Hormone replacement therapy in Dallas, by video visit

If you’re in Dallas with hot flashes, night waking, mood swings or brain fog, you’ve probably been told to wait it out. Many women who book from Dallas are in perimenopause rather than menopause, and are looking for hormone replacement therapy or a doctor who prescribes bioidentical hormones.

Hormone therapy treats those symptoms directly. At the first visit your provider goes through your symptoms, history and goals, and tells you whether hormone therapy or another treatment fits. If it does, the most common starting point is estradiol through the skin as a patch or gel, with oral micronized progesterone. The starting regimen depends on you.

Many Dallas–Fort Worth hormone clinics lead with pellets. Pellets are small implants placed under the skin that release estradiol or testosterone for months. Once they’re in, the dose can’t be changed or removed, levels often run above the normal range, and The Menopause Society doesn’t recommend them.

Golden Leaf Health doesn’t offer pellets. We prescribe patches, gels, creams, pills and vaginal forms, so a dose that’s too high or too low can be changed at a follow-up.

If you’d rather see someone in person, ask any Dallas provider three things: which hormone forms they prescribe, how a dose gets changed, and what the first six months cost in full.

“Bioidentical” means the hormone has the same molecular structure as the one your body makes. The estradiol and progesterone we prescribe are FDA-approved bioidentical products from an ordinary pharmacy. Where a dose or form isn’t made commercially, or an ingredient doesn’t suit you, your provider can write a compounded prescription, with our compounding pharmacist advisor behind the decision. Compounded hormones are a customized dose; they are not FDA-approved.

You book a time at start.goldenleafhc.com, confirm you’ll be in Texas, and read the telehealth consent. The visit itself is a one-on-one video call from wherever you are, as long as it’s private and the signal holds. Your provider decides at that visit whether lab tests are needed to start; many women begin without them. If labs are ordered, you’re told how and where to have them done. If treatment is right for you, the prescription goes to a pharmacy that can fill it for you in Texas.

After that, membership covers your ongoing care: two to three follow-up visits with a doctor to review your plan, check-ins through HIPAA-compliant messaging, regular Q&A sessions with the experts and a library of resources chosen by the team. You can message your care team any time.

Texas patients are treated by a physician licensed in Texas, through Golden Leaf Health, PC. The care team is Dr. Ashley Alexis, ND, Dr. Steve Groke, MD, and Mai Tran, PharmD, our compounding pharmacist advisor. Our About page introduces each of them.

The visit is the same from Fort Worth, Arlington, Irving, Plano, Frisco, McKinney, Denton or Rockwall. Patients elsewhere in Texas can read the Texas page for Houston, Austin and San Antonio.