Look beyond a single lab result to explore whether hormones, thyroid health, nutritional factors, or another issue may be contributing to changes in how you feel.
If testing is clinically useful, your provider can order the right labs based on your symptoms, health history, goals, and stage of life.
Understand your results in context and get clear next steps tailored to you, from lifestyle support to hormone replacement therapy when clinically appropriate.
This appointment is for anyone in their late 30s to early 50s who is experiencing confusing physical or mental shifts and wonders if it’s tied to hormones. We can also help if you are curious about perimenopause or have tried at-home hormone tests.
While there is no single test that can definitively determine if you're in perimenopause, you and your provider can discuss the benefits and limitations of hormone testing if it interests you. We believe in educating you on what these tests can and cannot reveal, so you can make an informed decision.
Yes, our providers can prescribe Hormone Replacement Therapy (HRT) when it's clinically appropriate for your symptoms. We will explore all of your options and work with you to find a plan that feels right for you.
At Tia, we believe your health is a complex and interconnected whole. Your provider will look at your full health picture and investigate whether your symptoms are due to hormones or other health factors like thyroid, autoimmune, or mental health issues.
Unlike fragmented solutions that treat perimenopause as a single problem to "fix," Tia's model is designed for a long-term care partnership that looks at your whole body. We offer an integrated care team and a vast toolkit of options, ensuring your plan evolves with you, rather than a one-time prescription.
This life stage is complex and nuanced. It may take time to fully understand what your body needs, which is why this care is designed to be a long-term partnership, not a single solution. Our program begins with a two-visit minimum: an initial assessment and a dedicated follow-up to review your plan and make adjustments.
At Tia, we treat the full picture of your health, not just what shows up in a lab. Many women are told their labs are "normal" even when they're experiencing frustrating symptoms like fatigue and anxiety. We will listen to your story, validate your experience, and look at your symptoms and lifestyle to find a plan that helps you feel better.
Your hormone blood work is customized to your symptoms and life stage. Depending on your needs, your provider may order:
• Estradiol (E2) — key estrogen marker, declines during perimenopause
• FSH (Follicle-Stimulating Hormone) — rises as ovarian function changes
• Testosterone (free & total) — impacts energy, libido, and mood
• Progesterone — affects sleep, cycle regularity, and anxiety
• Thyroid hormones (TSH, T3, T4) — rule out thyroid as a root cause
• DHEA-S — adrenal health marker
• Vitamin D, B12, iron panel — common drivers of fatigue and brain fog
Some hormone tests require fasting; others don't. Your provider will give you specific prep instructions before your visit.
At-home hormone tests offer a limited snapshot of your hormone levels at a single point in time — and are generally not sufficient for diagnosing medical conditions on their own. During perimenopause especially, estradiol and FSH can swing dramatically day to day, meaning today's result can look completely different from next week's.
It's also worth knowing that FDA "clearance" for these tests is not the same as FDA approval. Achieving FDA clearance does not require the same extensive data set as approval of a new drug (https://www.healio.com/news/endocrinology/20220907/dont-dismiss-the-patient-promises-pitfalls-of-athome-hormone-testing)— meaning the bar for bringing a hormone test kit to market is significantly lower than most people assume.
At Tia, we order clinical blood tests when indicated — timed correctly, interpreted alongside your symptoms, and explained by a provider who specializes in women's health. A number on a dashboard isn't a diagnosis. A care plan is.
Tia accepts most major insurance plans. Depending on your plan, you may be responsible for a co-pay or coinsurance.
Hormonal imbalance in women can be caused by a wide range of factors. The most common include perimenopause and menopause, PCOS (polycystic ovary syndrome), thyroid disorders, chronic stress (which elevates cortisol and suppresses other hormones), poor sleep, significant weight changes, and certain medications including hormonal birth control. In some cases, there is no single cause — hormones shift as part of natural aging, and what feels like an "imbalance" is the body in transition.
The most frequently reported symptoms include irregular or missed periods, fatigue, mood changes, brain fog, weight gain, low libido, sleep problems, and skin or hair changes. Because these symptoms overlap with many other conditions — thyroid disease, anemia, depression — it's important to get a proper clinical evaluation rather than self-diagnosing from a symptom list or an at-home test.
For some women, meaningful improvements come from addressing the fundamentals: sleep, chronic stress, blood sugar stability through diet, and regular movement — particularly strength training, which supports testosterone and insulin sensitivity. At Tia, we also offer acupuncture as part of our integrative approach to hormonal balance. Evidence supports acupuncture for reducing stress hormones, regulating menstrual cycles, and managing symptoms like hot flashes, mood changes, and sleep disruption — making it a genuine clinical tool, not just a wellness add-on.
That said, "naturally" is not always sufficient on its own, especially when symptoms are driven by perimenopause, thyroid disease, or PCOS. A Tia provider can help you identify which lifestyle and integrative options are actually relevant to your sp
A hormonal imbalance evaluation typically starts with a clinical blood test covering estradiol, progesterone, FSH, testosterone, LH, thyroid hormones (TSH, T3, T4), and sometimes DHEA-S, prolactin, or Sex Hormone Binding Globulin (SHBG).. Crucially, results need to be interpreted in the context of your symptoms, cycle timing, and health history — a number in isolation rarely tells the full story. At Tia, your provider reviews everything together and walks you through what your results actually mean.
You're not alone. We know how frustrating it is to have your symptoms overlooked by a healthcare system that wasn't designed for you. This assessment is your first step to a long-term partnership with a care team that listens, connects the dots, and helps you build a future of vitality.
