At Wholesome Healthcare in South Ogden, Utah, Carli Thompson, FNP-C and Nick Jarvis, FNP-C provide medically supervised hormone therapy for women navigating perimenopause, menopause, and other hormonal imbalances. Our approach begins with a thorough consultation and lab work — not a one-size-fits-all protocol — and results in a personalized treatment plan built around your specific hormone levels, health history, and quality-of-life goals.
Understanding Hormonal Changes in Women
Estrogen, progesterone, and testosterone all play essential roles in women's health — regulating energy, mood, sleep, bone density, libido, cognitive function, and metabolism. Levels fluctuate throughout a woman's life and decline significantly during perimenopause and menopause.
Perimenopause typically begins in a woman's 40s — sometimes earlier — and can last for several years before the final menstrual period. During this transition, hormonal fluctuations are unpredictable and symptoms can vary widely in type and severity. Menopause is diagnosed when a woman has gone 12 consecutive months without a menstrual period.
Not all hormonal symptoms are menopausal in origin. Thyroid dysfunction, adrenal issues, and other conditions can produce similar symptoms. Our providers evaluate the full clinical picture before attributing symptoms to hormonal decline — which means you get the right diagnosis, not just a hormone prescription.
Common Symptoms of Hormonal Imbalance
Women experiencing perimenopause, menopause, or hormonal imbalance often report:
Hot flashes and night sweats
Sleep disturbances — difficulty falling asleep, staying asleep, or waking unrefreshed
Mood changes, irritability, anxiety, or low mood
Brain fog or difficulty concentrating
Fatigue and low energy despite adequate rest
Reduced libido or sexual discomfort
Vaginal dryness or urinary changes
Weight gain, especially around the midsection
Irregular or absent periods (perimenopause)
Thinning hair or skin changes
Decreased bone density (longer term)
Symptoms are highly individual — one woman may experience severe hot flashes and disrupted sleep while another's primary complaint is brain fog and mood instability. Our providers take time to understand your full symptom picture before recommending a treatment plan.
What Is Bioidentical Hormone Therapy (BHRT)?
Bioidentical hormones are chemically identical in structure to the hormones your body naturally produces — specifically estradiol, progesterone, and testosterone. This is distinct from older synthetic hormones, which differ structurally and may carry different risk profiles.
FDA-approved bioidentical hormones — including estradiol and micronized progesterone — have been studied extensively and represent the current standard of care in hormone therapy. At Wholesome Healthcare, our providers use evidence-based hormone therapy protocols and individualize treatment based on your labs, symptoms, and medical history.
The goal of BHRT is not to push hormone levels above normal — it is to restore them to a healthy physiological range and alleviate symptoms that are affecting your quality of life.
Hormone Therapy Delivery Methods
There is no universally "best" delivery method for hormone therapy. During your consultation, your provider will review your options and recommend the approach that best fits your clinical needs and lifestyle.
Topical Estrogen (Creams and Gels)
Transdermal estrogen is applied daily to the skin and absorbed into the bloodstream. This delivery method bypasses first-pass liver metabolism, which may be beneficial for some women. Dosing is adjustable and levels can be fine-tuned based on follow-up labs and symptom response.
Oral Progesterone
Micronized progesterone (FDA-approved) is commonly prescribed for women who have a uterus and are using estrogen therapy. Progesterone protects the uterine lining. Oral micronized progesterone also has a sedating effect that many women find helpful for improving sleep quality.
Testosterone for Women
Testosterone plays an important role in women's health — influencing libido, energy, mood, and muscle tone. Low testosterone in women is often overlooked. When clinically indicated, low-dose testosterone therapy can be a meaningful component of a comprehensive hormone program.
Who Is a Candidate for Hormone Therapy?
