Women's Health
Hormone changes affect sleep, mood, energy, weight and long-term health — often years before menopause itself. Dr. Gadde is a Menopause Society Certified Practitioner (MSCP) and works with you to find out what’s actually driving your symptoms.
New patient consultation: 45 minutes
Follow-up visits: 25 minutes
Symptoms we address
Hot Flashes
Brain Fog
Sleep Disruption
Mood Instability
Low Libido
Weight Gain
Bone & Joint Pain
Fatigue
Treatment decisions are made by the physician following a consultation and medical evaluation. Not all patients are candidates for hormone therapy.
Where we practice
Dr. Gadde is licensed in Alabama, Louisiana, Georgia and Florida. You’ll need to be physically located in one of these states at the time of your visit.
Menopause & HRT · Initial $129 · Follow up $59
Support through Perimenopause and Menopause
Understand your options with Dr. Shilpa Gadde, a Menopause Society Certified Practitioner.
Book a Women’s Health Consultation
Your symptoms. Your priorities.
Treatment, explained simply
Estrogen
- Hot flashes & night sweatsSystemic estrogen can help relieve these symptoms.
- Vaginal & urinary symptomsLow-dose vaginal estrogen can target genitourinary syndrome of menopause (GSM), including dryness and discomfort.
Other potential benefits and off-label uses are discussed individually.
Progesterone
- Changes in perimenopauseOften declines as ovulation becomes less regular.
- Sleep supportOral micronized progesterone may improve sleep. Evidence for anxiety relief is limited.
- Uterine protectionIf you have a uterus and take systemic estrogen, a progestogen is generally needed to protect the lining.
Use for sleep or anxiety is off-label. Follow your prescribed schedule.
Testosterone
- Low sexual desireMay be considered for selected women with hypoactive sexual desire disorder (HSDD).
- Evaluation & follow-upA full assessment and ongoing monitoring are essential.
Use in women is off-label in the US.
Patient resources
Your hormone therapy guides
Illustrated instructions to revisit after your consultation. Follow the dose and schedule on your own prescription.
Estrogen patch guide
Where to apply it, how to change it, and practical tips.
Open illustrated guide →Printable instructions (PDF) →
Progesterone guide
Your prescribed days, bedtime dosing, and when to call.
Open illustrated guide →Printable instructions (PDF) →Your visits, step by step
We listen
Talk through your symptoms, medical history, and what matters to you.
We make a plan
Discuss hormone and nonhormone options, including benefits and risks.
We follow up
Review how you are feeling and adjust your treatment when appropriate.
Let’s make this clearer
Do I need hormone testing?
Not always.
Routine testing is generally not needed for typical menopausal symptoms. Testing may help evaluate other causes or monitor certain treatments.
Your treatment plan is tailored to your symptoms, health history, and goals, with follow-up to review how you’re feeling.