Personalized Menopause Hormone Therapy, Bioidentical Hormone Treatment, and Testosterone Care

Hormones are chemical messengers that influence many functions throughout the body, including temperature regulation, reproductive health, sexual function, bone health, and metabolism.

As hormone levels change with age or certain medical conditions, some people develop symptoms that significantly affect their daily lives.

Hot flashes, night sweats, vaginal dryness, sleep disruption, and changes in sexual function can be difficult to navigate, especially when symptoms are dismissed as simply part of getting older.

At Prolific Well Integrative Medicine, Dr. Evelyn Ellis, ND, MPH, FAIHM, provides individualized hormone evaluation and treatment for appropriate patients in Olympia, Tumwater, Lacey, and surrounding Washington communities.

Our services include evaluation for menopausal hormone therapy, bioidentical hormone replacement therapy (BHRT), selected testosterone treatment, and hormone pellet therapy when clinically appropriate.

We consider your symptoms, medical history, treatment preferences, contraindications, and available evidence before recommending a treatment.

Our goal is not simply to change a hormone number. It is to improve meaningful symptoms, protect your health, and select the safest appropriate treatment for your individual circumstances.

Schedule Your Hormone Therapy Consultation

What Is Hormone Replacement Therapy?

Hormone replacement therapy (HRT), also called menopausal hormone therapy when used during the menopause transition, involves administering hormones to treat specific symptoms or hormone deficiencies.

Treatment may involve estrogen, progesterone or a progestogen, testosterone for selected indications, or other hormones depending on the medical diagnosis.

For women experiencing menopause, systemic estrogen therapy is the most effective established treatment for bothersome hot flashes and night sweats. It also helps prevent bone loss while treatment is being used.

Hormone therapy is not necessary or appropriate for everyone.

The decision depends on your symptoms, age, time since menopause, medical history, risk factors, and personal preferences.

At Prolific Well Integrative Medicine, hormone therapy is considered within a comprehensive approach that may also include clinical nutrition, sleep evaluation, physical activity, preventive care, and appropriate medical treatment.

Signs You May Benefit From a Hormone Evaluation

Hormonal changes can affect different people in different ways.

You may benefit from a medical evaluation if you experience:

• Frequent hot flashes or night sweats

• Sleep disruption associated with menopausal symptoms

• Vaginal dryness, irritation, or painful intercourse

• Menstrual changes during perimenopause

• Symptoms associated with premature or early menopause

• Sexual concerns requiring a comprehensive assessment

• Symptoms suggestive of testosterone deficiency in men

• Concerns about bone health during menopause

Other commonly reported symptoms, including fatigue, brain fog, mood changes, and weight changes, can have multiple causes.

These symptoms do not automatically indicate a hormone deficiency, and hormone treatment is not always the appropriate solution.

Symptoms are not random, but understanding them requires looking at the whole clinical picture.

Hormone Therapy for Perimenopause & Menopause

Understanding Perimenopause

Perimenopause is the transition leading up to menopause.

During this time, ovarian hormone production becomes more variable, and menstrual cycles may become irregular.

Some women experience symptoms years before their final menstrual period.

Common concerns include:

• Changes in menstrual cycle timing or flow

• Hot flashes

• Night sweats

• Sleep disturbances

• Mood-related symptoms

• Vaginal dryness

• Changes in sexual function

Perimenopause is generally diagnosed from symptoms, age, and menstrual history rather than a single hormone test.

Treatment depends on the specific symptoms, whether contraception is needed, medical history, and other factors.

Understanding Menopause

Menopause is typically identified after 12 consecutive months without a menstrual period, when no other cause explains the absence of menstruation.

The average age of natural menopause in the United States is approximately 51 years.

After menopause, estrogen levels remain substantially lower than during the reproductive years.

This change can contribute to vasomotor symptoms, genitourinary symptoms, and bone loss.

Hormone therapy may be considered when the expected benefits outweigh the risks.

Types of Hormone Replacement Therapy

1. Estrogen Replacement Therapy

Estrogen replacement therapy is commonly used to manage symptoms associated with perimenopause and menopause, particularly hot flashes, night sweats, vaginal dryness, and painful intercourse.

At Prolific Well Integrative Medicine, we discuss several estrogen delivery methods based on your symptoms, medical history, and treatment goals.

