Empower Your Wellness with Hormone Optimization Therapy

Are You Experiencing ?

  • A woman sitting cross-legged on a rug in her living room, adjusting her white t-shirt with her right hand while experiencing a fan blowing on her face.

    Hot Flashes?

  • A young woman with blonde hair lying in bed, making a peace sign near her face, with her eyes closed, wearing a floral print shirt.

    Trouble Sleeping?

  • A man and woman in the shower, close-up view, with water splashing on them, the woman leaning into the man with her back visible.

    Painful sex, Vaginal dryness, Decreased libido

  • A person measuring their waist with a tape measure in black and white.

    Weight Gain?

  • Woman sitting at a desk, wearing glasses, holding her head in frustration while looking at a laptop computer.

    Brain fog, Change in mood, Increased anxiety?

  • A woman sitting on a bed, holding her stomach in pain, wearing a white tank top and denim shorts.

    Joint Pain?

Initial Consultation – $350

  • 60-minute visit with NP Sarah

  • Includes full evaluation, review of symptoms, and labs ordered (if desired)

  • This fee is credited toward any membership or package if you choose to continue afterward

✨Hormone Optimization Membership

$185/month

4 or 10-month minimum commitment
Perfect for women requiring management of estradiol, progesterone, and testosterone

Includes:

  • 🩺 Initial 60-minute consultation with NP ($350 value)

  • 🔁 Monthly 30-minute follow-ups ($2,000 value)

  • 💊 Prescription management to your pharmacy of choice

  • 🧪 Lab interpretation up to 6x/year ($1,500 value)

  • 💆‍♀️ 10% off all aesthetic services & products

📝 Prescription and lab costs are paid separately to your chosen pharmacy or lab. Insurance may apply where accepted.

→ 10-Month Package: $1,665 (Save $185!)

💪Testosterone-Only Membership

$150/month

4 or 10-month minimum commitment
Tailored Testosterone only Therapy (Male and Female)

Includes:

  • 🩺 Initial 60-minute consultation with NP ($350 value)

  • 🔁 Monthly 30-minute follow-ups ($1350 value)

  • 💉 Testosterone prescription management

  • 🧪 Lab interpretation up to 6x/year ($1,500 value)

  • 💆 10% off all aesthetic services & products

📝 Prescription and lab costs are paid separately to your chosen pharmacy or lab. Insurance may apply where accepted.

→ 10-Month Package: $1500 (Save $200!)

→4-Month Package: $660 (Save $140!)

Need Hormone Optimization, Primary Care, Longevity Support and Urgent care visits?
Try our Empowered Membership—designed to give you comprehensive, personalized care from a licensed Nurse Practitioner.

Testosterone is a controlled substance regulated by the FDA and requires prescribing by a licensed healthcare provider with an active DEA registration—which I hold as a Nurse Practitioner. As such, ongoing clinical oversight and follow-up care are not optional—they are legally and medically required.

Commitment Options

Depending on how your prescription is dispensed (monthly delivered vs. multi-month order to pharmacy), you will have either a:

  • 4-month commitment, or

  • 10-month commitment
    to NP Empowered Wellness for hormone optimization and follow-up care.

Testosterone Therapy Requirements

To ensure your safety and achieve the best possible results, the following protocols must be followed:

Follow-up Appointments:
You are required to meet with your provider at least every 2 months for follow-up visits. These check-ins are essential to assess symptoms, make dosage adjustments, and ensure overall well-being.

Lab Monitoring:
Comprehensive lab work is required every 2 months until your hormone levels are stable. This helps us make informed decisions about your care and monitor for any potential side effects.

Pharmacy Coordination:
We will send prescriptions to the pharmacy of your choice. Note: All testosterone prescriptions are from licensed, commercial or compound pharmacies only—no research-grade or unregulated sources.

Why Don’t You Offer Hormone Pellets?

At NP Empowered Wellness, we prioritize safe, flexible, FDA Approved and evidence-based hormone therapy. While pellets are popular in some practices, we do not offer them due to:

  • Lack of dosage flexibility (once inserted, they can’t be adjusted)

  • Higher risk of side effects from hormone spikes

  • Limited ability to personalize treatment over time

We believe in meeting regularly with our patients, monitoring labs, and adjusting treatment as needed to ensure optimal results.

