Menopause Hormone Therapy for Women in Worthington, OH
Menopause Care That Starts With Listening
Maybe it’s the night sweats that wake you at 3 a.m., or the mood swings that seem to come out of nowhere. Maybe you just don’t feel like yourself anymore, and no one has given you a clear reason why. These changes are real, they’re common, and they deserve more than “that’s just part of getting older.”
At Precision Health & Wellness, menopause hormone therapy begins with a conversation about what you’re experiencing and what you want to feel again. Your providers take the time to understand your symptoms, your health history, and your goals before recommending a plan. It’s a focused part of our broader hormone replacement therapy program, built specifically around the changes women face in midlife.
Perimenopause, Menopause, and What's Changing
Menopause doesn’t happen overnight. It unfolds in stages, and you can start feeling its effects years before your last period.
Perimenopause
Often beginning in your 40s, perimenopause is the transition leading up to menopause. Estrogen and progesterone levels rise and fall unpredictably, which is why symptoms can come and go or feel different from month to month. Periods may become irregular, heavier, or lighter.
Menopause
Menopause is officially reached after 12 months in a row without a period. By this point, your ovaries produce much less estrogen and progesterone.
Postmenopause
The years that follow menopause. Some symptoms ease over time, while others, like vaginal dryness and bone loss, can continue or become more noticeable.
Think of your hormones like a dimmer switch. During perimenopause, the light flickers. After menopause, it settles at a lower level. Hormone therapy helps bring the brightness back to a level where you feel comfortable and like yourself.
Symptoms Women Often Bring to Us
Every woman’s experience is different, but most symptoms fall into a few familiar groups.
Hot flashes and night sweats
Sudden waves of heat, flushing, and sweating, often at the worst possible times. At night, they can soak your sheets and break up your sleep.
Intimacy and vaginal changes
Vaginal dryness, discomfort during intimacy, lower desire, and urinary changes. These symptoms are common and very treatable. You can also explore our sexual wellness services and the O-Shot®.
Sleep, mood, and focus
Trouble falling or staying asleep, irritability, anxiety, low mood, and the frustrating “brain fog” that makes it hard to concentrate or remember things.
Bone and body changes
Lower estrogen speeds up bone loss, and many women notice shifts in muscle tone and where their body holds weight.
If fatigue or weight changes are part of your picture, your providers may also look at your thyroid health, since thyroid and hormone symptoms often overlap.
How Menopause Hormone Therapy Works
Menopause hormone therapy replaces the hormones your body is making less of, so your system has what it needs to function comfortably again.
Estrogen is the main hormone used to relieve hot flashes, night sweats, and vaginal dryness, and it helps protect bone density.
Progesterone is typically added if you still have your uterus. It protects the uterine lining while you’re taking estrogen.
Testosterone is also produced by women, in smaller amounts. Some women find it helpful for low desire and energy, and your providers can talk with you about whether it’s appropriate for you.
Your plan may use bioidentical hormones, which have the same structure as the hormones your body makes on its own. Your providers will explain your options and why they recommend a particular approach.
Choosing the Right Form of Therapy
How you take hormone therapy can matter as much as which hormones you take. The right form depends on your symptoms, your health history, and what fits your routine.
- Whole-body options
Pills, patches, creams, gels, and injectables deliver hormones throughout your body. These are typically used for hot flashes, night sweats, sleep disruption, and mood changes.
- Local vaginal therapy
Vaginal preparations treat dryness, discomfort, and some urinary symptoms right where they occur. They’re often a good fit when those are your main concerns.
- Hormone pellets
Small pellets placed under the skin release hormones steadily for several months, so there’s nothing to apply day to day. Learn more about BioTE® pellets.
Is Hormone Therapy Right for You?
Hormone therapy is often a good fit when menopause symptoms are getting in the way of how you want to live. It may be worth exploring if you’re hoping to:
- Stop hot flashes and night sweats from disrupting your days and nights
- Sleep through the night and wake up feeling rested
- Feel steadier in your mood and clearer in your thinking
- Ease vaginal dryness and feel comfortable with intimacy again
- Protect your bones as estrogen levels decline
- Get relief from perimenopause symptoms before they build
Your symptoms can also point toward the right type of therapy. If hot flashes, night sweats, and sleep are your biggest concerns, whole-body therapy is usually the starting point. If dryness or discomfort is your main issue, local vaginal therapy may be all you need. And if you’d rather not think about daily doses, pellets offer steady support for months at a time.
