Women's Health & Hormone Optimization

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We provide personalized, judgment-free care for women at every stage. From hormone optimization to sexual wellness, our plans are built around you, your medical history, and your symptoms. Hormone changes don’t suddenly begin at menopause, they start earlier than you think. For many women, subtle declines start in the mid-30s to early 40s, during perimenopause. 

Progesterone often declines first

• Ovulation becomes less consistent → lower progesterone production
• Can cause: poor sleep, PMS, anxiety, shorter cycles, spotting, heavier periods, breast tenderness, and migraines

Testosterone may also drop

• Women naturally produce testosterone from ovaries + adrenals
• Levels gradually decline with age and due to systemic contraceptive use.
• Can cause: low libido, fatigue, reduced muscle tone, slower recovery, brain fog, decreased motivation

Estrogen becomes more erratic

• Fluctuations (not just low levels) drive symptoms
• Can cause: vaginal & vulvar atrophy, mood swings, hot flashes, night sweats, weight gain, sleep disruption, and low levels can contribute to cardiovascular disease, cognitive impairment, and osteoporosis. 

Evidence shows starting HRT within 10 years of menopause or before age 60 is associated with the most benefit and lowest risk profile.

Women who start in this window may see:

• Lower cardiovascular risk
• Better bone protection
• Reduction of urinary tract infection risks
• Reduced all-cause mortality in some studies
• Fewer adverse events compared to starting later
• Cognitive protective benefits

Don't settle for "normal" labs. Your body. Your hormones. Your goals.

At Viva Wellness Co., we’re here for all of it!