HRT Prescribing for Primary Care CliniciansFrom Fear to Fluency
Made by primary care, for primary care. HRT prescribing taught by two family physicians who’ve been in your 20-minute visit.
We know you’re a busy primary care clinician — we are too. You’re seeing patients every day, and menopause care is the blind spot nobody trained you for. So we built this course for you: efficient, practical, evidence-based education you can apply in your clinic right away. We’ve got you.
Free Live Webinar · Nov 17
Diagnosing Perimenopause: A Practical Guide for Primary Care Clinicians
A free, live session with Dr. Kelly Baxter & Dr. Kelsey Sherman — Tuesday, November 17, 2026 at 6:30 pm Mountain Time. Clinicians and allied health practitioners especially welcome, and anyone curious is welcome to join; the recording will be shared afterward.
Kelly Baxter, MD & Kelsey Sherman, MD Board Certified Family Medicine Physicians · Menopause Society Certified Practitioners
Designed by practicing primary care physicians, for primary care clinicians. We know what your days are like, so we built the course we wished we’d had: practical, efficient, evidence-based training you can apply in your practice right away. With this course, you’ll have the knowledge, the frameworks, and the clinical pearls to start prescribing to your patients with up-to-date knowledge and confidence.
9
Modules
26
Lessons
5 hrs 20 min
Total Runtime
8–15 min
Per Lesson
1.1The care gap & the WHI, deconstructed — why your patients can't find help, what the WHI actually studied and found, and how it was misreported10:12
1.2The evidence since & where guidelines stand — timing hypothesis, age-stratified reanalyses, mortality and fracture data; The Menopause Society 2022, IMS 2025–26, ACOG, and the FDA's 2025 removal of the boxed warning18:41
1.3Talking risk with patients — absolute vs. relative risk, and reframing the breast cancer conversation3:36
2.1Physiology, stages & the real symptom picture — hormonal changes, understanding the stages of perimenopause & menopause, and when "stress," anxiety, insomnia, palpitations, brain fog, and joint pain are actually perimenopause14:35
2.2Labs & the workup — when labs help, when they mislead (FSH/estradiol variability, who actually needs testing), and ruling out other medical conditions without over-testing4:51
2.3GSM — your most missed diagnosis — once you learn it, you'll see it everywhere. A condition you can start treating today — safely, at any age12:03
3.1Estrogens: types, forms & prescribing — estradiol vs. CEE vs. synthetic, what "body-identical" means and how to tell from the label, and why route changes the risk profile (VTE, lipids, gallbladder)17:39
3.2Medication options & writing your first prescription — starting doses, dose equivalents across forms, how to titrate, candidacy and contraindications11:35
3.3Estrogen & the perimenopausal patient — contraception needs, menstrual cycle irregularities, and when to choose birth control over body-identical hormones7:54
4.1Why progesterones & choosing the right one — endometrial protection, who needs it, who doesn't (and the endometriosis exception), micronized progesterone vs. synthetic progestins vs. the LNG-IUD22:07
4.3Postmenopause: continuous vs. cyclic dosing — matching the regimen to menstrual status3:17
4.4Troubleshooting progesterone dosing & intolerance — recognizing intolerance and your workaround toolkit (route, dose, formulation, alternatives)8:24
LIVELive Q&A — Modules 3 & 424:24
5.1The evidence & the diagnosis — the Global Consensus Position, hypoactive sexual desire disorder (HSDD), and making the diagnosis in a 15-minute visit15:04
5.2Prescribing off-label with confidence — formulations available at regular pharmacies, female dosing, monitoring levels, and counseling on side effects12:23
6.1The non-hormonal toolkit — fezolinetant and elinzanetant (NK receptor antagonists), SSRIs/SNRIs, gabapentin, oxybutynin, CBT, and what the evidence says about supplements11:36
6.2Pellets & the compounding conversation — the marketing your patients are hearing, the actual risks, how to prioritize FDA-approved formulations, and your talking points with patients3:07
7.1The follow-up visit & titration — what to assess at 8–12 weeks, visit cadence, under- and over-replacement, and when to switch routes8:55
7.2Troubleshooting — unscheduled bleeding (expected vs. needs-workup, and the workup itself), plus breast tenderness, nausea, mood changes, and skin reactions5:56
7.3Duration of therapy — the "how long can she stay on it" question, and deprescribing (or not)4:44
LIVELive Q&A — Modules 5, 6 & 712:16
8.1Timing & cardiovascular risk — starting after 60 or >10 years from menopause, VTE history, thrombophilia, migraine with aura, hypertension12:27
8.2Breast cancer risk — family history, BRCA and other gene carriers, dense breasts, and where your lane ends9:00
8.3Gynecologic histories, POI & surgical menopause — endometriosis, fibroids, PCOS, and why POI and surgical menopause patients need hormones most (and dose differently)8:22
LIVECase studies — real patients, start to finish51:00
✓Prescribing confidence you can apply right away — ready to counsel and prescribe at your next visit
✓Watch anytime, on-demand — revisit whenever, with content updated as guidelines change
✓Self-paced, on any device
✓60 days free in the Ovella Clinician Collective, our Circle support community — ask questions during & after the course, share cases, and connect with other practitioners
Cohort 1 Results
From fear to fluency — measured.