Micronized Progesterone

Bottle of progesterone capsules with warning label about peanut allergy
A prescription pill bottle surrounded by a pile of scattered blue and gold capsules and pills against a dark background.

  • Progesterone is a key hormone produced by the ovaries. It plays a vital role in regulating the menstrual cycle and supporting early pregnancy. As women approach perimenopause and menopause, progesterone levels decline, which can contribute to a variety of symptoms.

  • Menstrual Cycle Regulation
    Progesterone helps prepare the uterine lining for a possible pregnancy each month and dominates the second half of the cycle (luteal phase).

    Pregnancy Support
    Adequate progesterone is necessary to maintain a healthy uterine lining during pregnancy. Low levels may lead to spotting or even miscarriage.

    Hormonal Decline with Age
    As the ovaries slow down during perimenopause and menopause, progesterone production naturally decreases, leading to hormone imbalance.

  • Relieve Symptoms
    Low progesterone can cause heavy bleeding, insomnia, anxiety, mood swings, and irritability. Replenishment may help restore balance and improve symptoms.

    Protect the Uterus
    When using estrogen therapy, progesterone is necessary for women with a uterus to reduce the risk of endometrial (uterine) cancer.

    Support Hormonal Balance
    Progesterone is often overlooked but essential for total hormonal harmony. Even women without a uterus may benefit from replacement depending on their symptoms.

  • Women Taking Estrogen with an Intact Uterus
    To counteract the thickening effect of estrogen on the uterine lining and reduce cancer risk.

    Women with Specific Symptoms
    Those experiencing low progesterone symptoms like anxiety, poor sleep, or abnormal bleeding may benefit from therapy—even if post-hysterectomy.

    Personalized Care Matters
    Hormone therapy isn’t one-size-fits-all. A customized plan based on labs and symptoms ensures the safest, most effective results.

  • Micronized progesterone is a bioidentical form of progesterone—meaning it’s structurally identical to what your body naturally produces. It’s derived from plant sources and processed into tiny particles (micronized) to improve absorption when taken orally.

    Benefits of Micronized Progesterone:

    • Better tolerated than synthetic progestins

    • Supports sleep and mood

    • Protects the uterine lining when using estrogen

    • May reduce PMS, anxiety, and night sweats

    • Bioidentical and body-friendly

    Compared to synthetic versions, micronized progesterone has a more favorable effect on cholesterol, breast tissue, and mental health.

  • Typically prescribed in capsule form, micronized progesterone is taken orally at bedtime—often ranging from 100–200mg, depending on your needs.

    Instructions:

    • Take at night — it can have a calming, sedative effect

    • With or without food — but taking it with food may enhance absorption

    • Consistent timing is key for hormonal balance

    Your exact dose and schedule will be tailored based on your symptoms, labs, and whether you're also using estrogen.

    👉 Always follow the guidance of your provider for safe, effective use.

  • Yes—commercially manufactured micronized progesterone (such as Prometrium) is typically formulated in a base of peanut oil to help stabilize the hormone.

    If you have a peanut allergy or sensitivity to fillers or dyes, don’t worry—we offer compounded progesterone made in specialty pharmacies without peanut oil, dyes, or unnecessary additives. These custom formulations are tailored to your individual needs and sensitivities.

    👉 Always let your provider know about any allergies so we can ensure your hormone therapy is both safe and effective.

Why Don’t You Recommend Progesterone Cream?

While progesterone creams are widely available, they are not recommended at NP Empowered Wellness for several important reasons:

❌ Inconsistent Absorption

While progesterone is often marketed in over-the-counter creams, and made by compound pharmacies, it's important to know that the progesterone molecule is too large to be effectively absorbed through the skin in therapeutic amounts. This means that most topical formulations—which have not been proven effective-may not provide consistent or reliable hormone levels.

❌ Does Not Protect the Uterus

When using estrogen therapy, adequate progesterone is essential to protect the uterine lining. Creams do not provide protection against estrogen-induced endometrial thickening or cancer.

✅ We Use Evidence-Based Options

We prefer oral or vaginal micronized progesterone, which are FDA-approved, bioidentical, and proven to:

  • Protect the uterus

  • Support sleep and mood

  • Maintain hormonal balance safely

👉 Your safety and long-term health are our top priorities. We only recommend treatments with reliable, clinically-proven results.

