including testosterone and estrogen. Natural DHEA levels peak in early adulthood and then slowly fall as you age.
How long does it take for treatment to work?
Every woman is different but estrogen and progesterone benefits can be felt in as little as 1-7 days. Testosterone usually takes longer at about 4 weeks. To experience the full benefits of HRT, it is best to be patient and know that dosing adjustments may need to be made to find the correct levels for your individual needs.
Is HRT safe?
While there are possible side effects with any medication or therapy, the short answer is yes. The 2002 WHI study that claimed HRT caused an increased risk of breast cancer and blood clots has been proven wrong. There are numerous studies proving that HRT is not only safe and effective for treating menopausal symptoms but it is preventative and protective over our heart, brain and bones. Read the official NAMS position statement on menopause here.
What does it cost?
Initial lab with provider visit is $99. If labs are not needed the consultation fee is $25. HRT is a monthly subscription, billed quarterly. Costs range from $149 to $199 a month for both medications and provider visits, depending on your customized treatment plan.
I have labs from another clinician, can I use them?
If you have not been on hormonal support, the labs can be from the last 3-6 months. If on hormonal support, labs need to be within the last 90 days. Email labs to info@choosejoi.co
Can you help my husband too?
We can! Meet Blokes, the male version of Joi.
Do you take insurance?
We do not accept insurance at this time. We do accept credit cards and HSA/FSA accounts.