Women's Health in Fort Collins
In-person women's hormone care in Fort Collins, built around your labs and your symptoms.
Care led by Cindy Dean, APRN, CNM, a certified nurse-midwife with more than 30 years in women's health.
Reviewed by Cindy Dean, APRN, CNM ·
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At Peak Medical Wellness, women's hormone care is led by a certified nurse-midwife and grounded in a midwifery view of women's health, not a generic protocol. As a women-owned Fort Collins clinic, we start with full lab work, not just a symptom checklist. Your provider sets your plan personally and adjusts it based on how you feel and what your follow-up labs show.
Hormone therapy here is ongoing medical care: a real evaluation, real follow-up, and a provider who knows your history.
Hormones that match the body's own, dosed to your lab results and your symptoms, for perimenopause and menopause. Read about testosterone therapy for women in Fort Collins.
Small hormone pellets placed just under the skin that release a steady dose for several months, with nothing to remember daily. Learn more about hormone pellet therapy in Fort Collins, or compare the forms in pellets vs. injections vs. cream.
Hormone therapy by injection for patients who prefer it or do better with it, with your provider guiding technique and timing.
Care for hot flashes, night sweats, sleep problems, mood shifts and the other changes of the menopause transition, including non-hormone options. See menopause and perimenopause care in Fort Collins.
A thyroid panel is part of your first-visit labs, because thyroid and hormone symptoms overlap. See thyroid care.
Hormone changes rarely show up as one obvious symptom. More often it's a cluster of changes that build over years, and many women put them down to “just getting older” or “just stress.” Common reasons women come in:
If several of these sound familiar, a visit with labs is the logical first step. We start with labs, not assumptions, to see what's actually going on.
Hormone changes don't wait for menopause. Perimenopause, the transition that can start in your late 30s or 40s, is often when symptoms are worst, because estrogen and progesterone swing before they decline. You don't have to wait for your periods to stop to talk with a provider.
For women already in menopause, hormone therapy can ease ongoing symptoms. The evidence is clearest when it starts within 10 years of menopause or before age 60; starting later is a more individual decision that your provider talks through with you.
Weight changes are common in these years. Hormone therapy isn't a weight-loss treatment, but your provider looks at hormones and weight together when symptoms call for it, and can talk through our medical weight loss program separately.
If you're in your 40s and not sure this is perimenopause, our guide Perimenopause in Your 40s: When to See Someone covers when it's worth a visit.
Your first visit is an in-person appointment with a licensed provider at our Fort Collins clinic. Plan to talk through:
If you decide to move forward, labs come next: bring recent results from your primary care provider, or we can draw them at that same visit for a fee (the list is below). At a complimentary follow-up, your provider reviews your lab results with you and lays out your options, including the benefits, risks and alternatives of each, so you can decide together.
What to bring: a list of your medications and supplements, any recent lab results, and your current prescription if you already use hormone therapy.
Hormone care at Peak Medical Wellness starts with a comprehensive hormone and wellness panel, from recent results or drawn in our office, so your provider can build a plan around your results:
Your provider reviews your results with you and may order additional labs based on your symptoms and history. Follow-up labs are drawn after you start treatment to check how you're responding.
Hormone care is ongoing. After you start, labs are rechecked to see how you're responding, again after any dose change, and then on a regular schedule while you're in care. At each follow-up, your provider asks how you're feeling and adjusts your plan. Everyone responds differently. If you use testosterone, the goal is to keep your levels in the normal range for women, confirmed with labs. If you choose pellets, labs are rechecked about four to six weeks after insertion so the next dose is based on your numbers. If something doesn't feel right between visits, call the clinic at (970) 239-3595 rather than waiting for your next appointment.
A visit may make sense if:
Hormone therapy may not be the right fit, or needs extra care, if you have:
These are some of the reasons, not all of them. Starting after age 60, or more than 10 years after menopause, is a more individual decision. Your provider reviews your full history before recommending anything, and tells you honestly when hormone therapy isn't a fit and what other options there are, including non-hormone approaches. To see what the 2025 FDA label update did and didn't change, read our guide to the label change.
Women's hormone care at Peak Medical Wellness is led by Cindy Dean, APRN, CNM, a certified nurse-midwife with more than 30 years in women's health. She earned her Master of Science in Nursing from the University of Colorado Health Sciences Center and is a Certified Nurse-Midwife, board certified by the American Midwifery Certification Board. Nurse-midwives care for women across every life stage, including perimenopause and menopause. You'll see the same team at every visit.
Book your Fort Collins consultation today to start with a full hormone panel and a real conversation about what you're experiencing.
