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Women's hormone replacement therapy is medically supervised treatment for hormonal imbalances that affect quality of life. Proper ratios of hormones promote optimal health and well-being. When those ratios shift, the imbalance can take a toll on how you feel physically, mentally, and emotionally.
The women's HRT program at our Gilbert office is led by Chad Dance, FNP-C, MSN, MS. Your provider evaluates your symptoms and identifies which hormone is out of balance. Keystone offers three targeted solutions for women: estrogen replacement therapy (ERT), menopause therapy, and bioidentical hormone pellets. Each addresses a specific pattern of symptoms.
This page covers what women's HRT is, which solutions we offer, how to know if you are a candidate, and what to expect from your first visit. To get started, call (480) 499-4441 or request a consultation.
Progesterone and estrogen are the two primary female hormones. The majority of these hormones are produced by the ovaries. Both are known for their role in regulating the female reproductive system, but they are also responsible for the health of the cardiac system, metabolism, skin health, and emotional health.
When the levels of estrogen, progesterone, or both are altered, women experience hormonal imbalance. The most well-known cause is perimenopause, the transitional phase right before menopause when the levels of both estrogen and progesterone start to decline. Other causes include contraceptives, pregnancy, cancer medication, endocrine disorders, and lifestyle factors like stress or poor diet.
Common symptoms of hormone imbalance in women include:
These symptoms overlap with many other conditions. That is why hormone testing matters. Prescribing hormone therapy without measured baseline levels is not medicine, it is guessing. At our Gilbert office, we test before we treat.
Most women who succeed with our HRT program share three things. They have noticed a real change in how they feel over the past few months or years. They have had blood work done that confirmed a hormonal imbalance. They want a provider who will explain what HRT can and cannot do rather than sell them a package.
Clinically, women's HRT is appropriate for adult women experiencing symptoms of perimenopause, menopause, or documented hormonal imbalance. Women whose symptoms are mild and resolve on their own may not need therapy. That gets said directly during the consultation rather than papered over with a treatment plan.
Chad's ICU background is genuinely useful here. Managing patients with complex medical histories on hormone therapy is not a med-spa skill set.
Keystone offers three targeted solutions for women's hormonal imbalance. Each addresses a specific pattern of symptoms and stage of life. Your provider will help you decide which one fits your situation.
As women approach menopause, the levels of naturally produced estrogen start to decrease. This can cause various symptoms such as hot flashes, night sweats, and vaginal dryness.
Estrogen replacement therapy is a type of hormone replacement treatment used to relieve these symptoms and replace low-level estrogen. ERT helps relieve the symptoms of menopause, protects against osteoporosis (thinning and loss of bone mass), and lowers the risks of developing breast cancer.
Not every woman will experience severe menopause symptoms that disrupt her everyday life. Many women find their symptoms are mild and resolve on their own.
Women that experience uncomfortable menopause will require therapy. Menopause therapy consists of medication prescribed by a provider to treat various hormone imbalance symptoms such as hot flashes and vaginal dryness.
During menopause, a woman's ovaries can produce very low levels of estrogen and progesterone. The goal of hormone therapy is to replace some of these hormones to reduce symptoms and improve quality of life.
Bioidentical hormones come from plants, unlike synthetics, which come from animals. Since their chemical composition is more similar to natural hormones found in your body, bioidentical hormones are considered a strong option for women seeking a more natural approach.
Hormone pellets are the shape and size of a grain of rice. They are inserted under the skin in the hip area during a short in-office procedure. They release small amounts of hormones (estrogen, testosterone, or both) directly into the bloodstream, mimicking the human body's natural process.
Pellets appeal to patients who want steady hormone levels without daily medication. Once placed, the pellets typically last several months before the next insertion.
You do not have to choose alone. That is the point of seeing a provider.
Your provider will review your medical history, current symptoms, stage of life (perimenopause, menopause, or postmenopause), any previous hormone therapy, and your goal timeline. From there, the recommendation is the solution most likely to work for your specific situation.
For women whose symptoms are anchored in perimenopause or early menopause, we often start with estrogen replacement therapy or menopause therapy. For women looking for a more natural, steady-state option, bioidentical hormone pellets may be a better fit.
The right recommendation depends on you. When your hormones stabilize, meaningful shifts in daily life often follow: better sleep, more manageable mood, higher energy, and renewed motivation.
For a broader overview of our hormone replacement program across all hormone services, see our main HRT page.
Pricing for every women's HRT solution is on the services pricing page. Estrogen replacement therapy is the most affordable starting point. Bioidentical pellets cost more upfront but last longer between visits. We accept HSA and FSA payment, offer financing through Cherry, and post current new patient offers that may reduce your first month's cost.
Insurance coverage for women's HRT varies. Some plans cover FDA-approved menopause medications when prescribed for clinically diagnosed conditions. Most do not cover compounded bioidentical formulations or pellet insertions. Keystone is an out-of-network practice and does not bill insurance directly. Patients use HSA, FSA, or financing through Cherry.