Hormone therapy is appropriate for women who have symptoms consistent with hormonal decline and whose labs support a clinical diagnosis. Our providers typically consider HRT for women with:
Confirmed low estrogen, progesterone, or testosterone on labs
Symptoms affecting quality of life — sleep, mood, cognition, energy, or sexual health
Perimenopause or menopause diagnosis
No significant contraindications such as certain hormone-sensitive cancers or active blood clot history
Hormone therapy is not appropriate for all women. Your provider will conduct a thorough health history review, discuss your personal and family medical history, and explain the risks, benefits, and alternatives before any treatment is initiated. Women with a history of hormone-sensitive cancers, active thromboembolic disease, or certain other conditions may not be candidates — this conversation must happen during your consultation.
What to Expect from Your Hormone Therapy Program
Initial Consultation: Carli Thompson or Nick Jarvis will review your symptoms, health history, current medications, and goals.
Baseline Labs: Bloodwork is ordered before any hormone prescription is written. This typically includes estradiol, progesterone, testosterone (total and free), FSH, LH, thyroid panel, and other markers as indicated.
Personalized Treatment Plan: If labs and your clinical picture support hormone therapy, your provider will recommend a delivery method, starting dose, and monitoring schedule tailored to your needs.
Follow-Up and Monitoring: We schedule follow-up labs at regular intervals to assess how your body is responding and make dose adjustments as needed.
Ongoing Optimization: Your provider will adjust your protocol as your symptoms evolve and as you move through different phases of perimenopause and menopause.
Women's Hormone Therapy and Comprehensive Care
Hormonal health doesn't exist in isolation. Many women experiencing hormonal changes also benefit from complementary services available at Wholesome Healthcare:
Sermorelin peptide therapy — supports sleep quality, body composition, and recovery
GLP-1 weight loss (semaglutide/tirzepatide) — hormonal changes often drive weight gain resistant to diet and exercise alone
Direct Primary Care membership — ongoing lab monitoring and provider access is a natural fit for women on long-term hormone therapy programs
Frequently Asked Questions
What symptoms does women's hormone therapy treat?
Hormone therapy is most commonly used to address hot flashes, night sweats, sleep disturbances, mood changes, brain fog, low libido, vaginal dryness, and fatigue associated with perimenopause and menopause.
What is BHRT and how is it different from regular HRT?
Bioidentical hormone therapy (BHRT) uses hormones chemically identical to what your body naturally produces — primarily estradiol, progesterone, and testosterone. At Wholesome Healthcare, we use evidence-based protocols with FDA-approved medications.
Do I need labs before starting hormone therapy?
Yes. Lab confirmation is required before initiating any hormone therapy. We require baseline labs before any prescription is written.
Is hormone therapy safe?
When properly indicated and monitored, hormone therapy is considered safe for most healthy women, particularly when started within 10 years of menopause onset or before age 60. Your provider will discuss your specific risk profile during your consultation.
How long until hormone therapy works?
Many women notice improvements in sleep and hot flashes within 2–4 weeks. Mood, energy, and cognitive changes often follow over 4–8 weeks. Individual results vary.
Can a nurse practitioner prescribe hormone therapy in Utah?
Yes. In Utah, board-certified Family Nurse Practitioners with full practice authority — including Carli Thompson, FNP-C and Nick Jarvis, FNP-C — are authorized to independently evaluate, diagnose, and prescribe hormone therapy. You do not need a physician referral.
How much does hormone therapy cost in Utah?
Costs vary depending on the type of therapy, delivery method, and lab work required. Contact us at 801-686-5015 to discuss current pricing and coverage options.
Schedule Your Consultation in South Ogden
Wholesome Healthcare is located at 920 Chambers St Ste 11, South Ogden, UT 84403, serving women from Ogden, South Ogden, North Ogden, Roy, Riverdale, Layton, and throughout Weber County. To schedule a women's hormone therapy consultation with Carli Thompson or Nick Jarvis, book online or call us at 801-686-5015.
Hormone therapy is prescribed only when clinically indicated following lab confirmation and a comprehensive evaluation. Individual results vary. Not all patients are candidates — a consultation is required to determine eligibility.