Bioidentical Hormone Replacement for Women in El Paso

At Solas Health & Wellness, women's HRT is cash-based with transparent, flat pricing. The one-time HRT consultation is $175 (not credited toward other services, and separate from labs and medication). The initial lab panel is $160 and follow-up labs are $80. Compounded medication is quoted at your consultation. There's no insurance runaround — you always know what you're paying.

Bioidentical hormones are structurally identical to the hormones your body makes. For women, that primarily means estradiol and micronized progesterone. At Solas we prescribe them based on bloodwork and symptoms to relieve perimenopausal and menopausal symptoms — restoring hormones toward a healthy range rather than chasing extremes.

Yes. Perimenopause — the years of hormonal fluctuation before your final period — is one of the most common reasons women come to Solas. Symptoms like irregular cycles, night sweats, sleep disruption, mood changes, and brain fog often start in perimenopause, well before menopause. We evaluate on labs and symptoms and build a plan that fits where you are.

For most healthy women who begin HRT near the onset of menopause, the benefits typically outweigh the risks when it's appropriately selected and monitored — the position held by major menopause societies today. But HRT isn't right for everyone: certain cancer histories, clotting disorders, liver disease, and unexplained bleeding are important considerations. We screen for these carefully, start conservatively, and monitor with regular labs.

Hot flashes, night sweats, sleep disruption, low libido, brain fog, mood changes, weight gain, and fatigue can all point to changing hormones — but they can also have other causes like thyroid issues, stress, or nutrient deficiencies. The only way to know is through evaluation and bloodwork, which we guide you through. We treat on labs and symptoms, not symptoms alone.

Common signs include hot flashes, night sweats, disrupted or lighter/heavier periods, trouble sleeping, low libido, vaginal dryness, brain fog, mood swings or increased anxiety, weight gain (especially around the midsection), and fatigue. Any one of these can have other causes, so we confirm with bloodwork before recommending treatment.

No — Solas does not use pellets. Pellets deliver a fixed dose you can't easily adjust or remove if levels run high, and they often push hormones to supraphysiologic levels. We prescribe estradiol and micronized progesterone via patch, cream, or oral routes, which let us dose conservatively and fine-tune based on your labs and how you feel.

Primarily estradiol and micronized progesterone. If you still have your uterus, estradiol is paired with progesterone to protect the uterine lining. Delivery is by patch, cream, or oral depending on your labs, symptoms, and preference. Compounded medications are handled in-house/direct — not sent to a retail pharmacy.

Many women notice hot flashes, night sweats, and sleep improving within the first few weeks. Mood, brain fog, and libido often shift over the following weeks to a couple of months. We recheck labs on a regular cadence and adjust your dose so you stay in a healthy range. Individual response varies with your baseline, sleep, and overall health.

Solas is cash-based for the visit and medication — no insurance billing, no surprise codes. The consultation is a flat $175. Labs are drawn through Quest Diagnostics on a lab order: you can self-pay ($160 initial, $80 follow-up) or use your own insurance, for which we provide the Quest lab order for a $25 admin fee. Please note that Solas does not run labs in-house and is not responsible for insurance not covering HRT labs, high copays, or denied claims.

Yes. Celeste Cisneros, FNP-BC is licensed in both Texas and New Mexico. We welcome women from Las Cruces and across the El Paso–Las Cruces borderplex. Telehealth follow-ups are available after your initial in-person visit.

Your baseline panel typically includes Estradiol (E2), Progesterone, FSH and LH, Total and Free Testosterone, SHBG, Thyroid (TSH and Free T4), a Comprehensive Metabolic Panel, a Lipid Panel, a CBC, Vitamin D, and HbA1c. Depending on your history and symptoms we may add other markers. We then recheck the relevant hormones and safety markers on a regular cadence once you're on therapy.

Yes — this is one of the most common combinations for women in perimenopause and menopause. Hormone shifts drive midsection weight gain and insulin resistance, and a GLP-1 program (semaglutide or tirzepatide) pairs well with balanced hormones. We coordinate the plan so both work together — see our medical weight loss page for details.

Yes. Solas Health & Wellness sees women's HRT patients from across the El Paso–Las Cruces borderplex, including El Paso, the Upper Valley, Canutillo, Vinton, Anthony (TX/NM), Sunland Park, Santa Teresa, Mesilla, Horizon City, and Las Cruces, NM. Celeste Cisneros, FNP-BC is licensed in both Texas and New Mexico, and telehealth follow-ups are available after an in-person visit.