A woman working out in a gym, performing a one-arm dumbbell row on a bench, with fitness equipment in the background.

Estrogen (Estradiol)

Box of Divigel estrogen gel with 0.25 mg dosage, containing 30 packets by Vertical Pharmaceuticals.
Box of Estradiol transdermal system, USP, twice-weekly, 0.05 mg per day, manufactured by Mylan
Box of Evamis estradiol transdermal spray medication for topical use only, containing 1.53 mg of estradiol per spray, with a volume of 0.27 fluid ounces, for prescription use.
A box of Femring vaginal estrogen with purple packaging featuring a floral design.

  • Estradiol is the most potent form of estrogen, a hormone primarily produced by the ovaries. It plays a key role in regulating the menstrual cycle, maintaining bone density, supporting mood, and protecting the heart and brain. During perimenopause and menopause, estradiol levels naturally decline.

  • Estradiol helps:

    • Regulate the menstrual cycle

    • Maintain vaginal and urinary tract health

    • Preserve bone strength

    • Support mood, memory, and cognitive function

    • Protect cardiovascular health

    • Promote skin elasticity and hydration

    When estradiol drops, many women experience symptoms like hot flashes, night sweats, mood changes, brain fog, vaginal dryness, and decreased libido.

  • Replacing estrogen—specifically estradiol—can help:

    • Alleviate common menopausal symptoms

    • Protect against bone loss and osteoporosis

    • Improve sleep and energy

    • Support mental clarity and emotional balance

    • Promote vaginal and urinary tract health

    Estrogen therapy is about more than symptom relief—it’s also about long-term health protection.

  • Estrogen replacement may be beneficial for:

    • Women experiencing moderate to severe menopause or perimenopause symptoms

    • Women with early menopause or surgical removal of the ovaries

    • Women at risk for osteoporosis or bone loss

    • Women who feel their quality of life is impacted by hormonal decline

    Treatment decisions are always individualized based on your symptoms, labs, and medical history.

  • We offer FDA-approved estradiol in several convenient and effective forms:

    • Transdermal patches

    • Topical mist

    • Topical gel

    • Vaginal ring

    • Oral tablet

    Each method has its own benefits, and we’ll help you choose the option that best fits your body, lifestyle, and health goals.

  • While estrogen therapy offers significant benefits, it’s not appropriate for everyone. You may not be a candidate for estradiol replacement if you have:

    • A history of breast cancer (especially estrogen receptor-positive)

    • Active or past blood clots (such as DVT or pulmonary embolism)

    • Unexplained vaginal bleeding

    • Liver disease

    • History of stroke or heart attack

    • Known allergy or sensitivity to estradiol or delivery materials (patch adhesives, fillers, etc.)

    Even if you have a medical history that raises concern, we take a personalized, risk-based approach. In many cases, non-estrogen alternatives or local (vaginal) estrogen may still be safe and effective options.

    👉 A thorough consultation and lab work are essential before starting any hormone therapy.

Testosterone

Woman in a tropical-themed bikini standing beside a palm tree on a sunny day.
A box of Testosterone Gel containing 30 unit-dose tubes, each with 5 grams of gel, labeled for prescription use.
A medicine pill bottle with a pink-and-white label and a pink cap, standing upright on a white background.
A vial of testosterone cyponiate injection labeled with 200 mg/mL, alongside its purple and white packaging.

  • Testosterone is often thought of as a “male hormone,” but it’s also essential for women—just in smaller amounts. It’s produced by the ovaries and adrenal glands and plays a key role in energy, mood, libido, muscle strength, and cognitive function.

  • Testosterone helps support:

    • Sexual desire and arousal

    • Lean muscle mass and bone strength

    • Mental clarity and focus

    • Mood stability and motivation

    • Overall vitality and confidence

    As women age, especially during perimenopause and menopause, testosterone levels naturally decline—and many women feel the difference.

  • Even before estrogen and progesterone drop significantly, testosterone starts to decline—often as early as your 30s. Replacing testosterone can help:

    • Restore libido and sexual satisfaction

    • Improve mood, confidence, and motivation

    • Boost energy and reduce fatigue

    • Support lean body composition and bone health

    This is especially helpful for women who feel "flat," unmotivated, or disconnected from themselves during midlife hormonal shifts.

