Patient resources · Options cards
These are the cards on the stand in our exam rooms — every hormone and intimate-wellness tool we use, plainly explained and honestly ranked, one card each. Save them to your phone, print them, and bring your questions to your visit. That's what they're for.
How to read a card. Each one shows what an option does, where it goes, how flexible the dosing is, what to expect, and what it tends to cost on Maui with the plans we see most. Cost tiers are estimates. Nothing here is a prescription — it's the menu we choose from together, and the right pick depends on your history, your labs, and your goals.
Book a visitMenopausal hormone therapy
Patches, gels, sprays, pills, and the vaginal ring — for hot flashes, sleep, mood, and bone. Which routes we prefer and why, how each is dosed, and the safety points that actually matter.
Uterine protection
If you have a uterus and take systemic estrogen, you need a progestogen. This card covers oral micronized progesterone, the IUD, and the alternatives — and why local vaginal estrogen doesn't need one.
Desire, energy, and more
Why we compound it at true female strengths, how we dose it, how we check levels at 8–10 weeks, and what the evidence does and doesn't support.
Genitourinary syndrome of menopause
For dryness, painful sex, and recurrent UTIs — creams, tablets, inserts, the ring, and vaginal DHEA. Minimal absorption, no progestogen needed, and safe far more often than most women have been told.
Intimate wellness
Desire, arousal, orgasm, and comfort — from compounded testosterone and arousal creams to flibanserin, PT-141, tadalafil, pelvic floor therapy, EmFemme 360 and FemiLift, and what the evidence actually says about supplements.
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