Feel Like Yourself Again Through Perimenopause & Menopause.
Personalized hormone care for Arizona women navigating hot flashes, poor sleep, brain fog, low libido, mood changes, fatigue, changing cycles, and the feeling that your body suddenly works differently than it used to.
Book Your Clarity Session Take the Free Hormone Assessment
Your periods may still be regular.
But you don’t feel like yourself anymore.
Perimenopause can begin years before your final menstrual period. Hormone patterns become more variable during this transition, and symptoms do not always arrive in the neat order women expect.
Sleep Changed
You fall asleep but wake in the middle of the night—or sleep all night and still wake up exhausted.
Hot Flashes
Night sweats, temperature changes, or sudden episodes of feeling uncomfortably hot.
Brain Fog
Words disappear, concentration feels harder, or you simply don’t feel as mentally sharp as you used to.
Libido Changed
Sexual desire, arousal, comfort, or your overall sense of sexual well-being feels different.
Body Composition Shifted
Your body composition or fat distribution is changing even though your habits may not have changed much.
Mood Feels Different
Irritability, lower stress tolerance, mood changes, or feeling less emotionally steady.
Energy Dropped
Fatigue, poor recovery, or feeling like you have to push much harder to accomplish the same things.
Cycles Changed
Periods may become heavier, lighter, closer together, farther apart—or remain regular early in perimenopause.
Hormones can fluctuate considerably during the menopause transition. A single laboratory result is interpreted alongside your symptoms, cycle pattern, health history, medications, life stage, and other clinical factors.
Hormone care should look at the woman—not just the lab.
Treatment begins by understanding what changed, which symptoms matter most, and whether hormones or other overlapping factors may be contributing.
Hormone Patterns
Estrogen, progesterone, testosterone, menstrual patterns, symptoms, prior treatment, and life stage are considered together.
Thyroid + Nutrients
Thyroid function, iron status, vitamin B12, vitamin D, and other relevant factors may be considered when symptoms overlap.
Metabolic + Lifestyle Factors
Blood sugar, metabolic health, body composition, sleep, nutrition, exercise, medications, and other contributors may matter too.
The goal isn’t more hormones.
It’s the right treatment for you.
Hormone therapy is not one-size-fits-all. Your treatment depends on your symptoms, medical history, individual risks, goals, response, and where you are in the menopause transition.
- Estradiol therapy when clinically appropriate
- Micronized progesterone when appropriate
- Testosterone evaluation and treatment when indicated
- Vaginal hormone therapy when appropriate
- Nonhormonal options when preferred or indicated
- Ongoing symptom and safety monitoring
- Medication adjustments based on your response
Bioidentical doesn’t automatically mean compounded.
FDA-approved estradiol and micronized progesterone are bioidentical hormones too.
Compounded hormones can have a role when an available formulation does not adequately meet an individual patient’s clinical needs, but compounded does not automatically mean safer, more natural, or more personalized.
Learn about bioidentical hormones →Menopause care is about more than symptom control.
Estrogen receptors are found throughout the body. Menopause can therefore affect much more than menstrual cycles, and conversations about hormone therapy can extend beyond hot flashes alone.
Bone Health
Systemic menopausal hormone therapy can prevent bone loss and reduce fracture risk.
Heart Health
Estrogen affects vascular and cardiovascular physiology. Individual cardiovascular health remains an important part of treatment decisions.
Brain Health
The brain is estrogen-responsive. Estrogen’s relationship with cognition and long-term brain health remains an active area of research.
Quality of Life
Improving sleep disruption, vasomotor symptoms, vaginal symptoms, and sexual-health concerns may meaningfully improve daily quality of life.
From “something feels off” to a clear plan.
Care is personalized to your symptoms, history, goals, and response rather than built around a one-size-fits-all protocol.
Clarity Session
Review your symptoms, medical history, medications, previous testing, hormone concerns, and goals.
Focused Evaluation
Determine which clinical factors, laboratory testing, and next steps are actually relevant to your situation.
Personalized Treatment
Build an individualized treatment plan based on your symptoms, evaluation, preferences, and clinical needs.