Before and after our first HRT prescriber cohort, 15 clinicians rated their confidence across 14 real menopause and perimenopause scenarios. Every one of them finished more confident than they started.
15/15
clinicians finished more confident than they started
2.9 → 4.5
average confidence across 14 scenarios (of 5)
0 → 100%
felt confident counseling a BRCA1 carrier
Self-reported confidence from our free beta cohort of 15 clinicians, matched before and after the course (identical 14-scenario survey; 1 = not at all confident, 5 = very confident).
Testimonials
In their own words, from clinicians who completed the course.
These clinicians took part in our free beta cohort and received free course access.
“
They do a great job reviewing current evidence to support their clinical approach. If you are looking for an evidence-based course to feel comfortable prescribing HRT after completing, this is it!
Emily Z. · Family Medicine DO“
After 10 years of prescribing basic HRT for post-menopausal women, I found this course to be exactly what I needed to “up” my HRT game. I now feel more confident in prescribing HRT for peri-menopausal symptoms, and adding testosterone in a safe way… The course was incredibly practical and focused to be useful for clinicians. It has changed my practice immensely.
Kasey · Primary Care PA“
I have tried to find help from the menopause society’s guidebook but this course was far more valuable for my clinical practice than that book has been. Drs. Kelsey and Kelly are so knowledgeable. This course has changed my clinical practice for the better!
Taylor · Family Medicine DO“
This is one of the most useful clinical courses I have ever taken. It is extremely high-yield and it covers a wide breadth of information in a very clear and efficient way. I now feel very well-equipped to counsel and manage HRT for my patients.
Beth · Family Medicine MD“
This HRT course was so thoughtful and well delivered. I had never received any of this important clinical information in medical school nor in residency. My understanding and confidence in HRT has drastically improved, and I highly recommend prescribers take this course.
Allison · Emergency Medicine MD“
I have already shared what I’ve learned with colleagues… It was very helpful that they would walk us through the data and how to explain it to patients. There were many options for ways to prescribe, and examples of issues we might encounter and how to overcome them.
Emily B. · Family Medicine MD“
Every medical provider should take this course to at least have a basic knowledge of peri and menopause… the demystification of the bad rep that old irrelevant studies have given to hormones. They should be educated on the existing data that would give them the confidence to treat these women.
Joanna · Primary Care PA“
It is succinct and takes a topic that is a bit scary and makes you feel confident quickly. It’s incredible to actually be able to discuss with patients their hormonal options and feel prepped for questions or if first recommendation didn’t work as well as expected.
Kate · Family Medicine MD“
Hormone therapy feels like it has been such uncharted territory because of previously misused data. I feel so much more confident being able to counsel women on what would be beneficial and safe for them to try!
Emily P. · Family Medicine DO“
This is such valuable information that is sourced correctly… It made prescribing hormones more comfortable. I just keep thinking about all the women we get to help out there and am so grateful for this course.
Dikchhya · Family Medicine DO“
Wonderful and concise lectures that build confidence in the existing evidence around HRT management.
Sofia · Family Medicine DO“
It was succinct enough to all be relevant information. The slides will be invaluable for needing to refer dosing in the future.