Estrogen treatment options may include:

• Estradiol patches: FDA-approved transdermal hormone therapy that delivers estrogen through the skin for systemic symptom relief.

• Topical estradiol gels and creams: Estrogen preparations applied to the skin. FDA-approved gels are available, while some estradiol creams are compounded.

• Vaginal estrogen creams: Low-dose estrogen applied vaginally to help relieve dryness, irritation, and painful intercourse associated with genitourinary syndrome of menopause.

• Oral estrogen tablets: Systemic estrogen therapy taken by mouth.

• Compounded estrogen preparations: Individually formulated products considered when a clinically justified need cannot be met by an FDA-approved option.

• Estrogen pellets: Hormone implants that release estrogen over time. These require careful consideration because dosing cannot be readily adjusted after insertion.

Topical estrogen cream and vaginal estrogen cream are not necessarily interchangeable. Systemic estrogen is intended to treat symptoms throughout the body, whereas low-dose vaginal estrogen primarily treats local vaginal and urinary symptoms.

For patients with a uterus, systemic estrogen generally requires adequate progesterone or progestogen therapy to protect the uterine lining.

2. Progesterone Replacement Therapy

Progesterone is an important reproductive hormone involved in menstrual cycle regulation and endometrial health.

During perimenopause, progesterone production may become more variable as ovulation becomes less predictable.

Progesterone treatment may be appropriate for selected patients depending on their symptoms, medical history, and other hormone treatments.

Progesterone treatment options may include:

• Oral micronized progesterone: An FDA-approved bioidentical progesterone formulation used for appropriate indications, including endometrial protection with systemic estrogen.

• Topical progesterone cream: A cream applied to the skin, typically available as a compounded or over-the-counter preparation.

• Compounded progesterone troches: Dissolvable preparations placed inside the mouth, usually between the cheek and gum or under the tongue.

• Other progesterone or progestogen formulations: Selected according to the patient's medical needs.

Important clinical consideration: Topical progesterone creams have variable absorption and have not been demonstrated to provide reliable protection against endometrial hyperplasia when combined with systemic estrogen.

Compounded progesterone troches also have variable absorption and are not established substitutes for validated endometrial protection regimens.

We evaluate progesterone treatment carefully, particularly when it is prescribed alongside estrogen.

3. Bioidentical Hormone Replacement Therapy (BHRT)

Bioidentical hormones have the same molecular structure as hormones naturally produced by the body.

Examples include estradiol, progesterone, and testosterone.

Bioidentical hormone replacement therapy may involve:

• Estradiol patches, gels, or creams

• Oral micronized progesterone

• Compounded progesterone creams

• Testosterone creams or gels

• Compounded hormone troches

• Selected hormone pellet preparations

Some bioidentical hormone medications are FDA-approved, while others are compounded.

Compounded hormones may be considered when an FDA-approved medication cannot meet a documented medical need. However, compounded formulations are not FDA-approved and may have greater variability in quality, dosing, and absorption.

Bioidentical does not automatically mean safer, more effective, or more natural in its clinical effects.

Related reading: Who Should Not Take BHRT? Bioidentical Hormone Therapy Risks, Contraindications & Safety Explained.

4. Testosterone Replacement Therapy for Men

Testosterone replacement therapy may be appropriate for men with symptoms of testosterone deficiency and consistently low testosterone levels confirmed through appropriate laboratory testing.

Potential symptoms include reduced libido, fewer spontaneous erections, decreased muscle mass, low bone density, and other findings associated with hypogonadism.

Testosterone treatment options may include:

• Testosterone cream: A topical formulation applied to the skin. Some preparations are compounded.

• Testosterone gel: FDA-approved transdermal formulations that deliver testosterone through the skin.

• Testosterone injections: Injectable treatment prescribed according to the patient's diagnosis and monitoring requirements.

• Testosterone pellets: Implanted formulations that release testosterone over time.

• Other approved testosterone formulations: Selected when clinically appropriate.

Treatment selection considers symptom severity, laboratory results, fertility goals, cardiovascular and hematologic risks, and patient preferences.

Topical testosterone requires precautions to prevent accidental transfer to partners, children, or other household members.

Exogenous testosterone may suppress sperm production and is generally unsuitable for men actively pursuing fertility.

5. Testosterone Therapy for Women

Testosterone may be considered for selected postmenopausal women diagnosed with hypoactive sexual desire disorder (HSDD) following a comprehensive medical evaluation.

