Menopause isn't one thing leaving. Estrogen and progesterone each do real work in your body, and they don't fall at the same rate or in the same way. Hervana doesn't hand out a single off-the-shelf pill. Your clinician builds a protocol from these two, in the forms and doses your history and bloodwork call for, then adjusts as your numbers respond.
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Estradiol is the most active form of estrogen, and it touches almost everything: your brain, bones, blood vessels, skin, and the way you regulate temperature and sleep. When it drops in perimenopause and menopause, the effects can show up across the board, not in one place. For many women, replacing it is the foundation a protocol is built on.
Estrogen is one of the most studied therapies in women's health. For many healthy women under 60 (or within 10 years of their last period), clinical guidelines suggest the benefits can outweigh the risks, though this varies from person to person. Your clinician reviews your full history first, because it isn't right for everyone.
See if estradiol fits you →Estrogen helps regulate your internal thermostat. For many women, restoring it can quiet the flashes and the 3am sweats.
For many women, steadier estrogen can support deeper sleep and the mental clarity that disappears when you're sharp by 9 and foggy by 2.
Estrogen plays a role in maintaining bone density, which falls fastest in the years right after menopause. For many women, replacing it can help support the strength you've built.
Delivery forms your clinician may use
A transdermal patch delivers a steady dose through the skin, changed once or twice a week.
Applied daily to the skin for absorption that bypasses first-pass metabolism in the liver.
A daily tablet, where appropriate for your history and preferences.
The right form depends on your history and your numbers. Your clinician chooses with you, not for you.
If you have a uterus and take estrogen, progesterone is essential. Estrogen alone can overstimulate the uterine lining; progesterone keeps it in balance and protects it.
Many women find progesterone, often taken at night, can ease the wired-but-tired feeling and support deeper, more restorative sleep.
In perimenopause, progesterone can help smooth the erratic swings that come as your cycle becomes unpredictable.
Progesterone is the counterweight to estrogen. Its most important job is protective: this is why clinicians generally pair progesterone with estrogen for women who have a uterus, since estrogen on its own can overstimulate the uterine lining. But it does more than guard. It's the hormone many women credit for finally sleeping through the night again.
Hervana clinicians typically prescribe micronized progesterone, the form that matches the molecule your body makes. Whether you need it, and at what dose, depends on your anatomy, your estrogen plan, and your goals.
See if progesterone fits you →A 3-minute intake built around energy, sleep, mood, and focus, not just hot flashes. It helps your clinician see where things may have shifted.
In most cases we confirm with labs. It's how we personalize your doses and establish a baseline to adjust against.
A licensed provider builds your protocol from estradiol and progesterone, matched to your history and goals.
Your body responds; your protocol follows. We refine forms and doses over time as your numbers and your symptoms change.
Hormone therapy is powerful medicine, and it isn't suitable for everyone. Whether estradiol or progesterone is appropriate for you depends on your personal and family history, your current health, and your goals, which is exactly why a licensed clinician reviews everything before anything is prescribed.
This page is informational and not medical advice. Prescriptions are issued only after evaluation by a licensed provider, and individual results vary. Your clinician will discuss the benefits, risks, and alternatives that apply to your situation.