Physician-led, primary care–based Hormone Replacement Therapy in St. Louis
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If you’re going through perimenopause and are considering hormone replacement therapy, do it with a physician who monitors your on-going health, not just your hormones. HRT works best when it’s guided by a board-certified physician who knows your overall health history and challenges and follows you over time.
No obligation visit with our medical staff to find out if Three Rivers is a good fit for you.
Book a Free Consultation
We will help you understand our approach to Hormone Replacement Therapy.
HRT should be medically monitored
Hormone replacement therapy can affect cardiovascular risk, breast health, bone density, mood, sleep, and metabolism. That’s why our HRT care is delivered through a physician-led primary care practice—not a prescription-only service.
What physician-supervised HRT includes
Your hormones don’t exist in isolation, and neither does hormone therapy—HRT is considered as part of your overall primary and preventive health.
Our physician-supervised HRT therapy is superior primary care that helps increase your healthspan with:
- A careful review of symptoms and medical history
- Targeted lab testing
- Discussion of benefits, risks, and alternatives
- Thoughtful initiation and dose adjustments
- Ongoing monitoring and follow-up with a physician
Testimonial
Who this is designed for
This approach is designed for women who want hormone therapy managed by a board-certified physician.
- You want HRT guided within primary care
- You want monitoring, not one-time prescribing
- You want decisions based on your full health picture
Who may not benefit: If you’re looking for the fastest possible hormone prescription with no follow-up, this may not be the right fit.
Local, physician-led care
We’re a St. Louis–based primary care practice. Our patients choose us because hormone therapy is prescribed, monitored, and adjusted by a board-certified physician who follows their health over time.
How it works:
Physician-led HRT, monitored within primary care.
Care is guided by a board-certified physician with ongoing medical oversight.
Schedule a complimentary consult with your physician.
Meet with your doctor, ask questions, and determine whether this primary care–based HRT approach is the right fit.Comprehensive intake exam and risk assessment.
A 2–3 hour in-depth visit reviewing your medical history, symptoms, lifestyle, risk factors, and relevant diagnostics. This visit includes discussion and appropriate testing.Personalized hormone and prevention plan.
Based on your results, we create a tailored medical plan with clear priorities and ongoing physician follow-up throughout the year.Ongoing, proactive care.
Questions, symptoms, screenings, or concerns—whether you’re sick or well—we monitor your health continuously. Reach out anytime and receive same- or next-day appointments as issues arise.
You’ll leave knowing what the next steps would be. No obligation, meet directly with the doctor.
Frequently asked questions
What does physician-supervised HRT mean?
It means hormone therapy is prescribed and monitored within primary care, with follow-up and adjustments based on your overall health.
Will you automatically put me on hormones?
No. We evaluate symptoms, medical history, and risk factors before recommending HRT.
Is this different from hormone clinics or med spas?
Yes. Care is delivered through a physician-led primary care practice with ongoing monitoring.
Do you monitor labs and side effects?
Yes. Monitoring is a core part of safe and effective hormone therapy.
What if my symptoms aren’t hormonal?
We evaluate other possible causes instead of assuming hormones are the answer.
Who is not a good fit for HRT?
Some medical histories or risk profiles make HRT inappropriate. We review this carefully.
Is bioidentical hormone therapy available?
Options are discussed based on safety, evidence, and individual needs.
Is the consult really free?
Yes. The consult is designed to determine fit and outline next steps before any commitment.
Do you provide ongoing care after starting HRT?
Yes. Hormone therapy is adjusted and monitored over time.
Book a Free Consultation
We will help you understand our approach to Hormone Replacement Therapy.
Ready to talk with a board-certified physician about HRT?
You can also explore our services or membership options.