It is not an established general treatment for fatigue, weight gain, cognitive decline, or longevity.

Treatment options discussed may include:

• Low-dose testosterone cream: A carefully dosed topical formulation.

• Transdermal testosterone gel: An appropriately adjusted formulation with monitoring to avoid excessive testosterone exposure.

• Other formulations: Considered only after evaluating available evidence, safety, and treatment goals.

There is currently no FDA-approved testosterone product specifically formulated for women in the United States.

When testosterone is prescribed for women, monitoring is important to avoid supraphysiologic levels and adverse effects such as acne, increased facial hair, scalp hair loss, or voice changes.

Testosterone pellets and compounded oral troches are not preferred for HSDD because of concerns about dosing, variable exposure, and limited safety evidence.

6. Compounded Hormone Troches

Hormone troches are dissolvable preparations designed to release medication through the oral mucosa, although some medication may also be swallowed.

Depending on the prescription, compounded troches may contain:

• Progesterone

• Testosterone

• Estradiol

• Combinations of selected hormones

Troches may appeal to patients who prefer not to use injections, patches, or topical creams.

However, compounded hormone troches have important limitations, including variable absorption, limited standardized dosing data, and the absence of FDA approval for the finished compounded product.

Troches are not automatically safer or more effective than approved hormone formulations.

At Prolific Well Integrative Medicine, compounded hormone preparations are considered only when clinically justified, with attention to alternatives, informed consent, and appropriate monitoring.

7. Hormone Pellet Therapy

Hormone pellet therapy involves placing small hormone-containing implants beneath the skin through a minor procedure.

Pellets gradually release hormones over time.

They may contain estradiol or testosterone, depending on the product and indication.

Although pellets offer less frequent administration, they generally cannot be readily removed or adjusted after insertion.

Many hormone pellets are compounded and are not FDA-approved.

Before considering pellet therapy, we discuss the potential benefits, dosing limitations, procedure-related risks, available evidence, and FDA-approved alternatives.

Our philosophy is to select the most appropriate hormone treatment for your body, not simply the most convenient delivery method.

What Is Hormone Pellet Therapy?

Depending on the product and clinical circumstances, pellets may contain estradiol, testosterone, or other formulations.

Patients may be interested in pellets because they do not require daily application or frequent dosing.

However, convenience must be weighed against important limitations.

How Are Hormone Pellets Different From Other Hormone Treatments?

Once inserted, pellets generally cannot be readily removed or adjusted if hormone levels become excessive or adverse effects occur.

The duration and amount of hormone release can vary.

Many hormone pellets are compounded products and are not FDA-approved for safety, effectiveness, or consistent manufacturing quality.

Professional menopause and gynecology organizations generally recommend FDA-approved hormone therapies over compounded hormone pellets when suitable approved alternatives are available.

Are Hormone Pellets Right for Everyone?

No.

Pellet therapy should not be considered the default or automatically superior form of hormone replacement.

A careful discussion should include:

• Whether hormone therapy is medically indicated

• Whether an FDA-approved alternative is available

• The specific hormone being considered

• Potential for excessive hormone exposure

• Limited dose-adjustment flexibility

• Procedure-related risks

• Available safety and effectiveness evidence

• Appropriate monitoring and follow-up

At Prolific Well Integrative Medicine, treatment selection is individualized, and patients are encouraged to understand the advantages and limitations of every option.

Hormone Pellets vs. Patches, Creams, Gels, Troches & Oral Hormones

Hormone replacement therapy is available in several forms. Each delivery method has different benefits, limitations, and safety considerations. At Prolific Well Integrative Medicine, we help patients understand their options and select a treatment based on their symptoms, medical history, and individual needs.

Hormone therapy options include:

• Estradiol patches: Deliver estrogen through the skin at a controlled rate. FDA-approved options allow dose adjustments and may be preferable to oral estrogen for some patients.

• Topical estrogen creams, gels, and sprays: Applied to the skin to provide estrogen therapy. Some formulations are FDA-approved, while others are compounded. Dosing and absorption depend on the product.

• Vaginal estrogen cream: Applied locally to relieve vaginal dryness, irritation, and painful intercourse associated with menopause. Low-dose vaginal estrogen generally has less systemic absorption than estrogen used to treat hot flashes.

• Oral estrogen: A convenient treatment option for menopausal symptoms. However, oral estrogen may carry greater blood clot risks than transdermal formulations for some patients.

