Perimenopause & Menopause FREE Assessment Check Any Symptoms You Have Been Experiencing. random sudden flushes of heat lasting a few minutes sometimes i get sweaty at night irritability, mood swings, anxiety, or feeling down poor sleep vaginal dryness, irritation, or discomfort during sex increased frequency or urge to urinate, or urinary infections reduced sexual desire or changes in sexual response persistent tiredness, low energy, or fatigue trouble remembering, concentrating, or brain fog weight gain around the belly or trouble losing weight stiffness, aches, or discomfort in joints or muscles breast tenderness thin hair or hair loss dry skin or loss of skin elasticity heart palpitations I Am Currently Not Pregnant And Agree To Use Contraception While On Hormone Replacement Therapy Until After Menopause. * True False Check Any Of The Following That You Have or Have Had. breast, uterine, ovarian or estrogen-dependent cancer Endometrial Hyperplasia undiagnosed abnormal uterine bleeding such as heavy menses or any bleeding after 12 months of no menses blood clot(s) or risk of blood clots (Factor V Leiden or antiphospholipid syndrome) heart attack, stroke, or transient ischemic attack (TIA) migraine with aura (visual, sensory, speech, or motor changes that precede or accompany the headache) Porphyria Cutanea tarda Name * First Name Last Name Date Of Birth * Phone * Email * Address Line 1 * Address Line 2 City * State * I read and agree with thrively's Terms and Privacy statements. I also reviewed the Risks/Benefits page and wish to proceed with hormone replacement. I agree to be physically in Texas at the time of my telehealth consultation. * yes Let’s get you scheduled!