Home » Services » Hormone Therapy » Female Hormone Optimization
Private Hormone Care for Women
Your body changes throughout adulthood, and sometimes the shift is obvious before the reason is. Changes in sleep, energy, mood, cycles, body composition, or sexual health deserve more than a rushed answer. We take the time to understand what is changing and what may actually help.
Start With How You Feel
Hormonal changes can begin before periods become irregular and may continue through menopause and beyond. The experience is different for every woman. Some notice subtle changes, while others feel that sleep, focus, mood, physical comfort, or sexual well-being has changed significantly.
Umber Health gives you space to explain what you are experiencing and how it affects your life. We also look for other contributors that can cause similar symptoms.
Concerns We Can Evaluate
- Changes in menstrual cycles
- Hot flashes or night sweats
- Sleep disruption
- Changes in desire, arousal, or sexual satisfaction.
- Mood or concentration changes
- Changes in energy or body composition
- Vaginal dryness, discomfort, or urinary symptoms
Treatment Depends on the Full Picture
Your provider may discuss
- Hormone therapy
- Nonhormone medication
- Symptom-specific treatment
- Nutrition
- Movement
- Sleep
- Referral to another clinician
When hormone therapy is considered, the conversation includes the reason for treatment, formulation, route, potential benefits, possible risks, alternatives, and follow-up.
Monitoring After Treatment begins
Your plan is reviewed as symptoms, health history, preferences, and evidence change. Follow-up covers response, side effects, dose, route, new contraindications, and whether treatment should continue.
Provider Identity

Melissa Markel, FNP-C, ABAAHP, FAAMFM
Florida license: APRN11019655
Melissa is a board certified functional medicine nurse practitioner. She specializes in male and female hormone replacement, medical weight optimization, and longevity medicine.
Telehealth Designed Around Your Life in Miami, Florida
Umber Health was designed for adults who value discretion, time, and close attention. Private virtual visits bring that experience to eligible adults in Miami and throughout Florida. Umber Health does not operate a walk-in or patient-facing physical clinic.
Frequently asked questions
Does every patient receive hormone therapy?
No. Treatment depends on your symptoms, history, laboratory findings, goals, potential risks, and whether another option is more appropriate.
Can hormone care be provided by telehealth?
Many parts of the evaluation and follow-up can be completed virtually. Laboratory testing is coordinated locally. Some findings require in-person care.
Will one lab result determine my treatment?
No. Laboratory results are interpreted with symptoms, history, medications, timing, and the limits of each test.
Related Services
Perimenopause Care
Get a personalized evaluation and a plan built around the symptoms that matter to you.
Menopause Care
Get care built around your symptoms, your history, and what matters to you.
Testosterone Therapy
Restore energy, strength, libido, and mental clarity with clinically guided TRT.
Ready to feel like yourself again?
Medical Disclaimer
Information entered on this page is not secure. Submitting a request on this page does not establish a provider patient relationship. Acceptance is an independent decision and is not made at the time of submission. If this is an emergency, please contact 911.