• Oral micronized progesterone: An FDA-approved bioidentical progesterone option commonly prescribed with systemic estrogen for patients who have a uterus. It may cause drowsiness or other side effects.

• Topical progesterone cream: Applied to the skin and sometimes used in individualized hormone treatment plans. Absorption can vary, and progesterone creams should not be relied upon to protect the uterine lining during systemic estrogen therapy.

• Testosterone creams and gels: Applied to the skin for patients with appropriate clinical indications. These formulations allow dose adjustments but require careful monitoring and precautions to prevent accidental transfer to others.

• Compounded hormone troches: Dissolvable preparations that may contain progesterone, testosterone, estrogen, or combinations of hormones. They offer an alternative delivery method but have variable absorption and limited standardized safety data.

• Hormone pellets: Small implants placed beneath the skin that gradually release hormones over time. Although they require less frequent administration, many are compounded, and dosing cannot be easily adjusted or discontinued after insertion.

Which hormone therapy is best?

There is no single hormone formulation that is best for everyone. Treatment selection depends on the symptoms being addressed, medical indications, individual risk factors, dosing flexibility, and available evidence.

At Prolific Well Integrative Medicine, Dr. Evelyn Ellis provides individualized hormone evaluations and discusses appropriate treatment options, including bioidentical hormone replacement therapy and selected pellet treatments.

Our priority is to help you find a treatment that is medically appropriate, effective for your symptoms, and supported by a clear monitoring plan.

What Symptoms Can Hormone Therapy Help Treat?

Hot Flashes & Night Sweats

Systemic menopausal hormone therapy is the most effective established treatment for moderate to severe vasomotor symptoms in appropriate candidates.

Menopause-Related Sleep Disruption

When hot flashes and night sweats disrupt sleep, treating those symptoms may improve sleep quality.

Hormone therapy is not a universal treatment for insomnia or sleep apnea.

Vaginal Dryness & Painful Intercourse

Low-dose vaginal estrogen and certain other established treatments can help manage genitourinary syndrome of menopause.

Local vaginal estrogen may be appropriate even when systemic hormone therapy is unnecessary.

Bone Loss Prevention

Systemic menopausal hormone therapy can reduce bone loss and fracture risk while used.

Whether it is appropriate depends on age, symptoms, other treatment options, and individual risk factors.

Sexual Health

Hormone-related sexual concerns require assessment of multiple contributing factors, including genitourinary symptoms, medications, relationships, mental health, and medical conditions.

Treatment is tailored to the specific diagnosis.

Energy, Mood & Brain Fog

Fatigue, mood changes, and cognitive concerns can occur during hormonal transitions, but they are not always caused by hormone deficiency.

Hormone therapy should not be prescribed solely to prevent cognitive decline or as a general anti-aging treatment.

Who Is a Good Candidate for Menopausal Hormone Therapy?

For many otherwise healthy women who are younger than 60 or within 10 years of menopause onset, the benefit-risk profile of systemic menopausal hormone therapy is generally favorable when treating bothersome symptoms and no contraindications are present.

However, eligibility requires individualized assessment.

Factors we consider include:

• Age and time since menopause

• Severity and type of symptoms

• Whether the uterus is present

• Personal history of breast or endometrial cancer

• History of blood clots or stroke

• Cardiovascular disease and risk factors

• Liver disease

• Unexplained vaginal bleeding

• Medication use

• Family history

• Treatment preferences

Certain conditions may make systemic hormone therapy inappropriate or require specialist evaluation.

Hormone therapy should not be initiated solely to prevent cardiovascular disease, dementia, or aging.

Hormone Testing: What Do You Actually Need?

Hormone treatment should not be based solely on achieving a particular laboratory number.

For many women over 45 with typical perimenopausal or menopausal symptoms, diagnosis is clinical and routine hormone testing may not be necessary.

Testing may be useful when:

• Menopause occurs unusually early

• Symptoms suggest another endocrine disorder

• Menstrual abnormalities require investigation

• Testosterone deficiency is suspected in a man

• A specific treatment requires laboratory monitoring

• Other medical conditions may explain symptoms

Depending on the situation, testing may include:

• Thyroid function

• Complete blood count

• Selected reproductive hormones

• Testosterone and related assessments

• Metabolic laboratory testing

• Other targeted studies

Commercial urine or saliva hormone panels are not routinely recommended for selecting or adjusting menopausal hormone therapy.

