Woman on a swing overlooking lush green rice terraces and palm trees in bright sunlight, capturing a sense of natural harmony and tranquility.

Individualizing Estradiol Therapy for Perimenopause, Menopause, and Long-Term Women’s Health

In Part 2 of the Estradiol: From Swing to Shift webinar series, Angela DeRosa, DO, MBA, CPE, Medical Director at Belmar Pharma Solutions, and Andi Roths, PharmD, Director of Women’s Health, answer provider-submitted questions about estradiol therapy and share practical clinical guidance for optimizing care throughout perimenopause and menopause

Building on the foundation established in Part 1, this interactive discussion explores current research, individualized dosing strategies, dosage form selection, and evidence-based approaches to bioidentical hormone replacement therapy (BHRT). Rather than focusing solely on symptom relief, the presenters emphasize restoring healthy physiology to support long-term bone, cardiovascular, cognitive, and metabolic health.

What You’ll Learn

Dr. DeRosa and Andi discuss how to personalize estradiol therapy based on each patient’s symptoms, hormone levels, medical history, and wellness goals. Topics include: 

  • Selecting appropriate compounded dosage forms
  • Understanding the differences between estradiol and biest formulations
  • Using low “support” doses during perimenopause
  • Transitioning patients from commercial estradiol patches
  • Distinguishing systemic from localized vaginal therapies

The webinar also reviews the evolving evidence surrounding transdermal versus oral estrogen, progesterone use, contraindications, breast health, and practical considerations for initiating hormone therapy in women at different stages of menopause.

Clinical Pearls for Personalized Hormone Therapy

Throughout the discussion, Dr. DeRosa and Andi reinforce the importance of addressing the patient as a whole—not simply relying on laboratory values or symptoms alone. They discuss how individualized hormone dosing, careful monitoring, and thoughtful clinical judgment can help support outcomes while managing risk. 

The webinar also highlights current research examining estradiol’s role in cognitive function, cardiovascular health, bone density, and overall quality of life, while offering practical recommendations that providers can immediately incorporate into patient care.

Whether you’re new to prescribing bioidentical hormone therapy or looking to refine your approach to estradiol management, this webinar provides practical, evidence-informed guidance for delivering personalized, patient-centered care throughout every stage of menopause.


Watch on-demand today.

This webinar is intended for providers. If you are a provider and would like to watch the webinar, please fill out the form below.