Your First Year — The Menopause Clinic
One Year

A full year —
and this is just the beginning.

One year of treatment is a real milestone. Your body has been through a lot of change — some of it visible, much of it not. Here's what a year of consistent care has done for you, and what's worth thinking about as you move forward.

What a Year Has Done

More has happened than you might realize.

The symptoms you came in with — the ones that disrupted your sleep, your mood, your sense of yourself — have shifted. Some dramatically. Some gradually. That didn't happen by accident. It happened because treatment was started, adjusted, and managed over time.

But beyond symptoms, a year of HRT means a year of protection building quietly in the background. Your cardiovascular risk is lower. Your bones are stronger than they would have been. Your brain is being supported in ways that research continues to bear out. None of that shows up in how you feel day to day — but all of it is real.

Where you are at one year depends entirely on where you started. Some patients are well into menopause and finding a new stability. Others are years from menopause, still in the middle of perimenopause's most unpredictable stage. Both are valid — and both mean continued care matters.

What's Still True

Treatment still needs to fit where you are now.

A year of treatment doesn't mean things are set permanently. If you're in perimenopause, your hormone levels are still changing — and your treatment may need to change with them. Even in menopause, what was right at the start isn't always right at year one.

Some patients find their symptoms stabilize significantly after the first year. Others continue to experience fluctuations — particularly those still in the perimenopause transition. Either way, the goal is the same: treatment that fits your body right now, not your body from a year ago.

Keep tracking. Keep communicating. If anything has shifted — symptoms returning, changing, or something new — that's important information.

Something worth looking at —
at the one-year mark.

We don't use lab numbers to control your symptoms — that's not how HRT works. But after a year of treatment, there's something useful we can look at.

Estradiol levels can tell us whether your body is absorbing and utilizing your treatment the way it should be. Not to hit a target number, but to make sure your treatment is actually doing what we intend — protecting your heart, your bones, and your brain the way the evidence says it should.

It's not a requirement. But if you haven't had labs recently and you'd like a clearer picture of where you stand, it's worth considering. Everything you need to order labs is in the Member Hub.

View lab options →

Your one-year check-in is worth doing.

A year of data tells a story. Let's look at it together.

Medical emergency? Chest pain, severe headaches, leg swelling or pain, sudden vision changes — call 911 or go to the nearest ER immediately.

For anything bothersome or that doesn't feel right — send a message through your portal. That's exactly what your care includes.

Everything you need is in the Member Hub.

Refills, lab options, resources — all in one place.