  • You may benefit from testosterone therapy if you're experiencing:

    • Low libido or sexual dysfunction

    • Persistent fatigue

    • Decreased muscle tone

    • Brain fog or lack of motivation

    • Mood changes or depression unresponsive to other treatments

    It's about quality of life—and for many women, testosterone is the missing piece.

  • We do. And here’s the truth:
    ✅ There is no FDA-approved testosterone product specifically for women—yet.
    But this is where evidence-based medicine wins.

    We use FDA-approved testosterone gel for men (prescribed at female-appropriate doses) and 503B-regulated compounded testosterone from pharmacies that meet strict safety and quality standards.

    These options are:

    • Backed by clinical research

    • Widely used in women’s hormone therapy

    • Customizable and monitored carefully for safety and efficacy

    We believe in safe, personalized care—not one-size-fits-all rules.

  • At NP Empowered Wellness, we offer testosterone in three forms:

    • FDA-approved transdermal gel (male version, dosed for women)

    • 503B-compounded topical cream

    • 503B-compounded injections (for appropriate candidates)

    Together, we’ll determine the best method based on your symptoms, goals, and lifestyle.

Vaginal Estrogen (Estradiol)

Box of Estring estrogen vaginal ring medication with blue and pink accents
Box of Glenmark Estradiol Vaginal Inserts USP, 10 mcg, 8 vaginal inserts with disposable applicators.
Box of Estradiol Vaginal Cream 0.01%, 1.5 oz, prescription medication
Box of Imvexxy 10 mcg estrogen vaginal inserts for vaginal use only.

  • Vaginal estradiol is a low-dose form of estrogen therapy designed to treat genitourinary symptoms of menopause (GSM), such as vaginal dryness, irritation, burning, painful sex, or urinary frequency. It’s applied locally to the vaginal tissues.

  • Genitourinary syndrome of menopause (GSM) includes symptoms like vaginal dryness, pain during sex, and urinary issues due to low estrogen levels in menopause. About 50% of postmenopausal women experience these changes, leading to discomfort and affecting their quality of life.

  • Vaginal estradiol:

    • Restores vaginal tissue thickness, moisture, and elasticity

    • Improves comfort during intimacy

    • Reduces vaginal itching, burning, and dryness

    • Supports urinary tract health, helping reduce frequency and urgency

    These symptoms are common during and after menopause due to estrogen decline—and vaginal estradiol is one of the most effective ways to treat them.

  • In most cases, no—vaginal estradiol is not considered systemic.

    • Low-dose vaginal estradiol (like creams, tablets, or rings) delivers estrogen locally, not throughout the bloodstream.

    • It does not significantly raise blood estrogen levels, making it a safer option for women who can't take systemic estrogen.

    However, higher-dose vaginal rings (like Femring) can have systemic effects. That’s why we tailor the choice based on your health history and goals.

  • Because local symptoms are often not helped by oral or patch estrogen therapy alone.

    If you're experiencing:

    • Vaginal dryness or pain

    • Painful intercourse

    • Chronic UTIs

    • Urinary urgency or burning

    Vaginal estradiol can offer targeted, effective relief with minimal risk.

  • You may be a candidate if you:

    • Have vaginal or urinary symptoms of menopause

    • Are on systemic HRT but still have vaginal dryness

    • Want symptom relief without full-body hormone exposure

    • Cannot take systemic hormones due to past health concerns

  • At NP Empowered Wellness, we offer FDA-approved options tailored to your needs:

    • Estradiol cream

    • Vaginal tablet (Vagifem®)

    • Imvexxy vaginal capsule

    • Vaginal ring (Estring®)

    We'll help you select the best option for comfort, convenience, and effectiveness.

Vagina/Vulva Health without Hormones

Vagina/Vulva health is vital to overall health. When the vagina is not healthy, it can affect the quality of sex and orgasms.

Hand holding a half orange on black background

  • Vaginal Rejuv S Cream is an intravaginal cream with a specially formulated blend of ingredients designed to support vaginal health, enhance moisture, and promote positive sexual experiences for a woman.