At Prolific Well Integrative Medicine, we use laboratory testing when it can meaningfully inform diagnosis, treatment, or safety monitoring.

Our Personalized Hormone Therapy Process

Step 1: Comprehensive Hormone Health Consultation

We begin with your symptoms, menstrual or reproductive history, medical diagnoses, current medications, family history, and treatment goals.

We discuss which concerns may be related to hormonal changes and which require evaluation for other causes.

Step 2: Medical Risk Assessment

We assess potential contraindications and relevant risk factors.

Depending on your situation, this may include cardiovascular risk, cancer history, blood pressure, and other health considerations.

Step 3: Appropriate Laboratory Testing

Testing is selected according to your clinical needs.

Not every patient requires an extensive hormone panel.

Step 4: Discuss Your Treatment Options

We explain appropriate options, which may include:

• FDA-approved systemic menopausal hormone therapy

• Vaginal hormone treatment

• Nonhormonal prescription therapies

• Testosterone treatment for established indications

• Selected compounded formulations when justified

• Pellet therapy when clinically appropriate and after informed discussion

• Nutrition and lifestyle interventions

Step 5: Develop Your Individualized Treatment Plan

Your treatment plan considers your symptoms, risks, preferences, and the practical aspects of using and monitoring therapy.

Step 6: Follow-Up & Monitoring

We monitor symptom response, adverse effects, and relevant clinical findings.

Hormone treatment may require dose adjustment, medication changes, or discontinuation if risks outweigh benefits.

For testosterone therapy, monitoring may include testosterone levels, hematocrit, and other assessments according to the indication and formulation.

Hormone therapy is an ongoing medical decision, not a one-time prescription.

Hormone Therapy & Healthy Aging

Hormones play important roles in bone health, sexual function, metabolism, and other physiological processes.

However, hormone therapy should not be marketed as a proven method to reverse biological aging or extend lifespan.

For healthy aging, we emphasize a broader strategy that includes:

• Cardiovascular risk management

• Adequate protein and balanced nutrition

• Resistance training and regular physical activity

• Bone health evaluation

• Restorative sleep

• Appropriate preventive screenings

• Management of metabolic conditions

• Evidence-based treatment of specific hormone-related symptoms

When hormone therapy is appropriate, it becomes one component of your overall medical plan.

Why Choose Prolific Well Integrative Medicine for Hormone Care?

Individualized Medical Evaluation

Dr. Evelyn Ellis evaluates hormone-related concerns in the context of your symptoms, medical history, and overall health.

Multiple Treatment Options

We discuss conventional hormone therapy, bioidentical formulations, nonhormonal treatments, and selected pellet options when appropriate.

Careful Attention to Safety

We evaluate contraindications, medication interactions, dosing, and follow-up needs.

Support Beyond Prescriptions

Nutrition, physical activity, sleep, metabolic health, and preventive care are incorporated into treatment planning.

Shared Decision-Making

You receive clear explanations of treatment options, potential benefits, risks, and uncertainties.

Science + Soul

Our approach combines evidence-informed medical care with patient education, compassion, and respect for your lived experience.

Meet Dr. Evelyn Ellis, ND, MPH, FAIHM

Dr. Evelyn Ellis is the founder of Prolific Well Integrative Medicine and a Washington-licensed naturopathic physician.

She earned her Doctor of Naturopathic Medicine degree from Bastyr University and her Master of Public Health from the University of Washington. She is also a Fellow of the Academy of Integrative Health & Medicine.

Her clinical interests include women's hormone health, perimenopause and menopause, thyroid disorders, metabolic health, and preventive medicine.

She believes patients deserve clear explanations of their symptoms, thoughtful medical evaluation, and treatment recommendations that reflect both clinical evidence and individual needs.

Hormone Replacement & Pellet Therapy in Olympia, Tumwater & Lacey, WA

Prolific Well Integrative Medicine provides individualized hormone evaluation and treatment consultations for patients throughout the South Puget Sound region.

We welcome patients from Olympia, Tumwater, Lacey, Tenino, Shelton, Centralia, Chehalis, and surrounding Washington communities.

In-person and telehealth appointments may be available when clinically appropriate.

Pellet insertion, when offered and appropriate, requires an in-person procedure.

