Cortisol and Perimenopause: How Your Hormones Impact Stress

What if everything you’ve been told about stress and hormones is backwards? The common narrative says that chronic stress “steals” your progesterone, leading to hormonal imbalance. But what if it’s actually the lack of hormones—specifically estradiol and progesterone—that’s driving your stress response into overdrive?

Ask Dr. Sarah: Does HRT Prevent Osteoporosis?

If you’re in your 30s, 40s or 50s and starting to hear more about osteoporosis, you’re not alone—and you’re asking a smart question. One of the most common concerns I hear from women is: Does hormone replacement therapy (HRT) help prevent osteoporosis? The answer is important, especially during perimenopause and menopause when bone loss can accelerate rapidly.

Can HRT Stop Hair Loss? Understanding the Connection and Your Options | Inner Balance

If you’re finding extra strands on your pillow, thinning around your temples, or watching your once-thick ponytail shrink—you’re not alone. Hair loss during perimenopause, menopause, postpartum, or other times hormones are low – is incredibly common, but that doesn’t make it any less distressing.

What Does Perimenopause and Menopause Fatigue Feel Like? (And How to Get Relief)

We’re talking about the kind of fatigue that lingers no matter how early you go to bed, how many supplements you take, or how much coffee you drink. If you’re feeling exhausted during the day, mentally foggy, and emotionally drained, there’s a good chance this isn’t just stress or poor sleep.

Ask Dr. Sarah: Can You Start Menopause in Your 30s, or even 20s?

Menopause is a term we use to signify that the period has completely stopped for one year. So what is the problem with using this terminology? Most women can have all the symptoms of menopause, have very low levels of hormones and still have a period for decades before it stops!

Understanding the Options for Hormone Replacement Therapy

Hormone Replacement Therapy (HRT) has become a hot topic—and for good reason. As more women prioritize their long-term health, energy, and vitality, they’re looking for real, lasting solutions to the hormonal drops that can happen anytime in life and become especially pronounced in perimenopause and menopause.

How to Get Hormone Replacement Therapy: Prescription, Online & Over-The-Counter Options

Thinking About Hormone Replacement Therapy But Not Sure Where to Start?
You’re not alone.
Every day, I talk to women who are frustrated, confused, or overwhelmed when it comes to hormone replacement therapy (HRT). They’ve Googled symptoms, tried a few creams, or herbs and maybe even bought something off Amazon—but nothing seems to work the way they’d hoped.

Will Hormone Replacement Therapy Help Me Lose Weight? | Ask Dr. Sarah | Inner Balance

If you’ve been asking yourself, “Will hormone replacement therapy help me lose weight?”—you’re not alone. For so many women, weight gain around perimenopause and menopause feels frustrating, confusing, and at times, completely out of their control.

Bioidentical Hormone Replacement Therapy: Facts, Pros, and Cons

If you’ve been researching hormone replacement therapy (HRT), chances are you’ve come across the term bioidentical hormones more than once. Maybe your friends are on them. Or maybe you stumbled across them while trying to make sense of the symptoms that don’t feel “normal” for your age—fatigue, brain fog, mood swings, weight gain, disrupted sleep, heavy painful periods, or loss of libido.

What Kinds of Doctors Specialize in Hormone Replacement Therapy? | Ask Dr. Sarah

If you’ve been researching hormone replacement therapy (HRT), you might feel overwhelmed—like every article leads to more questions than answers. You’re not alone. Many women come to me after sifting through dozens of conflicting opinions, only to realize that what they really need is a provider who truly specializes in hormones, not just thinks they know, or dabbles in them, or thinks birth control is HRT.