Hormone balance for women in perimenopause and menopause
Hormone changes can start in your late 30s and 40s, years before your periods stop. Sleep, mood, hot flashes, libido and body composition are often the first things to change. Chris Neal, PA-C, reviews a full female hormone panel together with your symptoms, then builds a plan around both.
Signs people notice
- Trouble sleeping or waking up at 3 a.m.
- Hot flashes or night sweats
- Mood changes, anxiety or irritability
- Lower libido
- Weight gain around the middle with the same habits
- Brain fog
Why it happens
Estradiol and progesterone can rise and fall unevenly during perimenopause, which is why symptoms come and go.
Testosterone and thyroid hormones also affect energy, mood and body composition in women, so we look at them too.
What we check
- Estradiol
- Progesterone
- Total testosterone (LC/MS)
- Free testosterone
- SHBG
- FSH
- LH
- TSH
- CBC
- Lipid panel
How it works at 360 Health
- Step 1Register online
A secure form and your telehealth consent. About five minutes.
- Step 2Get your labs
A lab near you, from $125. Recent labs from the last three months also work.
- Step 3Video consult with Chris
$75. He reviews every result with you.
- Step 4Your protocol
If treatment makes sense, prescribed and shipped to you, with follow-up labs.
Chris reviews your labs and how you feel, explains your options with their benefits and risks, and you decide together. Follow-up labs track how you respond.
Results vary from person to person. All medications require a consultation and a prescription from a licensed clinician.
Questions about female hormone balance
Which labs do you check for women?
Our basic panel for women includes estradiol, progesterone, total and free testosterone, SHBG, FSH, LH, a complete blood count, a metabolic panel and a lipid panel. The performance panel adds thyroid, iron, cortisol and insulin markers.
Am I too young or too old for this?
There is no single age. Perimenopause can begin in the late 30s or 40s, and symptoms can continue after menopause. If something changed in how you feel, it is worth checking.
Is everything done online?
Yes. Labs are drawn at a lab near you, and your consult with Chris is by video.
Find out what your labs are telling you.
Register in five minutes. Chris takes it from there.