Hormone Replacement Therapy in Wilson, WY

Providing the Women of Teton Valley individualized HRT for exceptional Menopause and Perimenopause care.

At Grand Health in Wilson, Wyoming, we provide comprehensive, medically supervised Hormone Replacement Therapy (HRT) including estrogen, progesterone and testosterone therapy for women in perimenopause and menopause throughout Teton County and surrounding areas including Jackson, Teton Village, Alpine, and Driggs.

We treat symptoms — not just lab numbers.

What is Perimenopause and Menopause?

Perimenopause can begin as early as your late 30s or early 40s.

Lab values can be misleading. Many women are told their labs are “normal” — even when they feel anything but normal.

Common early signs include:

  • Shortened or irregular cycles

  • Increased anxiety

  • Worsening PMS

  • Sleep disruption

  • New weight gain

  • Decreased stress tolerance

Menopause is officially defined as 12 months without a menstrual period. After this transition, estrogen levels remain low long term.

Common Menopausal Symptoms Include:

  1. Night sweats

  2. Hot Flashes

  3. Mood swings

  4. Anxiety or irritability

  5. Brain fog

  6. Poor sleep

  7. Low libido

  8. Vaginal dryness

  9. Menopause-related weight gain

  10. Loss of muscle mass

  11. Decreased bone density

Benefits of Hormone Replacement Therapy (HRT)

Hormone Replacement Therapy does more than reduce hot flashes. When prescribed and monitored appropriately, HRT can support both symptom relief and long-term health.

Relief from Menopause Symptoms

  • Reduced hot flashes and night sweats

  • Improved sleep quality

  • Stabilized mood and reduced anxiety

  • Improved focus and reduced brain fog

  • Increased libido and sexual comfort

Metabolic & Body Composition Support

  • Reduced visceral fat accumulation

  • Improved insulin sensitivity

  • Better energy levels

  • Support for lean muscle maintenance

Bone Health Protection

Estrogen plays a critical role in maintaining bone density. HRT may help:

  • Slow bone loss

  • Reduce osteoporosis risk

  • Support long-term skeletal health

Cardiovascular Support (When Initiated Appropriately)

In healthy women who begin therapy near the onset of menopause, HRT may support cardiovascular health and metabolic function.

Our Approach to HRT

Comprehensive Evaluation

  • Detailed symptom review

  • Unrushed appointments

  • Bioidentical hormone discussion

  • Full hormone panel as necessary or desired

Personalized Treatment Plans

  • Estrogen therapy

  • Progesterone therapy

  • Testosterone Therapy

  • Individualized dosing adjustments

Ongoing Monitoring

  • Regular lab follow-up as necessary

  • Risk factor monitoring

  • On-site Bone and metabolic health tracking if desired

  • Symptom reassessment

Our HRT Plans

Nurse Practitioner Guided Care

$1500 for 6 months

Includes a 60-minute initial consultation with Katy Kearns, FNP-BC, lab testing as needed, and HRT prescribing when appropriate. Also includes 30-minute follow-ups at 3 and 6 months with follow-up labs, plus secure portal access for questions between visits.

MD Guided Care

$2000 for 6 months

Includes a 60-minute initial consultation with Dr. Tobin Dennis, lab testing as needed, and HRT prescribing when appropriate. Also includes 30-minute follow-ups at 3 and 6 months with follow-up labs, plus secure portal access for questions between visits.

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