Your first visit takes about 45 minutes. Your provider reviews your medical history, current symptoms, and menstrual or menopause history. Baseline lab work is ordered when appropriate.
Once labs are in, you return for a follow-up visit to review results and discuss options. If your labs and symptoms confirm hormonal imbalance and there are no contraindications, we can start you on the recommended therapy. We do not prescribe hormone therapy without seeing the full clinical picture.
Follow-up cadence depends on your solution. Pellet insertions are typically scheduled every few months. Menopause therapy and ERT are monitored at regular intervals to keep your levels in the optimal range.
Chad Dance, FNP-C, MSN, MS, is the lead Family Nurse Practitioner overseeing the women's hormone replacement program at our Gilbert office. Two master's degrees, board-certified Family Nurse Practitioner, with over thirteen years of combined nursing and NP experience.
Before becoming a nurse practitioner, Chad spent more than five years as an ICU nurse at a Level II trauma center in Idaho, caring for critically ill medical, surgical, neurological, and open-heart surgery patients. That background is unusual for a hormone provider, and it matters. Hormone therapy in women intersects with cardiovascular health, bone density, and metabolic function. A provider with critical care experience brings a clinical safety floor that aestheticians and registered nurses cannot match.
Chad is fluent in Spanish, both conversational and medical. Spanish-speaking patients can request a Spanish-language appointment when booking. Habla español.
Our Gilbert office is at 3076 East Chandler Heights Road, Suite 115, in south Gilbert. We are about five minutes from Mercy Gilbert Medical Center and ten minutes from San Tan Village. Many of our women's HRT patients come from Power Ranch, Seville, Adora Trails, Trilogy at Power Ranch, Coronado Ranch, Country Shadows, and the surrounding master-planned communities.
We also serve women from Queen Creek, Chandler, and San Tan Valley. The drive from most parts of Queen Creek is under fifteen minutes. From east Chandler, even less. If you would prefer our Mesa Eastmark office, that location offers the same women's HRT program with the same provider model.
3076 E. Chandler Heights Road, Suite 115, Gilbert, AZ 85298
Located on the south side of Chandler Heights Road, just east of Greenfield Road. Get Directions
Phone: (480) 499-4441
Estrogen replacement therapy is the most affordable starting point at our Gilbert office. Bioidentical hormone pellets cost more upfront but last several months between insertions. Menopause therapy pricing depends on the medication prescribed. The services pricing page lists every solution. HSA, FSA, and financing through Cherry are accepted.
Estrogen replacement therapy is a type of hormone replacement treatment used to replace the estrogen that naturally declines as women approach menopause. ERT helps relieve symptoms such as hot flashes, night sweats, and vaginal dryness. It also protects against osteoporosis and lowers the risk of developing breast cancer.
Hormone pellets are bioidentical hormones derived from plants and shaped roughly the size of a grain of rice. They are inserted under the skin in the hip area during a short in-office procedure. Each pellet releases small amounts of hormones (estrogen, testosterone, or both) directly into the bloodstream, mimicking the body's natural release process.
Menopause therapy consists of medication prescribed by a provider to treat various hormone imbalance symptoms such as hot flashes and vaginal dryness. During menopause, the ovaries produce very low levels of estrogen and progesterone. The goal of therapy is to replace some of these hormones to reduce symptoms and improve quality of life.
Common symptoms include hot flashes, night sweats, trouble sleeping, headaches, depression, mood changes, irregular periods, fatigue, weight gain, vaginal dryness, and bone loss. These symptoms overlap with many other conditions, which is why hormone testing matters before starting treatment.
Yes in most cases. We do not prescribe hormone therapy without a clinical evaluation. Your first visit includes a review of your medical history, current symptoms, and menstrual or menopause history. Baseline labs are ordered when appropriate to identify which hormone is out of balance and guide the treatment plan.
Insurance coverage varies. Some plans cover FDA-approved menopause medications when prescribed for clinically diagnosed conditions. Most plans do not cover compounded bioidentical formulations or pellet insertions. We are an out-of-network practice and do not bill insurance directly. Patients use HSA, FSA, or financing through Cherry.
No. Family Nurse Practitioners are licensed independent providers in Arizona. New patients schedule directly. Bring any relevant recent lab work or menopause records from previous providers, and we will review them during intake.
Good candidates are adult women experiencing symptoms of perimenopause, menopause, or documented hormonal imbalance. They want a provider relationship with ongoing monitoring rather than a mail-order prescription. They understand hormone therapy is a long-term treatment, not a one-time visit. They want honest evaluation and appropriate follow-up.
Call (480) 499-4441 or request a consultation online. Same-week appointments are usually available.
Keystone Medical Wellness, Gilbert
3076 E. Chandler Heights Road, Suite 115
Gilbert, AZ 85298
(480) 499-4441
