Menopause Hormone Therapy in Washington, DC
FDA-approved estradiol, progesterone, and vaginal estrogen. DC-licensed clinician. Cash-pay, individualized care.
Book your consultation →Hormone replacement therapy is not a quiz. It is a clinical decision that requires a provider who understands your full hormonal picture — not an algorithm that ships you a standard dose based on a symptom checklist. Dr. Howard provides evidence-based, individualized HRT using a comprehensive evaluation of your hormonal panel, cardiovascular risk profile, symptom history, and personal health goals. Treatment protocols are adjusted over time based on your response — not locked into a plan you can’t modify. Moxie Wellness treats the full spectrum of perimenopausal and menopausal care: hot flashes, sleep disruption, cognitive changes, mood shifts, vaginal atrophy, and sexual health. Evidence-based. DNP-level clinical depth. Individualized to you.
How it works
- Complete the intake — comprehensive online questionnaire.
- Upload existing labs (or skip).
- Video consult — with Dr. Howard within 24–48 hours.
- Prescription to your pharmacy — any pharmacy you choose.
DC § 31-3863 telehealth note
DC § 31-3863 requires DC-regulated health plans to cover telehealth visits at parity with in-person care. Moxie Wellness is a cash-pay practice — coverage questions should be directed to your insurer.
Pharmacy pricing for reference (paid directly to your pharmacy, not Moxie)
| Medication | Form | Typical price at pharmacy |
|---|---|---|
| Generic estradiol | Tablets (90-day supply) | $20–$50 |
| Estradiol | Patch (weekly or twice-weekly) | $30–$150/month |
| Generic progesterone | Capsule | $10–$40/month |
| Vaginal estradiol | Cream or tablet | $20–$80/month |
What Moxie charges
Final pricing confirmed at booking based on visit complexity.
What we don’t do
- No compounded BHRT.
- No pellet implants.
- No “hormone optimization” or “anti-aging” framing.
- No testosterone replacement therapy.
- No long-term commitments.
Estrogen-alone therapy: Increases the risk of endometrial cancer in women with a uterus.
Estrogen plus progestogen therapy: Has been associated with increased risks of breast cancer, stroke, deep vein thrombosis, pulmonary embolism, and probable dementia in women over 65 (Women’s Health Initiative).
Use the lowest effective dose for the shortest duration consistent with treatment goals and individual risk profile. Tell your clinician about a personal or family history of breast cancer, blood clots, stroke, heart attack, liver disease, or undiagnosed vaginal bleeding before starting treatment.
Who qualifies — and who doesn’t
Dr. Howard will confirm appropriateness during your video consult.
- Active or past breast cancer
- Active or past endometrial cancer
- Undiagnosed vaginal bleeding
- Current pregnancy
Your clinician
Natalie Howard, DNP, MSN, MBA — Johns Hopkins University personally reviews every intake, conducts every video consult, and signs every prescription. DC Nurse Practitioner license #NP1062040, active through June 30, 2026.
You must be physically located in DC
You must be physically located in the District of Columbia at the time of your telehealth visit and at the time the prescription is issued.
Ready to start?
Clinical depth, individualized care. Book your consultation today.
Book your consultation →