Sippa hormone therapy for women
Hormone therapy for perimenopause, menopause, and postmenopause.
We treat perimenopause and menopause the way we treat each other. Real evaluation, real medicine, and somebody who answers.
What is actually happening
Three hormones, all moving at once, all pulling on different parts of you.
Tap a hormone
Runs far more than your cycle
Every one of those carries estrogen receptors, so they all take orders from it. When it drops, your brain's thermostat loses its calibration and you get a hot flash. Bone turnover speeds up. Skin loses collagen. Vaginal and urinary tissue thins, and that one doesn't recover on its own.
The calm one, and the first to go
It's made only after you ovulate. From your late thirties you ovulate less consistently, so progesterone falls first, often years before estrogen does anything dramatic. That's why sleep, anxiety, and heavy periods break first, long before a single hot flash. And if you take estrogen and still have a uterus, progesterone isn't optional. It protects the lining.
The one everyone gets wrong
Yes, you make it, and it peaks in your twenties. Here's the surprise: it doesn't crash at menopause. It declines slowly with age, and a large 2025 study found no measurable difference between women who were premenopausal, perimenopausal, or postmenopausal. The evidence is strong for low desire after menopause and thin for the energy claims it gets sold on.
One ordinary month in perimenopause
What is actually happening
Three hormones, all moving at once, all pulling on different parts of you.
Tap a hormone
Runs far more than your cycle
Every one of those carries estrogen receptors, so they all take orders from it. When it drops, your brain's thermostat loses its calibration and you get a hot flash. Bone turnover speeds up. Skin loses collagen. Vaginal and urinary tissue thins, and that one doesn't recover on its own.
The calm one, and the first to go
It's made only after you ovulate. From your late thirties you ovulate less consistently, so progesterone falls first, often years before estrogen does anything dramatic. That's why sleep, anxiety, and heavy periods break first, long before a single hot flash. And if you take estrogen and still have a uterus, progesterone isn't optional. It protects the lining.
The one everyone gets wrong
Yes, you make it, and it peaks in your twenties. Here's the surprise: it doesn't crash at menopause. It declines slowly with age, and a large 2025 study found no measurable difference between women who were premenopausal, perimenopausal, or postmenopausal. The evidence is strong for low desire after menopause and thin for the energy claims it gets sold on.
This is your estrogen in one ordinary week
Where you are right now
Where you are decides what actually helps. The same symptom calls for a different plan depending on the stage you are in.
It can start ten years before your last period, often while your cycles still look normal. This is where women are most often told nothing is wrong.
Twelve months without a period. Symptoms usually peak here, and this is where hormone therapy has its strongest evidence.
Some symptoms fade on their own. Vaginal and urinary changes generally do not, and protection becomes as important as relief.
The medicine
We treat perimenopause, menopause, and postmenopause. Your stage and your symptoms decide the mix.
The core of hormone therapy and the most effective treatment there is for hot flashes and night sweats. We reach for FDA-approved bioidentical options first, and progesterone comes along to protect the uterine lining.
Low-dose estrogen placed right where the problem is, for dryness, painful sex, urgency, and recurring urinary infections. It works on its own, and it works even when full hormone therapy isn't right for you.
For low desire after menopause, where the evidence actually holds up. There's no FDA-approved testosterone for women, so it goes off label at low doses, chosen on purpose rather than handed to everyone who walks in.
When the pattern points at thyroid or insulin resistance, we treat that instead of stacking hormones on top of it. When midlife weight is part of the picture, GLP-1 medication is on the table alongside your hormones, not in some separate program.
Real choices when hormone therapy isn't right for you, including FDA-approved non-hormonal medication for hot flashes, plus direct treatment for sleep when hormones alone don't fix the 3 a.m. wake-ups.
Your plan is one plan. Hormones, weight, sleep, skin, and hair handled by the same clinician who already knows your history, instead of four appointments that never talk to each other.
When you feel it
Within days
As night sweats quiet down, sleep starts coming back. Most women notice this one first, and it changes everything else.
1 to 2 weeks
Fewer, shorter, less intense. The daily temperature ambushes start backing off.
4 to 6 weeks
Mood steadies, energy returns, and we fine-tune your dose. Dryness and urinary changes take a little longer and keep improving for a few months.
Everyone responds differently. We adjust to how you actually feel, not to a number on a page.
Why Sippa
Hormones, weight, sleep, intimacy, hair, and metabolic health in one practice, with one team that knows your history.
FDA-approved options first. Compounding only when there is a clinical reason for it, and we say so when we use it.
Fill at your own pharmacy, usually on insurance. You are not buying medication from us.
We monitor, adjust, and answer after the prescription. That is the part every subscription program skips.
Getting started
A brief medical intake covering your symptoms, history, and what you have already tried.
Physician-led care from a consistent clinical team that knows your history, not a form and a shipment.
We begin treatment, follow how you respond, and adjust. Labs are ordered when they can rule out other causes or guide treatment.
What it costs
Most menopause brands bundle the medicine into a monthly fee and mail it to you. Stop paying and the prescription stops. Sippa is built the other way around.
Your care belongs to you
Straight answers
Built for our sisters. Opened for yours.
The sweats, the sleep, the mood, the weight, the hair, all of it. We'll read the whole picture and tell you what's actually driving it. Then we treat it.