    Potential Benefits

    *Improve vaginal elasticity

    * Vaginal tissue hydration and health

    * Enhanced sensitivity

    * Maintain natural hormone levels

    * Enhance sexual wellness

    HOW SUPPLIED:

    Topi-CLICK Perl® Vaginal Dosing Kit

    SUGGESTED DIRECTIONS FOR USE:

    Insert 1 gram (4 clicks) intravaginally two to three times weekly.

    STORAGE: Refrigerate.

    OXYTOCIN, known as the “bonding hormone,” plays a role in sexual arousal and emotional well-being. In this cream, oxytocin enhances vaginal tone and elasticity, improving sexual response, intimacy, and overall comfort.

    VITAMINE is a powerful antioxidant that protects tissues from oxidative stress, supports hydration and skin elasticity, and helps repair damaged skin. It has been shown to improve symptoms of irritation, itching, vaginal dryness, and dyspareunia; promoting healthy, moisturized vaginal tissue.

    NIACIN (VITAMIN B3) improves blood circulation, suppresses inflammation, and helps maintain the skin barrier, promoting healing. By enhancing blood flow to the vaginal area, niacin supports tissue health and rejuvenation.

    DHEA (DEHYDROEPIANDROSTERONE) is a hormone that supports healthy vaginal tissue by maintaining natural hormone levels, promoting tissue regeneration, and enhancing libido. DHEA improves vaginal moisture, elasticity, and overall tissue health, while also boosting sexual desire.

    L-ARGININE is an amino acid that enhances circulation and tissue health by stimulating the production of nitric oxide. It improves blood flow to the vaginal area, promoting enhanced sensitivity and tissue rejuvenation.

    HYALURONIC ACID is a natural substance that retains moisture, essential for keeping tissues hydrated and maintaining skin elasticity. It provides intense hydration to vaginal tissue, improving comfort, elasticity, and reducing dryness.

    ELLAGE™ ANHYDROUS VAGINAL BASE : Ellage Anhydrous

    Vaginal is the first anhydrous base in pharmacy compounding developed specifically for vaginal applications. It is designed to be gentle on vaginal tissue, release medications and maintain contact with the mucosa, all while providing a uniquely pleasant experience for patients utilizing vaginal creams.

    Potential Side Effects:

    Mild irritation or redness may occur initially as the tissues adjust. This typically subsides with continued use.

Vaginal/Vulva Health

Wooden hand holding a sliced papaya on a black background.

Vaginal Discomfort

  • OXYTOCIN/HA 50 IU/5 MG/G CREAM

    Petal Revive Cream is a treatment that contains oxytocin and hyaluronic acid, these substances are naturally found in the body and they help to retain moisture and promote healing. It is used to treat vaginal dryness and improve the overall health of vaginal tissues.

    POTENTIAL BENEFITS:

    *Treats vaginal dryness and discomfort.

    * Promotes healing of the vaginal mucosa.

    * Enhances moisture retention in vaginal tissues.

    HOW SUPPLIED:

    30 grams in Topi-CLICK Perl and vaginal applicator

    SUGGESTED DIRECTIONS FOR USE:

    Insert 1 gram (4 clicks) vaginally at bedtime for 2 weeks, then twice weekly for 2 weeks, then as needed

    STORAGE: Petal Revive Cream: Refrigerated

    Potential Side Effects:

    Mild irritation or redness may occur initially as the tissues adjust. This typically subsides with continued use.

*Disclaimer: All compounded prescriptions are not FDA approved as by definition from the FDA. Compounded medications are tailored to meet the specific needs of individual patients, but they do not undergo the same rigorous testing and approval process as commercially available drugs. As such, it is essential to discuss any concerns or questions regarding compounded prescriptions with your healthcare provider to ensure safety and efficacy in your treatment plan.

All compounded prescriptions provided by NP Empowered Wellness are from 503B compounding pharmacies. 503B compounding, is performed at “outsourcing facilities,” which are subject to stricter FDA oversight, including cGMP requirements, a requirement to register with FDA, periodic FDA inspections and an obligation to submit adverse event reports and other product-specific information to FDA.

Text logo "Ina" in serif font.

CO2Lift® V

Skincare product with syringe applicator, white spatula, packets, and a towel

CO2LIFTV® is a painless effective treatment that, with no downtime, addresses vaginal issues associated with aging, childbearing and/or stress. Our Kit comes with 3 treatments and 3 applicator sticks that can be used in the privacy of your home. After just one application users will feel and see results.

