
Traci DeSplinter
Board-certified OB-GYN and menopause specialist; founder and CEO of Refined Women's Health, a direct specialty care practice in Spring, Texas.
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Oct 22, 2026
Perimenopause and Menopause: When to Consider Hormone Therapy – A Menopause Specialist Explains
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Chhaya MakhijaHOST
Can you elaborate on the types of these formulations for estrogen and for testosterone?

Traci DeSplinterGUEST
So in general, we prefer progesterone, which is, it's micronized progesterone, just means it's chopped up into tiny little bits.

Traci DeSplinterGUEST
Progesterone is a really large molecule, and so we have to have it in a way that we can absorb it, and typically that is oral.

Traci DeSplinterGUEST
There are progesterone-like compounded medications that are applied to the skin.

Traci DeSplinterGUEST
This is really not advisable, especially if you have a uterus, because it's not absorbed.

Traci DeSplinterGUEST
Progesterone is not absorbed well through the skin, so you can't really rely on it to do its job.

Chhaya MakhijaHOST
So how do you start counseling your women in regards to prevention or in regards to just being aware or in just a few visits, how can we help you just get more tools and resources?
37: From Burned Out to Reinvented: Building a Direct Specialty Care Practice
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1:18Christina AdamsHOST
Tell us a little bit about your background and sort of what led you to make this transition, um, and, and sort of take us through that process.

Traci DeSplinterGUEST
And over the last two or three years, I started having some, um, thought ...

Traci DeSplinterGUEST
I, I thought that I would, would retire from my employed generalist OBGYN job.
13 MINS LATER