Women's Health at Extension Health
Proactive hormonal care for every stage of a woman's life.
Physician-led, practitioner-supported program treating the full hormonal arc — pre menopause,
peri-menopause, and post-menopause — as a continuum, not isolated episodes.
Physician-led, practitioner-supported program treating the full hormonal arc — pre menopause, peri-menopause, and post-menopause — as a continuum, not isolated episodes.
By the time most women get help, they've
already lost years of vitality they didn't have to lose.
Women are chronically underserved by conventional medicine when it comes to hormonal health. Fatigue, brain fog, mood shifts, and weight changes are dismissed as normal — when in reality, they are early signals of endocrine and metabolic change that, left unaddressed, become serious long-term disease.
The system waits for dysfunction to become diagnosis. We don't.
70%
of women with conditions
like PCOS or endometriosis go undiagnosed. Despite the presence of symptoms.
35
age at which perimenopause
can begin — more than a decade before most women are told to start paying attention.
50%
reduction potential
in cardiovascular and bone density risk associated with early hormonal intervention versus reactive treatment.
A Different Kind of Care
Extension Health's Women's Health Initiative treats the full hormonal lifespan — pre-menopause, peri-menopause, and post-menopause — as a continuum, not a series of isolated episodes. 3 things set our approach apart:
Advanced Diagnostics
We go far beyond standard bloodwork to understand where a woman truly is in her hormonal journey — including DEXA/body composition, extended core panels, and specialized imaging where clinically indicated.
Current Science
Our protocols reflect the latest evidence in longevity and hormone medicine. Not consensus medicine from 20 years ago.
Continuity
Patients are seen by a team including both the physician and an advanced practitioner and followed closely by this team as their needs evolve. You are not handed off.
"We have the diagnostics, the training, and the time to actually listen — which is rarer than it should be. "
Dr. Léger
Two Programs. One Continuum.
FutureHer Program
For women in their reproductive years
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FutureHer is a preventive, physiology-based optimization program designed for women who want to protect their hormonal health now — and get ahead of their health trajectory.
The program addresses:
-
• Energy regulation and metabolic function
-
• Sleep architecture and stress-response
-
• Cycle irregularity, mood instability, and weight resistance
-
• Fertility support and hormonal stability
-
• Long-term cardiometabolic risk reduction
FutureHer prioritizes early intervention to optimize your health trajectory — before dysfunction becomes disease.
FutureHer is a preventive, physiology-based optimization program designed for women who want to protect their hormonal health now — and get ahead of their health trajectory.
The program addresses:
-
• Energy regulation and metabolic function
-
• Sleep architecture and stress-response
-
• Cycle irregularity, mood instability, and weight resistance
-
• Fertility support and hormonal stability
-
• Long-term cardiometabolic risk reduction
FutureHer prioritizes early intervention to optimize your health trajectory — before dysfunction becomes disease.
Peri/Post-Menopause Program
For women 35 and older
Learn More
The menopause transition affects every system in the body — cardiovascular health, cognitive function, bone density, metabolic resilience, and more. Our Peri/Post-Menopause Program treats this transition as what it is: one of the most consequential hormonal shifts of a woman's life.
The program combines:
-
• Bio-identical HRT (estradiol, progesterone, testosterone, DHEA) tailored to your hormonal stage
-
• Peptide therapy for metabolic and cognitive support
-
• Bone and cardiovascular protection protocols
-
• Pelvic floor and libido support
-
• Ongoing biomarker tracking and dose optimization
The menopause transition affects every system in the body — cardiovascular health, cognitive function, bone density, metabolic resilience, and more. Our Peri/Post-Menopause Program treats this transition as what it is: one of the most consequential hormonal shifts of a woman's life.
The program combines:
-
• Bio-identical HRT (estradiol, progesterone, testosterone, DHEA) tailored to your hormonal stage
-
• Peptide therapy for metabolic and cognitive support
-
• Bone and cardiovascular protection protocols
-
• Pelvic floor and libido support
-
• Ongoing biomarker tracking and dose optimization
What to expect
Step 1
Women's Longevity Consult (60 Min)
Women's Longevity Consult (60 Min)
All new patients begin with a comprehensive women's longevity consult with Dr. Léger — available virtually or in person — to understand your full hormonal picture and determine which program and protocol is right for you.
Step 2
Advanced Diagnostics
Advanced Diagnostics
Based on your consult, you'll receive a personalized diagnostics plan that may include DEXA/body composition, extended core bloodwork panels, hormone and metabolic markers, and additional imaging where clinically indicated.
Step 3
Your Personalized Protocol
Your Personalized Protocol
Your treatment plan is built around your biology — not a template. It may include HRT, peptide therapy, metabolic support, longevity interventions, and supplement recommendations, all coordinated between your physician and specialist.
Step 3
Ongoing Optimization
Ongoing Optimization
Hormonal needs evolve. We follow closely — with check-ins at 2 weeks for HRT patients, monthly follow-ups during the adjustment phase, and quarterly biomarker rechecks until you reach steady state. Then every 6 months, with as-needed support in between.
STEP 1
Women's Longevity Consult (60 Min)
All new patients begin with a comprehensive women's longevity consult with Dr. Léger — available virtually or in person — to understand your full hormonal picture and determine which program and protocol is right for you.
STEP 2
Advanced Diagnostics
Based on your consult, you'll receive a personalized diagnostics plan that may include DEXA/body composition, extended core bloodwork panels, hormone and metabolic markers, and additional imaging where clinically indicated.
STEP 3
Your Personalized Protocol
Your treatment plan is built around your biology — not a template. It may include HRT, peptide therapy, metabolic support, longevity interventions, and supplement recommendations, all coordinated between your physician and specialist.
STEP 4
Ongoing Optimization
Hormonal needs evolve. We follow closely — with check-ins at 2 weeks for HRT patients, monthly follow-ups during the adjustment phase, and quarterly biomarker rechecks until you reach steady state. Then every 6 months, with as-needed support in between.
Physician-Led.
Specialist-Supported.
Extension Health's Women's Health Initiative is led by Dr. Kathleen Léger, an internist trained in longevity and hormone medicine.
Our approach is diagnostics-first and longitudinal by design:
-
• Diagnostics inform protocol
-
• Protocol is personalized to your hormonal stage
-
• Progress is monitored and adjusted over time
Women's hormonal health is not a niche. It is foundational to cardiovascular health, cognitive function, metabolic resilience, bone density, and quality of life. We treat it that way.
"We're not waiting for women to get sick. We're keeping them well."
— Dr. Léger