Whether you are searching for hormone replacement therapy in Olympia, bioidentical hormone treatment near Tumwater, or menopause and testosterone care in Lacey, our practice provides physician-guided evaluation and individualized treatment planning.

Frequently Asked Questions About Hormone Replacement & Pellet Therapy

What is hormone replacement therapy?

Hormone replacement therapy uses hormones to treat specific symptoms or diagnosed hormone deficiencies. Treatment may involve estrogen, progesterone or a progestogen, testosterone, or other hormones depending on the clinical indication.

What is bioidentical hormone replacement therapy?

Bioidentical hormones have the same molecular structure as hormones produced by the body. Both FDA-approved and compounded products may contain bioidentical hormones.

Are bioidentical hormones safer than conventional hormones?

Not automatically. Safety depends on the hormone, formulation, dose, route, medical indication, and individual risk factors. Compounded bioidentical products have not been shown to be inherently safer than FDA-approved therapies.

What are hormone pellets?

Hormone pellets are small implants placed beneath the skin that release hormones over time. They may offer less frequent administration but are often compounded and cannot be easily adjusted or discontinued after insertion.

Are hormone pellets FDA-approved?

Many hormone pellets used in compounded hormone therapy are not FDA-approved. Product-specific regulatory status should be verified before treatment.

Are hormone pellets better than patches or gels?

There is insufficient high-quality evidence that compounded hormone pellets are safer or more effective than approved hormone formulations. Patches and gels generally provide greater dosing flexibility.

Can hormone therapy help with hot flashes and night sweats?

Yes. Systemic menopausal hormone therapy is the most effective established treatment for bothersome vasomotor symptoms in appropriately selected patients.

Can hormone therapy help with brain fog and fatigue?

Some patients experience improvement in overall well-being when troublesome menopausal symptoms are treated. However, fatigue and cognitive concerns have multiple causes, and hormone therapy is not established as a general treatment for these symptoms.

Do I need hormone testing before starting treatment?

Not always. Perimenopause and menopause are often diagnosed clinically. Testing is recommended when the diagnosis is uncertain, another condition is suspected, or treatment monitoring requires it.

Can I receive hormone therapy if I still have menstrual periods?

Some patients in perimenopause may benefit from treatment, but the options differ depending on symptoms, bleeding patterns, contraceptive needs, and medical history.

Do I need progesterone if I take estrogen?

Patients with a uterus generally need appropriate endometrial protection when using systemic estrogen. The specific treatment depends on the clinical circumstances.

Can men receive testosterone replacement therapy?

Yes, when clinically indicated. Testosterone deficiency should be confirmed with compatible symptoms and appropriate laboratory testing before treatment.

Is testosterone appropriate for women?

Testosterone may be considered for appropriately evaluated postmenopausal women with hypoactive sexual desire disorder. It is not established as a general treatment for fatigue, weight loss, or anti-aging.

Does hormone replacement therapy increase cancer risk?

Risks vary by hormone regimen, treatment duration, age, and individual medical history. For example, combined systemic estrogen-progestogen therapy may increase breast cancer risk with longer use. A personalized risk-benefit discussion is essential.

How long can I stay on hormone therapy?

There is no universal treatment duration for every patient. Continued therapy should be periodically reassessed based on symptoms, benefits, risks, and personal preferences.

Is hormone replacement therapy covered by insurance?

Coverage varies by insurance plan, medication, formulation, and medical indication. Compounded hormone products and pellet procedures may involve out-of-pocket costs.

Please contact our office for current insurance participation and payment information.

Do you offer telehealth hormone consultations?

Telehealth may be available for appropriate evaluations and follow-up care. Some examinations, laboratory services, and procedures require in-person visits.

Take the Next Step Toward Personalized Hormone Care

Hormonal changes can affect your quality of life, but you deserve more than a one-size-fits-all treatment plan.

At Prolific Well Integrative Medicine, we provide individualized evaluation, evidence-informed treatment options, and appropriate medical monitoring for hormone-related concerns.

Whether you are navigating perimenopause, menopause, or a diagnosed hormone deficiency, we can help you understand your options and determine an appropriate path forward.

Schedule a Hormone Replacement & Pellet Therapy Consultation with Dr. Evelyn Ellis.

Book Your Appointment

Prolific Well Integrative Medicine
Serving Olympia, Tumwater, Lacey, and surrounding Washington communities
Email: [email protected]
Website: https://prolificwell.com