  • Produces Natural Lubrication

  • May Improve Vaginal Tightening

  • May Reduce Painful Intercourse

  • Enhances Cosmetic Appearance

  • May Increase Sensation

Directions
Before mixing the large and small pack in a small bowl, massage the small packet to soften it. After mixing thoroughly with mixing stick for about 1 minute, push the gel together in the bowl. Use applicator to pull up the gel. Insert into vagina and  on vulva. Apply 2/3 of the gel into the vagina. The rest apply to vulva. Leave on for 45 minutes minimum. You can leave on overnight. Rinse out of vagina by filling applicator with water. Do this about 3 times. Wash off the vulva. Pat dry.

Do the first 5 to 10 treatments within the first month. Then you can maintain with monthly treatments. 

CO2Lift® V FAQs

  • CO2Lift® V is a take-home vaginal rejuvenation treatment

    • Ideal for these skin types: All Skin Types

    • Main Ingredients: Algin, Ceramide 1, Chlorella Vulgaris Extract

    • Area of use: Vagina, Vulva

      These statements have not been evaluated by the Food and Drug Administration (FDA). Use only as directed. This product is not intended to diagnose, treat, cure, or prevent any disease or as a prescription for medication.

  • CO2Lift® V can be for every woman:

    • Women for self-care and general intimate health

    • New Mothers

    • Menopausal Women

    • Women on prescription medication

    • Women concerned about the vulva’s cosmetic appearance

    • Women who have had chemotherapy

    • Women with a history of breast cancer who have GSM symptoms but cannot take estrogen

    • Women with Lichen Schlerosus

    • Women with PCOS

  • Many women report significant improvement in the following conditions:

    • Dryness

    • Burning

    • Itching

    • Pain during sex

    • Post-coital bleeding

    • Loss of sensitivity

    • Vaginal Laxity

    • Urinary Incontinence

    • Cosmetic appearance

  • Water, Butylene Glycol, Algin, Magnesium Carbonate, Hydrolyzed Collagen, Ceramide 1, Ceramide 3, Ceramide 6 ll, Passiflora Edulis Fruit Extract, Pueraria Thunbergiana Root Extract, Chlorella Vulgaris Extract, Aloe Barbadensis Leaf Extract, Artemisia Princeps Leaf Extract, Xanthan Gum, Calcium Chloride, Phytosphingosine, Cholesterol, Sodium Lauroyl Lactylate, Carbomer, Phenoxyethanol, Orange Yu (JTN), Titanium Dioxide, Iron Oxides, Alumina, Silica Dimethly Silylate, Gluconolactone, Squalane, Magnesium Ascorbyl Phosphate.

  • Before combining the contents of the larger and smaller packets in a small bowl, gently massage the smaller packet to ensure its smoothness. Once thoroughly mixed with a stirring stick for approximately 1 minute, consolidate the gel in the bowl. Use the applicator to collect the gel and administer it both inside the vagina and on the vulva. Apply around 2/3 of the gel inside the vagina, using the remainder on the vulva. Allow it to remain for a minimum of 45 minutes; overnight application is also an option. To rinse the vagina, use the applicator filled with water, repeating this process about 3 times. Cleanse the vulva area thoroughly and pat dry. Initially, aim to complete the first 5 to 10 treatments within the initial month. Subsequently, maintenance can be achieved through monthly treatments. For optimal results, consider performing a treatment either daily or every other day.

— Buddha

“Wellness encompasses a healthy body, a sound mind and a tranquil spirit. Enjoy the journey as you strive for wellness.”

Person sitting outdoors on a bench with ocean and sunset in the background

Book your Consultation

Schedule a consultation in person or via telehealth with Sarah Sanchez APRN, MSN, FNP-C at NP Empowered Wellness today! During your personalized consultation, Sarah will discuss your aesthetic and wellness goals, answer any questions you may have, and outline a tailored treatment plan designed specifically for you. Whether you're interested in exploring advanced skincare options or seeking transformative aesthetic enhancements, we are here to guide you every step of the way. Don’t wait to unlock your best self—contact us now to book your appointment and discover what makes NP Empowered Wellness the premier choice for aesthetic excellence.