Are you a resident, medical student, or PA/NP student? For those still in training, the course is $200 off ($499 right now). Email us with your school/program to get your code.
This course is educational and is not currently accredited for CME credit. CME accreditation is on our roadmap — see the FAQ below.
For comparison, a national CME conference runs $1,500–$3,000 with travel, and most clinicians still leave without feeling confident about actual HRT prescribing. This course fits into a few evenings, and you’ll use what you learn with your very next patient.
Enrollment & ongoing support
Looking for ongoing support after the course? Look no further.
We know there is a need for ongoing support after you finish the course — to talk through actual patient scenarios and get support from other clinician colleagues.
We’re here for that part as well. We created the Ovella Clinician Collective, our Clinician HRT Support Community, for just that need.
Add at checkout — first 60 days free
Ovella Clinician Collective
Clinician HRT Support Community
60 days free
Then $19.99/month or $200/year · Cancel anytime
✓Get answers directly from Dr. Kelly and Dr. Kelsey, who moderate the group
✓Connect with other colleagues who have taken the course
✓Be part of our growing community of like-minded primary care clinicians looking to improve women’s healthcare
Open to course members only — add it when you check out.
Frequently asked questions
Who is this course for?
Primary care physicians, NPs, and PAs who want to prescribe hormone therapy confidently — beginner to intermediate. Learn all about body-identical hormone therapy you can prescribe through regular pharmacies and your patient’s insurance, plus a deep dive into synthetic hormones and when they may be appropriate. You’ll learn all your options — so you can counsel and prescribe with confidence.
How long do I have access?
The course is recorded and on-demand — watch anytime, at your own pace, and revisit lessons whenever you need a refresher. We update the content as guidelines change. Your enrollment also includes 60 days free in our Circle clinician community (then $19.99/month or $200/year, cancel anytime).
Does this course offer CME credit?
Not at this time. Built and taught by Menopause Society Certified physicians, in accordance with current medical society guidelines and clinical pearls. We’ll also walk you through how to counsel — and what to prescribe — for patients who fall outside formal guidelines. Built by primary care, for primary care. CME accreditation is on our roadmap — course members will be the first to know.
What will I be able to do after finishing?
Assess candidacy, choose formulations and routes, write and titrate prescriptions, counsel on risk, and manage special populations — with cheat sheets to back you up in clinic.
Is the community included with the course?
The first 60 days are free! Add it when you check out and get free access to the community right away. After that it’s $19.99/month or $200/year for the ongoing clinical support, moderated by Dr. Kelly and Dr. Kelsey themselves. You can cancel anytime. Most clinicians use it the most in their first year of prescribing — we know that type of support is needed in this space, and we’re here to help, so you never feel alone.
Can I join the community without the course?
No. The community is open to all individuals who have completed our From Fear to Fluency course. This way, everyone in the group shares the same foundational framework and clinical knowledge — to give people the most value from their course learning.
What’s your refund policy?
We want you to feel confident enrolling. If the course isn’t the right fit, email us at admin@ovellahealth.com within 30 days of your purchase and we’ll issue a full refund, as long as you’ve completed less than 20% of the course and haven’t downloaded any course materials (such as slides or handouts). After that window, the course is non-refundable. The Ovella Clinician Collective community can be cancelled anytime; fees already paid for the current billing period are non-refundable.
More courses coming soon
Menopause Society Exam prep
A focused course to help you prepare for the Menopause Society (MSCP) certification exam.
For allied health practitioners
Menopause & midlife education tailored for PTs, nutritionists/RDs, therapists, and more.
Join the waitlist below to hear about these first.
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Kelly Baxter, MDFamily Medicine Physician · Menopause Society Certified Practitioner (MSCP)Dr. Kelly co-founded Ovella Health to give women proactive, evidence-based care. She is an expert in HRT and wants to expand women’s health by educating more practitioners in this area of medicine.
Kelsey Sherman, MDFamily Medicine Physician · Menopause Society Certified Practitioner (MSCP)Dr. Kelsey became a menopause specialist after seeing too many women go without answers. Midlife care is her favorite area of medicine, and her favorite thing to teach.