Women’s Hormone and Estrogen Replacement Therapy (HRT Treatment)

Q: What are common PMS symptoms?

Common symptoms of PMS include:Mood swings,Feeling depressed or irritable,Feeling upset, anxious or emotional,Tiredness or trouble sleeping,Bloating or cramping,Breast tenderness,Headaches,Spotty skin.

We support your physical, emotional, and mental well-being.

Providing comprehensive women’s health services virtually.

Support for hormone imbalances, PMS, PMDD, fertility, and menopause—with personalized, compassionate care and Estrogen Replacement Therapy (ERT) from experienced medical providers.

What are common women’s health and hormone concerns?

Women often face hormone-related challenges at different stages of life. Whether you’re dealing with severe PMS, PMDD, navigating fertility, or entering perimenopause, these shifts affect more than just your physical health—they impact your mood, your energy, and your overall quality of life.

What are signs it might be time to talk with a healthcare professional?

Irregular or painful menstrual cycles
Fatigue, brain fog, or sudden mood swings
Symptoms of perimenopause or menopause (like hot flashes and night sweats)
Fertility concerns or cycle tracking questions
Unexplained weight gain, bloating, or hormonal acne
Sleep disturbances or a noticeably low libido

Specialized Care Areas

Navigating Perimenopause & Menopause with Confidence

Perimenopause and menopause are natural phases of life, but that doesn’t mean you have to tough out the symptoms. Shifting estrogen and progesterone levels can disrupt your physical and emotional baseline.

Our clinicians help you manage symptoms, protect your long-term health, and feel like yourself again.

Physical: Relief from hot flashes, night sweats, and sleep disruption.
Cognitive & Emotional: Strategies for brain fog, mood swings, anxiety, and irritability.

Long-Term Wellness: Preventative care for bone density, cardiovascular health, and thyroid function.

Relief for Heavy or Painful Menstruation

Severe menstrual cramps (dysmenorrhea) or extremely heavy bleeding (menorrhagia) shouldn’t be your “normal.” If your period is causing fatigue, dizziness, or keeping you from living your life, we need to look closer. We conduct thorough evaluations to check for underlying conditions like fibroids, endometriosis, or hormonal imbalances, offering targeted treatments to give you your life back.

Comprehensive Care for PCOS & PMDD

Polycystic Ovary Syndrome (PCOS): We provide comprehensive management for PCOS, targeting irregular periods, acne, fertility challenges, and metabolic shifts. Our plans often include hormone regulation, nutritional counseling, and medication to improve insulin sensitivity.
Premenstrual Dysphoric Disorder (PMDD): PMDD is far more severe than standard PMS, bringing intense mood swings, severe anxiety, and extreme physical fatigue. We use a combination of therapies—including hormone stabilization and coordination with our mental health team—to bring you relief.

The Level Up Approach to

Women's Wellness

At Level Up Wellness Group, we don’t just look at a single symptom; we look at the whole picture. Our care plans are built on our integrated philosophy, meaning we coordinate your medical care with mental health, sleep, and lifestyle support.

What your care journey might look like:

Meet Our Nurse Practitioner Team

At this time our Nurse Practitioner Team provides service 100% virtually.

We do not have an in-clinic provider at this time, and cannot provide physical services. Follow us as we are working to find a compassionate in person nurse practitioner at our in person location in Beaumont.

Goal for in-person service is for Fall 2026.

Frequently Asked Questions (FAQ)

For a full list of questions and answers, see our FAQ page.

What happens during Menopause?

Menopause is a natural stage in a woman’s life marked by the permanent end of menstrual cycles, officially diagnosed after 12 consecutive months without a period. Most women reach menopause around age 52, as the ovaries gradually produce lower levels of estrogen and progesterone. The transition phase, known as perimenopause, often begins with irregular periods and hormonal fluctuations. As menopause progresses, common symptoms may include hot flashes, night sweats, vaginal dryness, and sleep disturbances, all of which can impact overall health and quality of life.

What does Hormone Replacement Therapy (HRT) do to a woman?

Hormone Replacement Therapy (HRT) for women is a widely used treatment for managing perimenopause and menopause symptoms by replenishing declining estrogen and progesterone levels. HRT is effective in relieving common menopause symptoms such as hot flashes, night sweats, and vaginal dryness. In addition to symptom relief, hormone therapy can improve overall quality of life by promoting better sleep, supporting bone health to help prevent osteoporosis, and enhancing mood, memory, and joint comfort. Many women consider HRT a key option for menopause symptom management and long-term wellness.

What is the safest Estrogen Replacement Therapy?

Transdermal estrogen therapy—delivered through patches, gels, or sprays—is often regarded as one of the safest options for estrogen replacement during menopause. Unlike oral estrogen pills, transdermal delivery bypasses the liver, which may reduce the risk of blood clots. For many women, a low-dose bioidentical estradiol regimen combined with micronized progesterone (for those with a uterus) is considered an effective approach for balancing hormones while minimizing potential risks. This method is commonly recommended as part of a safe and personalized hormone replacement therapy (HRT) plan for menopause management.

What are the side effects of Estrogen Replacement Therapy?

Common side effects of estrogen-based hormone replacement therapy (HRT) can include breast tenderness, bloating, headaches, nausea, mood changes, and occasional vaginal spotting or breakthrough bleeding. These menopause-related HRT side effects are often temporary and tend to improve within three to six months as the body adapts to hormone levels. Different delivery methods may also influence risk; for example, oral estrogen therapy has been associated with a slightly higher risk of blood clots compared to transdermal HRT options such as patches or gels.

What are common PMS symptoms?

Common symptoms of PMS include:

Mood swings,
Feeling depressed or irritable,
Feeling upset, anxious or emotional,
Tiredness or trouble sleeping,
Bloating or cramping,
Breast tenderness,
Headaches,
Spotty skin.

What does PMDD feel like?

Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome (PMS) that can cause intense emotional and physical symptoms in the one to two weeks leading up to menstruation. Often described as a sudden shift in mood and well-being, PMDD symptoms may include extreme irritability, anger, persistent sadness or depression, feelings of hopelessness, anxiety, and even panic attacks. These symptoms typically ease or resolve shortly after the menstrual period begins, making PMDD a cyclical but highly disruptive condition that often requires targeted treatment and support.

Pricing

Most medical services start at $400/hour

(Initial Hormone Health Sessions are $500)

Specialty programs or assessments may carry an additional cost. Your NP can discuss the specifics with you in your first session. Please check with your insurance provider regarding coverage for private nursing services. We do not direct bill insurance carriers or provincial health plans for private medical services.

We offer third-party billing options; please contact our Client Relations Team for more information.