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Affordable Hormone Replacement Therapy for Women
Restore balance, energy, and overall well-being through a medically guided hormone optimization program for women.
Designed to support women through perimenopause and menopause, care is based on your symptoms, health history, and clinical evaluation.
Care at Top Tier Telehealth is led by Philana Cunningham, Board Certified Nurse Practitioner & Hormone Specialist, who completed specialized training through the Academy for Advanced Women’s Health Medicine. Her approach is personalized, medically guided, and centered on helping women navigate hormone-related concerns with clarity and support.
No insurance required
Affordable, cash-pay pricing
Women of all ages welcome
Many high-volume HRT programs can feel rushed, impersonal, or inconsistent — with different providers at each visit and limited follow-up support.
Top Tier Telehealth offers customized/individualized HRT treatment plans.
Women's Hormone Optimization Program | Hormone Replacement Therapy (HRT) Q & A
Personalized HRT Treatment Plans at Top Tier Telehealth
Hormones play an essential role in regulating mood, sleep, metabolism, energy levels, and overall health in women. As hormone levels change during perimenopause and menopause, many women may experience symptoms that can significantly impact their quality of life.
These changes are a natural part of midlife; however, symptoms can still be disruptive and impact daily well-being. Women's hormones start to decline in the mid-30s and early 40s.
Common symptoms of hormonal changes may include:
•Hot flashes and night sweats
•Difficulty sleeping or frequent nighttime awakenings
•Mood changes, including irritability or anxiety
•Brain fog, memory changes, or difficulty concentrating
•Fatigue or low energy
•Changes in weight or difficulty maintaining weight
•Decreased libido
•Vaginal dryness or discomfort with intimacy
•Frequent urinary or vaginal infections
•Joint pain or stiffness
•Hair thinning or increased shedding
**There is no age limit on when hormone therapy can be started**
However, women who start hormone therapy in the perimenopausal period and/or within 10 years of menopause reap the MOST future health benefits, such as:
- Decreased risk of all cancers, including breast cancer
- Decreased risk of cardiovascular disease
- Decreased risk of osteoporosis
- Decreased risk of developing diabetes
- Decreased risk of all cause mortality
**Women who start hormone therapy 10 years post-menopause may still experience future health benefits, we just have less research available.
Unlike traditional medical visits that feel rushed, Philana dedicates her time to understanding your hormones, your symptoms, and your goals.
This allows her to create a highly personalized treatment plan—not a one-size-fits-all protocol.
- Women of all ages are welcome & deserve a comprehensive evaluation
- This practice also offers Testosterone therapy evaluation & treatment for women
What Makes Top Tier Telehealth Different
• One consistent provider managing your care
• No large call-center style care team
• Board-certified Family Nurse Practitioner-led treatment
• Personalized treatment decisions based on symptoms, labs, goals, and safety
• Ongoing lab monitoring and follow-up
• Secure, direct messaging with your provider through the patient portal
• Medication and supply coordination through licensed pharmacies
• LegitScript certified practice
• Transparent cash-pay pricing
Book Your Free Online Consultation by clicking this link or by clicking the Book Online button below
Although our HRT services are offered on a self-pay basis, your insurance will often help cover the cost of prescribed medications. We can send prescriptions to your preferred pharmacy, where your insurance benefits can be applied.
If you do not have prescription coverage, we also work with licensed partner pharmacies that offer hormone therapy options at very reasonable & affordable cash-pay pricing.