Hormone care for high achieving women
Hormone care for high achieving women
Hormone care for high-achieving women in their 40s who look fine on the outside, but are secretly exhausted, foggy, and tired of being told their labs are “normal.”
If you’re navigating perimenopause while running meetings, raising families, and carrying everyone else, yet privately lying awake Googling “why am I so tired all the time” or “is this early menopause”—this is where your body finally gets taken seriously.
I provide medically supervised hormone therapy and deep root-cause evaluation for women who are done guessing and ready to feel like themselves again.
Let Me Guess…
You’re still showing up.
Still performing.
Still holding everything together.
But behind the scenes:
You wake up tired—even after sleeping 8 hours
Brain fog makes simple tasks harder
Your weight is shifting and nothing works
You need caffeine to survive mornings
Your patience is thin and your mood unpredictable
Your libido disappeared
You were told your labs are normal
You were offered antidepressants or told it’s stress
You don’t recognize your body anymore
And the scariest part?
You’re starting to wonder how long you can keep this pace before something gives.
Tired of the hormonal rollercoaster?
Tired of the hormonal rollercoaster?
Now Imagine This…
You wake up with energy again.
Your mind feels sharp.
Your moods feel steady.
Your sleep finally restores you.
Your weight makes sense.
Your body feels predictable again.
You trust what’s happening inside of you.
You’re not guessing anymore.
You’re guided.
Monitored.
Supported.
Optimized.
That’s what thoughtful midlife hormone care + functional medicine is designed to create.
Hormones are powerful—but they’re not the whole story.
This practice was built for women who want more than a quick fix.
Yes, hormone therapy can be transformative when used appropriately and monitored carefully.
But fatigue, brain fog, and burnout in midlife are rarely caused by one thing alone.
Your thyroid, gut, stress hormones, metabolism, inflammation, nutrient status, sleep patterns, and nervous system all matter.
That’s why I combine:
✔ Bioidentical hormone therapy
✔ Lab-guided decision-making
✔ Root-cause investigation
✔ Lifestyle optimization
✔ Education and partnership
No rushed visits.
No cookie-cutter plans.
Just precision medicine for women who expect more.
Meet Porchae
Hey girl!
I’m a nurse practitioner trained in functional and integrative medicine, and I created this practice after watching too many brilliant women be rushed, dismissed, and left without real answers.
Women who were doing everything “right”… yet felt like their bodies were betraying them.
This space allows me to combine evidence-based hormone therapy with deep, root-cause functional medicine—so you can stop guessing, stop spiraling on Google, and start feeling confident in your health again.
You deserve to understand what’s happening in your body.
And you deserve options.
Choose the level of support that matches your goals.
A focused conversation to review symptoms, explore hormone concerns, and determine your best next step, whether that’s hormone therapy or deeper functional testing.
Hormone Help Consultation
This 6-month experience focuses on stabilizing sex hormones, relieving symptoms, and carefully optimizing hormone therapy while monitoring your body every step of the way.
Midlife Hormone Balance Pathway
This is for women ready to understand why they’re so exhausted. If you’ve tried supplements, diets, and even hormone therapy before, and still don’t feel right—this is where we go deeper.
This 6-month comprehensive program is designed to uncover the hidden drivers of fatigue, brain fog, inflammation, and metabolic dysfunction, while still supporting hormones medically.
Midlife CLEAR Reset Pathway
You don’t have to keep powering through.
Perimenopause is Real.
Midlife fatigue is Real.
Your symptoms are Real.
If you’re ready for thoughtful, medically supervised hormone care—paired with root-cause healing, the time is. now.
What clients are saying
"Hormone replacement therapy helped me feel like I had more control over my body. I had immediate improvement in my hot flashes, night sweats, sex drive, and I have no more heart palpitations. My mood and sleep are so much better.
— Kim
“Without Porchae's help, I felt helpless and doomed to live the next 30 years grumpy and overweight. I have more energy and motivation now to take care of myself and my family.
— Tasha
I finally feel like myself again. I'm back in the driver's seat. I have my life back...living in my sweet spot.
— Pam
Frequently Asked Questions
-
If your main concerns are classic perimenopause symptoms—like hot flashes, sleep issues, mood shifts, or low libido—the Midlife Hormone Balance pathway is often a great fit.
If fatigue, brain fog, weight changes, gut issues, inflammation, or burnout are bigger drivers—or you’ve tried hormone therapy before without full relief—the The Midlife CLEAR Reset is designed to go deeper.
Book a free 20-minute consultation if you’re still unsure and I’ll guide you toward the option that makes the most sense for your body.
-
The Midlife Hormone Balance pathway focuses on optimizing sex hormones with targeted lab work, medication management, and monitoring over six months.
The Midlife CLEAR Reset pathway includes everything in Midlife Hormone Balance—plus comprehensive functional testing (like gut, cortisol, metabolic, and nutrient analysis) and deeper lifestyle + supplement protocols to uncover why your body is depleted in the first place.
Think of one as focused hormone stabilization… and the other as full-systems investigation and restoration.
-
Some lab testing is bundled into each pathway, and additional testing may be recommended based on your case.
-
Yes—both pathways include evaluation for hormone therapy when clinically appropriate, along with prescribing, monitoring, and dose optimization.
Hormones are never given automatically. They’re recommended only after reviewing your symptoms, labs, and medical history.
-
When appropriate, I prescribe FDA-approved bioidentical hormones or discuss compounded options depending on your needs and preferences.
We’ll go through the pros, cons, and safety considerations so you can make an informed decision.
-
Great—that still gives us valuable information.
If hormone therapy isn’t appropriate for you, we’ll discuss other ways to support your symptoms using lifestyle strategies, targeted supplementation, or further testing.
The goal is always the right care—not forcing a specific treatment.
-
Not always.
That’s why there are two pathways.
Some women feel amazing with hormone optimization alone.
Others benefit from deeper investigation into gut health, stress hormones, nutrients, and metabolism.
Testing is used thoughtfully—not automatically.
-
Initial visits are longer and more in-depth than traditional appointments—typically 45–60 minutes.
Follow-ups are 30–45 minutes, depending on what we’re reviewing.
This is not five-minute medicine.
-
Many women choose to continue care through an ongoing Hormone Care Membership for maintenance, refills, monitoring, and long-term optimization.
This allows us to keep your plan aligned as your body evolves.
Details are shared near the end of your program. description
-
This practice operates on a private-pay model so that visits can be longer, care can be personalized, and testing decisions aren’t limited by insurance restrictions.
Some labs or medications may be reimbursable through your insurance or HSA/FSA depending on your plan.
You’ll receive receipts and documentation when applicable.
-
Simply book your Midlife Hormone Balance Pathway or apply for the Midlife CLEAR Reset Pathway.