Estrogen Therapy Online

Hot flashes, sleep disruption, brain fog, and mood swings do not have to be your new normal. Estrogen therapy can ease these symptoms and support long-term health when it is matched to your history, goals, and labs. With TBTotal.Health, yo

u can start estrogen therapy online through private video visits, simple labs when needed, and a personalized plan shipped to your door.

What is Estrogen Replacement Therapy?

Estrogen replacement therapy restores estrogen to a physiologic range that supports temperature regulation, sleep architecture, mood stability, urogenital comfort, and bone health. We focus on natural estrogen replacement therapy using bioidentical options that match the body’s own chemistry. Dosing is individualized. More is not better.

Who Benefits?

• Perimenopause with cycle changes, night sweats, and sleep issues
• Postmenopause with persistent hot flashes, vaginal dryness, low mood, or brain fog
• Surgical menopause with sudden symptom onset
• Women seeking support for bone health and healthy aging
• Clients who tried supplements alone and still feel off

Common Symptoms We See

• Hot flashes and night sweats
• Sleep that feels light or fragmented
• Vaginal dryness and discomfort with intimacy
• Mood swings, irritability, or low motivation
• Brain fog and slower word recall
• Joint aches and lower exercise recovery

How Our Estrogen Therapy Online Program Works?

1. Video intake
   Meet a licensed provider who listens first. We review symptoms, cycles, or surgical history, medications, sleep, and goals. Bring your questions.
2. Labs when needed
   Sometimes your provider may require lab work to guide dosing or rule out other causes. If labs are needed, you can use a mailed kit or a nearby draw site. We may check estradiol, progesterone, thyroid markers, lipids, and other wellness labs.
3. Personalized plan
   Your plan may include bioidentical estradiol plus progesterone when indicated for uterine protection, along with simple lifestyle steps that make therapy work better.
4. Pharmacy shipping
   Medications ship from trusted pharmacies with clear instructions and storage guidance.
5. Follow ups
   Short virtual visits check symptoms, sleep, mood, and any side effects. We fine-tune the dose and timing. When appropriate, follow-up labs confirm a healthy range.

Dosing and Formats We Use

• Transdermal estradiol patches are changed once or twice weekly
• Transdermal estradiol gels or creams for daily use
• Vaginal estradiol for local dryness and comfort
• Injectable estradiol given subcutaneously or intramuscularly on a weekly or biweekly schedule for clients who prefer injections or cannot tolerate transdermal or oral routes. Dosing is carefully titrated and monitored to keep levels in a safe physiologic range.
• Oral or vaginal progesterone when the uterus is present

What Results to Expect?

• Weeks 1 to 2
  Fewer nighttime awakenings and steadier daytime energy
• Weeks 3 to 6
  Hot flashes ease, mood steadies, and brain fog lifts
• Months 2 to 4
  Exercise recovery and intimacy comfort improve, with ongoing gains in sleep quality and quality of life

Habits that Amplify Results

• Keep a regular sleep window and morning light routine
• Strength train two to three days per week and walk daily
• Aim for protein and fiber at each meal and stay hydrated
• Limit late-night alcohol
• Use pelvic floor and vaginal moisturizers when appropriate

Safety and Monitoring

Your safety comes first. We review your history, family risks, medications, and screening status before you begin. Monitoring may include:

• Symptom tracking for hot flashes, sleep, mood, and urogenital comfort
• Blood pressure, weight, and waist trends
• Labs, when appropriate, to guide dosing
• Coordination of mammography and other age-appropriate screenings with your local clinicians

Estrogen Therapy Online vs In-Clinic Visits

Both paths can work. Online care saves time and helps you stay consistent.

Frequently Asked Questions

Do I need progesterone?
If your uterus is present, progesterone is often included to protect the lining. If you have had a hysterectomy, your provider may recommend estradiol alone.

Can I use natural estrogen replacement therapy?
Yes. We use bioidentical estradiol and progesterone in modern dosing and formats that fit your life.

Will I gain weight?
Most clients do not gain scale weight from physiologic dosing. Many find that their sleep, mood, and activity levels improve, which supports a healthy body composition.

How long will I stay on therapy?
That is individualized. Many women continue, as the benefits outweigh the risks, and their quality of life improves. We reassess at regular intervals.

Why Choose TBTotal.Health?

• Licensed hormone therapy providers who listen and explain
• Real conversations, not auto-generated protocols
• Labs when needed, so dosing is precise and safe
• Multiple delivery methods with clear instructions
• Discreet shipping and responsive follow-ups
• Optional insurance membership if you want to apply benefits to covered services

You get a calm, informed path instead of guesswork.

Start Estrogen Therapy Online

If you are ready to explore estrogen replacement therapy with a plan that fits your life, book a private video visit. We will confirm whether you are a candidate, complete any needed labs, and build a plan that respects your time and health.

Start here!

Feel balanced, sleep better, and move through your day with more ease.