Reviewed 2026-09-21 · DNP, FNP-BC, PMHNP-BC
PMDD and menopause-related mood: a medical evaluation
Libido is a medical symptom with vascular, psychiatric, relational, and endocrine inputs.
What Women's Hormone Therapy actually includes
Low estrogen is a lab and a syndrome, not a marketing category.
Menopause mood care screens unipolar vs bipolar vs sleep-loss secondary mood.
Visit flow for Women's Hormone Therapy
Review contraindications to estrogen.
Reassess at a short interval because perimenopause is not a static lab value.
Document lactation plans.
Shared decision: HRT, psychotropic, both, or neither.
36-minute path to the Hollywood office
Parking at 7603 Davie Road Extension is on site. Hillsboro Beach patients who drive 36 minutes should plan for weekday 9:00–17:00 hours; Saturday is by appointment only.
Neighborhoods we hear from most in Hillsboro Beach include The barrier-island residential strip along A1A. ZIP codes 33062 map to this service-area page.
Hillsboro Beach (Broward County) has about 2,000 residents. The nearest Peace & Heart Wellness exam room is the Hollywood office, about 36 minutes from Hillsboro Inlet Lighthouse and Millionaire Mile.
You were refused hormones 'because it's just psychiatry.'
Clinical FAQ
Will you check thyroid?
Yes when the history fits. Fatigue and mood are not 'just estrogen' by default.
Is bioidentical safer?
Bioidentical describes structure. Risk depends on dose, route, and your history — not the marketing word.
What labs?
Individualized: estradiol, progesterone, FSH, TSH, ferritin, vitamin D as indicated.
Is brain fog always menopause?
No. Sleep, ADHD, depression, B12, and thyroid are on the list.
Can I refuse HRT?
Yes.
Is this anti-aging?
No.
Can I do all appointments via telehealth?
After an initial evaluation (which we recommend in-person for the most thorough assessment), most follow-up appointments can be conducted via our secure telehealth platform.
How do you ensure privacy?
All appointments and records are HIPAA-compliant. Telehealth sessions use encrypted video, and we never share patient information without explicit consent.
Indications and differentials
Thyroid disease as a co-indication for labs, not a DIY HRT start.
PMDD meeting diagnostic timing.
Not indicated as anti-aging retail.
book HRT women consult still requires a visit.
Monitoring and safety in Women's Hormone Therapy
Bipolar screen before unopposed-feeling antidepressant plans.
TSH with free T4.
Postpartum: screen for psychosis.
BP check.
Schedule with Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC
After Women's Hormone Therapy is scheduled, complete intake forms once. Repeating the same history at every visit is what we are trying to avoid.
Start with one thorough Women's Hormone Therapy evaluation rather than a series of 15-minute check-ins. Book at (888) 307-2199 or online.
Related care
Clinician: Dr. Dorothy Chatelier, DNP, FNP-BC, PMHNP-BC, Psychiatric Mental Health Nurse Practitioner. Last medical review: 2026-09-21.
Florida telehealth psychiatry is available to established and new patients located in Florida at the time of the visit, subject to licensure and clinical appropriateness. An in-person evaluation at the Hollywood office may be recommended when a physical exam, vital signs, or a more complete diagnostic interview is needed.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. It does not establish a provider-patient relationship. Always seek care from a qualified clinician for questions about a medical or psychiatric condition. If you are in crisis, call 988 or go to the nearest emergency department.