During your consultation, your providers will match your plan to the changes you most want to see, so you know what to expect and how progress will be measured.
Getting Started at Precision Health & Wellness
Starting menopause care here is designed to fit into a busy life, with virtual visits available and medication delivered the way that works best for you. Here’s how the process unfolds.
Complete Your Intake
Fill out your new patient paperwork online through our secure patient portal. It takes the guesswork out of your first visit and gives your providers a head start on understanding your health.
Have Your Labs Drawn
Fasting lab work is drawn in our office at least one week before your consultation, so your results are ready to review together.
Meet With Your Provider
Your consultation can be in person or virtual. You’ll talk through your symptoms, health history, and goals, and leave with a personalized treatment plan.
Receive Your Medication
Prescriptions are sent to your local pharmacy or mailed directly to your home, whichever you prefer.
Stay on Track
Regular follow-up visits, in person or virtual, help your providers adjust your plan as your body responds and your needs change.
Why Women Choose Precision Health & Wellness for Menopause Care
Menopause care is a specialty, and the training behind it matters. Precision Health & Wellness is led by Dr. Christine Salem, DNP, CNP, FNP-C, PMHNP-BC, MSCP, IFMCP, one of the few female providers in the Columbus area who is both a Menopause Society Certified Practitioner (MSCP) and an Institute for Functional Medicine Certified Practitioner (IFMCP).
Her menopause certification reflects advanced knowledge in caring for women through perimenopause and menopause. Her functional medicine training means she looks at how sleep, stress, metabolism, and gut health shape your symptoms, not just your hormone levels. And as a board-certified psychiatric-mental health nurse practitioner, she brings added insight into the mood changes, anxiety, and brain fog that so often come with this transition. Dr. Salem and Brittney Waller, MSN, APRN, FNP-C, are also both BioTE Certified Providers for women who choose pellet therapy.
Together, they offer something many women have trouble finding: providers who take midlife symptoms seriously, explain every option clearly, and stay involved as your needs change over the years.
Schedule Your Menopause Consultation in Worthington
You don’t have to wait until symptoms take over your life to ask for help. Whether you’re just noticing the first signs of perimenopause or you’ve been living with menopause symptoms for years, a consultation is a simple first step toward feeling like yourself again.
Precision Health & Wellness welcomes women from Worthington, Upper Arlington, Hilliard, Gahanna, and Polaris. Visit us at 1000 N High St B in Worthington, Ohio, Monday through Friday, 8 a.m. to 5 p.m., or ask about virtual appointments.
Testimonials
Transformations That Speak for Themselves
Frequently Asked Questions About Menopause Hormone Therapy
Can I start hormone therapy during perimenopause?
Yes. You don’t need to wait until your periods have stopped. Many women find relief from perimenopause symptoms with the right plan, and your providers will tailor it to where you are in the transition.
Do I need progesterone?
If you still have your uterus and are taking estrogen, progesterone is usually recommended to protect the uterine lining. If you’ve had a hysterectomy, you may not need it. Your providers will explain what applies to you.
Will hormone therapy help me lose weight?
Hormone therapy isn’t a weight loss treatment. Some women find that better sleep and more energy make healthy habits easier to keep up. If weight is a priority, ask about our medical weight loss program.
How long can I stay on hormone therapy?
There’s no single time limit that applies to everyone. Your providers will review your plan regularly and talk with you about whether to continue, adjust, or taper based on your health and how you feel.
Is menopause hormone therapy safe?
Our understanding of hormone therapy’s safety has grown considerably over the past two decades. In 2026, the U.S. Food and Drug Administration updated the labeling for several menopause hormone therapy products, removing longstanding boxed warning statements about heart disease, breast cancer, and dementia. The update reflects research showing that women who begin hormone therapy within 10 years of menopause, generally before age 60, may see benefits that include fewer fractures and lower overall mortality.
That said, hormone therapy isn’t right for everyone. Your age, how long it’s been since menopause, and your personal and family history, including blood clots, stroke, and certain cancers, all shape what’s appropriate for you. Your providers will review these factors with you and explain the benefits and risks that apply to your situation.
Are virtual visits available?
Yes. Consultations and follow-up appointments can be completed in person or virtually. Fasting labs are drawn in our office before your first consultation.
Does hormone therapy really work?
For many women, it’s one of the most effective ways to manage menopause symptoms. Read more in our article, Does Hormone Replacement Therapy for Menopause Work?