At PCNM we feel that addressing hormone imbalances should be tailored to each individual. Things taken into consideration include symptom picture and severity, genetic predisposition, how an individual metabolizes their hormones, if there are imbalances in other areas such as the thyroid and/or adrenal glands and finally what treatment option(s) is the patient most comfortable with? Dr. Gammage is licenced to prescribe hormones including estrogen, progesterone, and thyroid. However, to make sure the right hormones are prescribed, she does require lab testing. Keep in mind that addressing hormonal issues does not necessarily require prescription hormones, other natural therapies can be considered as well.