How do I know if I am in perimenopause?

Cycle length changes, new sleep disruption, mood volatility, and heavier or lighter bleeding are typical early signs. Labs paired with your symptom pattern confirm where you are in the transition.

Can I start hormone therapy if I still have periods?

Yes. Treating perimenopausal symptoms while still cycling is common and often the point at which women get the most relief.

Will hormone therapy help with menopausal weight gain?

Restoring estradiol, progesterone, and testosterone improves sleep, insulin sensitivity, and lean mass — the levers that actually move midsection weight. Some women add a GLP-1 program alongside it.

Do you offer telehealth menopause appointments?

Yes. Consultations are by video, labs are drawn near you, and prescriptions ship directly to your door.

Menopause care that fits

A menopause doctor who treats the whole transition.

Perimenopause can start eight to ten years before your last period — and most women are told they are simply too young for it to be hormones. Dr. Tammy looks at the full arc: perimenopause, menopause, and the decades after, when bone, heart, and brain health matter most.

See If You Qualify Call (479) 342-4949

26+ years in women's hormone care
Comprehensive lab testing
Telehealth nationwide

Woman in her forties talking with her menopause doctor

Why women choose Hormone Bliss

What menopause care should cover

Perimenopause, not just menopause

Irregular cycles, 3 a.m. waking, and new anxiety are perimenopausal hormone swings — treatable long before periods stop.

Hot flashes and night sweats

Vasomotor symptoms respond quickly to properly dosed estradiol, usually within the first few weeks.

Sleep, mood, and memory

Progesterone and estradiol both act on the brain. Restoring them is often what finally settles sleep and brain fog.

Long-term protection

Estrogen loss quietly affects bone density, cardiovascular health, and cognition. Treatment is protective, not just symptomatic.

The process

How to get started

1
Take the eligibility check
A short questionnaire about your cycles, symptoms, and history — and whether hormone therapy is appropriate for you.
2
Get comprehensive labs
Not just FSH. Estradiol, progesterone, testosterone, thyroid, and nutrient markers together tell the real story.
3
Review with Dr. Tammy
A complimentary consultation walking through your results and the plan she recommends, in plain language.
4
Begin your protocol
Custom bioidentical creams shipped to you, with follow-up visits and adjustments included.

Where we serve

Northwest Arkansas roots, nationwide telehealth

Dr. Tammy has cared for women through perimenopause and menopause across Northwest Arkansas — Bentonville, Rogers, Springdale, and Fayetteville — for more than 26 years.

Live somewhere else? Video consultations and shipped compounded hormones bring the same protocol to you. Call or text (479) 342-4949 if you would rather talk it through first.

Call Us Text Us

Questions

Common questions about menopause care

Look for a physician with specific menopause and hormone training who tests comprehensively and doses individually. Many OB/GYN and family medicine physicians treat menopause, but depth of hormone training varies widely.

Starting within about ten years of your final period offers the most benefit, but many women outside that window are still good candidates. Your labs and history decide.

Keep reading

Ready to get started?

See whether menopause hormone therapy is a fit

Two minutes, no cost. You will know right away whether Dr. Tammy's program is right for where you are.

See If You Qualify Meet Dr. Tammy