Hormone Replacement Therapy in Seattle
Hormone replacement therapy can ease the sleep, mood, energy, and body changes of perimenopause and menopause, but it is not one-size-fits-all. At Kosmos Medical Group, hormone therapy is physician-led and individualized, prescribed only when it fits your history and goals, and managed over time rather than set and forgotten. Women's health is led by Dr. Carolan Constantine, a board-certified physician with a women's health focus, inside a membership practice built on time, access, and whole-person primary care.
Hormone therapy, done carefully
Hormone replacement therapy is one of the most effective tools for menopausal symptoms, and also one of the most oversimplified. Some clinics hand out the same pellets or doses to everyone. We do the opposite. Your physician reviews your symptoms, your personal and family history, and your goals, then decides with you whether hormone therapy makes sense and which form fits you best.
What we offer
- A thorough evaluation before anything is prescribed, including the right hormone and metabolic testing
- Estrogen, progesterone, and testosterone therapy when clinically appropriate
- Bioidentical hormone options where they are the right fit, chosen on evidence rather than marketing
- Non-hormone and lifestyle approaches when those serve you better
- Ongoing monitoring and adjustment, not a one-time prescription
- Coordination with OB-GYN, endocrinology, or other specialists when needed
An honest conversation about safety
Hormone therapy is neither the cure-all nor the danger it has been portrayed as at different times. For many women who begin near the menopause transition, the benefits can outweigh the risks. For others it is not the right choice. The honest answer is that it helps many people when it is matched to the right candidate and monitored carefully, which is exactly how we approach it.
Why members choose Kosmos for hormone care
Kosmos is not a hormone clinic. It is your primary care home, with a physician who knows your whole health picture. Hormone therapy is managed alongside your heart, metabolic, and bone health, your physician is directly reachable when something changes, and your care continues as a relationship rather than a series of one-off visits. Women’s health is led by Dr. Carolan Constantine.
If you are specifically navigating perimenopause or menopause, see our menopause and perimenopause care page, or see membership and pricing.
Your physicians
Three physicians. 100 families each.
What members say
The relationship is the difference.
5.0 stars on Google
“I have been part of multiple practices in town and have had a hard time getting through to my physician, especially when I do not feel well. That changed the moment I joined Kosmos.”
“We feel incredibly fortunate to have found Dr. Dodd at Kosmos as my husband’s concierge physician. The level of care, attention, and responsiveness he provides is truly exceptional.”
“I highly recommend Kosmos and Dr. Bhaskar. The experience is a refreshing departure from the traditional clinic model. With a fraction of the patient load you would find at a typical practice, the level of care, attention, and accessibility is exceptional.”
FAQ
Common questions.
- Much of the fear around hormone therapy traces to early readings of the Women's Health Initiative two decades ago, which were later understood with far more nuance, especially around the age at which therapy starts and the type that is used. For many women, particularly those who begin near the menopause transition, the benefits can outweigh the risks. For others it is not the right choice. We make the decision individually, with your full history in front of us, and revisit it over time.
- We start with a thorough evaluation and the right testing, then consider estrogen, progesterone, and testosterone therapy when it is clinically appropriate. We also offer non-hormone and lifestyle approaches when those serve you better. The goal is a plan matched to you, not a standard dose handed to everyone.
- Yes, when they are the right fit. We choose therapy based on evidence and your individual needs rather than marketing labels, and many regulated, FDA-approved options are available. We will walk you through what makes sense for your situation.
- It begins with membership and an unhurried consultation. Your physician reviews your symptoms, history, and goals, orders the appropriate labs, and builds a plan with you. If hormone therapy is right, we start conservatively and adjust based on how you respond.
- Yes. Kosmos screens and manages hormone changes in men as well as women, including the fatigue, low drive, and muscle loss that can accompany declining testosterone. Your physician coordinates a specialist when that is the right call.
- Kosmos is a membership practice. Premium Care is $575 per month and Optimal Care, which adds advanced preventive testing and diagnostics, is $1,250 per month. We do not bill insurance for primary care. Most members keep insurance for specialists, imaging, labs, and hospital care, and your physician coordinates those referrals.
Speak with our physicians.
An unhurried conversation about your health and whether Kosmos is the right fit. No obligation, no pressure.