Most women feel dismissed for years before getting answers. This tool exists so that doesn't happen here. Your check-ins become your data — and your data drives every decision we make about your treatment.
Leave blank if you're not sure — you can always add it later.
One-tap access — just like an app. No download needed.
Takes about 2 minutes. Your name and date of birth are already filled in.
Opens your secure check-in form.
Submit and come back here to view your progress.
Lines moving down means symptoms are improving — Severe is at the top, None is at the bottom.
Every woman responds differently. These are general guides — not deadlines. Tracking helps us tell the difference between "this needs more time" and "this needs adjustment."
Enter the date you started your most recent estrogen dose or dose change. We'll show you exactly what to expect right now — and which symptoms are still in their response window.
Leave blank if unchanged from your treatment start date.
Symptoms don't all respond on the same schedule. These are typical timeframes — and once you enter your dose-change date above, we'll show you where each one stands right now.
Some benefits aren't "feel it today" benefits — they're "protect over time" benefits. Starting estradiol before age 60 or within 10 years of menopause is when the evidence for protection is strongest.
When hormone therapy is started before 60 (or within 10 years of menopause), studies show substantially lower rates of coronary heart disease. One long-running study starting around age 50 found that 10 years of estradiol was linked with a 52% lower risk of a combined outcome of heart failure, heart attack, and death.
You may see the phrase "all-cause mortality" in research — that simply means death from any cause. Studies consistently show lower risk with early initiation.
Estrogen plays a direct role in bone density. Hormone therapy reduces the risk of osteoporotic fractures — a benefit that builds quietly over time, whether you feel it or not.
Estradiol delivered through the skin (patch or gel) has been shown to increase bone density, helping protect against bone loss and osteoporosis. These benefits generally continue while you're on therapy.
Emerging evidence suggests that earlier and longer estrogen exposure may support healthier brain aging and is linked with lower Alzheimer's risk in some studies. This is an active area of research, and the strongest signals appear related to timing and duration.
Starting estrogen in the perimenopausal window — not years after — appears to matter most for cognitive protection.
Estrogen therapy has been linked to reduced new diabetes diagnoses in large studies. Estrogen influences insulin sensitivity and body composition in ways that matter long-term — independent of weight changes.
Your check-ins are logged separately for each medication so your provider can see what's working and catch anything that needs attention.