Women's hormone therapy is used for symptoms of perimenopause and menopause such as hot flashes, night sweats, sleep disruption, mood changes, brain fog, low libido and vaginal dryness. Your provider confirms with labs and your history whether hormones are the likely cause before recommending it.
Bioidentical hormones are chemically identical in structure to the hormones your body produces naturally — including estradiol, progesterone, and testosterone. They differ from older synthetic hormone formulations used in studies decades ago. At Peak Medical Wellness, bioidentical HRT is administered through pellets or injections, with the method chosen based on your individual needs and your provider's recommendation.
It depends on your health history, your age and how long it has been since menopause. For many healthy women, especially when therapy starts within 10 years of menopause, the benefits can outweigh the risks; for others it isn't a fit. Your provider reviews your full history, monitors you with labs, and explains the benefits, risks and alternatives so you can decide together.
Weight changes around perimenopause and menopause are common, and hormone therapy isn't a weight-loss treatment. Your provider looks at hormones and weight together when symptoms call for it, and can talk through our medical weight loss program separately.
For some women, low sexual desire after menopause may respond to hormone therapy that includes low-dose testosterone. Your provider evaluates the full picture and talks through what the evidence does and doesn't support before recommending anything.
Not everyone. Some women with low sexual desire after menopause may benefit from low-dose testosterone. The evidence doesn't support it for energy, focus or muscle, and your provider will say so. See our guide to testosterone for women.
Everyone responds differently. Your provider reviews how you're feeling at each follow-up and adjusts your plan.
You'll meet a licensed provider in person for a free consultation about your symptoms, health history and goals. If you decide to move forward, labs come first: bring recent results from your primary care provider, or we can draw them at that visit for a fee. Your provider then reviews the results with you at a second free visit and builds a plan around them.
A list of your medications and supplements, any recent lab results, and your current prescription if you already use hormone therapy. If you still have periods, a calendar of your cycles helps.
Women's hormone care at Peak Medical Wellness is led by Cindy Dean, APRN, CNM, a certified nurse-midwife with more than 30 years in women's health. You'll see the same team at every visit.
Labs are rechecked after you start and after any dose change, then on a regular schedule while you're in care. Your provider sets the schedule with you and adjusts it based on how you're feeling and what your labs show.
Some health histories mean hormone therapy should be avoided or needs extra care, including breast cancer or another estrogen-sensitive cancer, blood clots, stroke, heart attack, active liver disease and unexplained vaginal bleeding. Your provider reviews your full history and explains the benefits, risks and alternatives so you can decide together.
There's no set length. Your provider reassesses your plan at follow-up visits based on your symptoms, labs, age and health history, and the decision is revisited over time.
Before treatment, your provider looks at a comprehensive hormone and wellness panel: free and total testosterone with SHBG, estradiol, FSH, a thyroid panel (TSH, free T3, free T4) with thyroid antibodies (TPO), a complete blood count, a comprehensive metabolic panel, a lipid panel, hemoglobin A1C, and vitamin D. If you have recent results from your primary care provider, bring them, and your provider will tell you whether anything else is needed; otherwise we draw the panel in our office for a fee. Your provider reviews the results with you, may order additional labs based on your symptoms and history, and rechecks labs after you start treatment.
Yes. Peak Medical Wellness accepts HSA and FSA cards. What qualifies depends on your plan and IRS rules, so check with your plan administrator. We can provide itemized receipts.
Low-dose testosterone for women, explained: what the evidence supports, what it doesn't, how it's prescribed and monitored, and why it can be hard to get.
Read GuideHormone pellets, injections and creams compared honestly: how often, how adjustable, what the research and medical societies say, and how to choose.
Read GuideLooking for men's hormone therapy? See our men's hormone optimization page.
Peak Medical Wellness serves women throughout Fort Collins, Loveland and Northern Colorado with bioidentical hormone replacement therapy that centers on safety, balance, and quality of life.
In-person evaluation required: All prescription therapies at Peak Medical Wellness require an in-person medical evaluation with a licensed provider prior to prescribing. Treatment eligibility is determined individually based on each patient's health history, current medications, and clinical assessment. We do not prescribe medications online without a prior in-person evaluation.
Pharmacy fulfillment: Medications dispensed or prescribed through Peak Medical Wellness are fulfilled through properly licensed United States pharmacies and compounding pharmacies. Compounding pharmacies are selected based on compliance standards, quality practices, and patient care requirements. All compounded medications are prepared in compliance with applicable federal and state regulations.
Results disclaimer: Individual results vary. Outcomes depend on each patient's unique health profile, treatment adherence, and other individual factors. Peak Medical Wellness does not guarantee specific results.