Ongoing Optimization
Monitor your response and adjust treatment as your symptoms, health, and goals evolve.
Start with clarity. Continue only if ongoing care makes sense.
You do not have to commit to ongoing membership before your initial evaluation.
Hormone Clarity Session
A comprehensive initial visit to review your symptoms, health history, medications, previous testing, and treatment priorities.
Optimization + Maintenance
Ongoing hormone management, follow-up care, treatment adjustments, monitoring, and continued optimization when appropriate.
Laboratory testing, prescription or compounded medications, and supplements are separate unless specifically stated otherwise. Sprouts Health is a cash-pay practice.
Zhanna Tarjeft,
FNP-BC, FMCP-M
I provide personalized hormone and functional medicine care for women who want more than a quick prescription—but don’t want to be buried in unnecessary testing either.
My approach considers your symptoms, hormone patterns, medical history, thyroid function, metabolic health, nutrient status, lifestyle, and other relevant factors when they may be contributing to how you feel.
Sprouts Health is a telemedicine practice serving patients throughout Arizona, allowing hormone care and ongoing follow-up to happen from home.
Your case is personally reviewed—not passed through a one-size-fits-all hormone protocol.
More About Zhanna →Understand what’s happening in your body.
Explore evidence-informed guides about the hormone changes that happen during perimenopause and menopause and the treatment options available.
Looking for a broader overview of treatment options for women and men? Explore Hormone Care →
How Your Hormones Shift During Perimenopause
Why estrogen becomes variable, progesterone exposure changes, and symptoms can begin while periods are still regular.
Read the article →What Happens to Your Hormones During Menopause?
Understand changes in estrogen, progesterone, FSH, testosterone, symptoms, and long-term health considerations.
Read the article →What Are Bioidentical Hormones?
What “bioidentical” really means and how estradiol, progesterone, FDA-approved products, and compounded hormones differ.
Read the article →What Testosterone Actually Does for Women
Explore testosterone, sexual health, energy, muscle, mood, mental clarity, and what the current evidence does—and does not—tell us.
Read the article →How Long Does BHRT Take to Work?
A realistic look at the first few weeks, first three months, and why different hormone-therapy benefits may appear on different timelines.
Read the article →Still wondering whether your symptoms could be perimenopause?
Start with a personalized evaluation of your symptoms, history, life stage, and treatment options.
Perimenopause & Menopause Care
Can I be in perimenopause if my periods are still regular?
Yes. Perimenopause can begin while menstrual cycles are still relatively regular. Symptoms, age, cycle patterns, and your overall clinical picture are considered together.
What if my hormone labs are “normal”?
Hormone levels can fluctuate during perimenopause. Laboratory results are interpreted alongside your symptoms, cycle history, medications, health history, and life stage rather than in isolation.
Do you prescribe bioidentical hormones?
When hormone therapy is clinically appropriate, treatment may include bioidentical estradiol and micronized progesterone. FDA-approved and compounded options may be considered according to individual clinical needs.
Do you prescribe testosterone for women?
Testosterone may be considered when clinically appropriate after reviewing symptoms, health history, relevant laboratory information, treatment goals, and potential risks and benefits.
Do I have to join the monthly program before my first visit?
No. Care begins with the $250 Hormone Clarity Session. If ongoing treatment and medication management are appropriate, you can then continue with ongoing care.
Is care available throughout Arizona?
Yes. Sprouts Health provides telemedicine hormone care for patients throughout Arizona.
Do you take insurance?
Sprouts Health is a cash-pay practice and does not bill insurance or provide superbills. Laboratory testing, medications, and supplements are separate from visit and membership fees.
Is hormone therapy the right treatment for every woman?
No. Treatment decisions are individualized based on your symptoms, medical history, goals, preferences, potential benefits, and individual risk factors. Hormonal and nonhormonal options may be discussed when appropriate.
You don’t have to wait until menopause
to start addressing how you feel.
Start with a personalized evaluation of your symptoms, hormone history, medical history, and treatment goals.
Book Your Clarity SessionNot ready to book? Take the Free Hormone Assessment →