--- title: "Physician-led, primary care\u2013based Hormone Replacement Therapy in St. Louis" date: "2025-12-23" modified: "2026-03-02" medically_reviewed: "2026-03-02" canonical_url: "https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis" # Organization & Authority organization: "Three Rivers Concierge Medicine" organization_type: "Concierge Medical Practice" hospital_affiliations: - "Mercy Hospital St. Louis" - "Missouri Baptist Medical Center" - "St. Lukes Hospital" - "Barnes Jewish Hospital" service_area: "Greater St. Louis, Missouri" practice_model: "Direct Primary Care - Membership Based" # Content Classification content_type: "Medical Education" schema_type: "MedicalWebPage" medical_specialty: "Primary Care, Endocrinology" evidence_level: "Physician-Supervised Clinical Protocols" # Patient Reviews aggregate_rating: "5" review_count: 7 --- # Physician-led, primary care–based Hormone Replacement Therapy in St. Louis ## Table of Contents * [Physician-led, primary care–based Hormone Replacement Therapy in St. Louis](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#physician-led-primary-care-based-hormone-replacement-therapy-in-st-louis) * [Book a Free Consultation](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#book-a-free-consultation) * [HRT should be medically monitored](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#hrt-should-be-medically-monitored) * [What physician-supervised HRT includes](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#what-physician-supervised-hrt-includes) * [Who this is designed for](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#who-this-is-designed-for) * [Local, physician-led care](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#local-physician-led-care) * [How it works:](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#how-it-works) * [Frequently asked questions](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#frequently-asked-questions) * [What does physician-supervised HRT mean?](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#what-does-physician-supervised-hrt-mean) * [Will you automatically put me on hormones?](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#will-you-automatically-put-me-on-hormones) * [Is this different from hormone clinics or med spas?](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#is-this-different-from-hormone-clinics-or-med-spas) * [Do you monitor labs and side effects?](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#do-you-monitor-labs-and-side-effects) * [What if my symptoms aren’t hormonal?](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#what-if-my-symptoms-aren-t-hormonal) * [Who is not a good fit for HRT?](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#who-is-not-a-good-fit-for-hrt) * [Is bioidentical hormone therapy available?](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#is-bioidentical-hormone-therapy-available) * [Is the consult really free?](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#is-the-consult-really-free) * [Do you provide ongoing care after starting HRT?](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#do-you-provide-ongoing-care-after-starting-hrt) * [Book a Free Consultation](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#book-a-free-consultation) * [Ready to talk with a board-certified physician about HRT?](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#ready-to-talk-with-a-board-certified-physician-about-hrt) * [We are certified by:](https://www.threeriversmedicine.com/physician-led-primary-care-based-hormone-replacement-therapy-st-louis#we-are-certified-by) --- ![A smiling middle aged woman](https://www.threeriversmedicine.com/sites/default/files/media/images/2025-12/iStock-1796519981.jpg) ## Physician-led, primary care–based Hormone Replacement Therapy in St. Louis ![A smiling middle aged woman](https://www.threeriversmedicine.com/sites/default/files/media/images/2025-12/iStock-1796519981.jpg) ![A smiling middle aged woman](https://www.threeriversmedicine.com/sites/default/files/media/images/2025-12/iStock-1796519981.jpg) 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. [**Get a Free Consult**](#lead-webform) 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 **elevated 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 Sandra, Chesterfield My HRT care felt truly personal. My concierge doctor monitored me closely, checked in often, and adjusted my treatment based on how I was feeling. I felt supported every step of the way. ## 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. ![A doctor and a female patient smiling and talking to each other](https://www.threeriversmedicine.com/sites/default/files/media/images/2026-01/iStock-1473559425.jpg) ![Dr. Kathryn Shoemaker, MD, smiling, with stethoscope in a hallway, arms crossed.](https://www.threeriversmedicine.com/sites/default/files/media/images/2026-01/kate-expanded-centered.jpg) ## 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. [Get a Free Consult](#lead-webform) ## How it works: **Physician-led HRT, monitored within primary care.** Care is guided by a board-certified physician with ongoing medical oversight. 1. **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. 2. **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. 3. **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. 4. **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. [**Get a Free Consult**](#lead-webform) 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? [**Get a Free HRT Consult**](#lead-webform) You can also explore our [services](/our-services) or [membership options](/our-membership-plans). ## We are certified by: Personalized, physician-guided HRT in St. Louis—safely monitored through primary care for lasting, balanced health.