Dr. Marsha Hamilton

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Stevenson, OR
Dr. Marsha Hamilton

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Keeping peri & postmenopausal women active and thriving to stay in pursuit of their wildest goals.

11/10/2026

Rest is part of the work in perimenopause and menopause. Recovery needs change in midlife. That’s physiology, and it responds to the right support.

The Recovery Reset Toolkit covers 5 foundations I start with in my practice:
1. Activate your rest state
2. Time your nutrition
3. Eat enough
4. Protect your sleep
5. Listen to your body, not your ego

Each one comes with a single action you can start with this week.

Free at the link in my bio.

10/28/2026

It’s not easy getting outside when it’s dark, cold and wet. If your summer exercise routine was dependent on dry, pleasant days then you need to pivot.

It sounds obvious but we do t always think about it right away, letting out hard earned routines dissolve. Keep the routine, either adjust the wardrobe or move inside. Just keep moving your body!

10/17/2026

This estradiol patch shortage is frustrating!

If your usual patch is unavailable, there may be other options - but switching formulations isn’t always as simple as swapping one medication for another.

Start by checking with other pharmacies, and contact your prescriber before making changes or running out.

Save this post for reference, and share it with someone who might need it.

10/15/2026

Things get confusing in perimenopause. Is it hormones? Is it your thyroid? Is it a mineral or vitamin deficiency? Food sensitivities?

All are possible and many things can develop or be revealed when your hormones lose the plot and go rogue (aka perimenopause and menopause).

Find someone willing to take the time to work with you in figuring it all out. It may be hormones, but HRT may not be the right thing in this moment, even if they’re the right thing in 6 months or 2 years.

Don’t miss a thyroid disorder, iron deficiency or a gut infection because the only lens you’re being viewed through is the perimenopause lens.

You are complex, unique and multifaceted. It’s what makes you special and badass! Get the care that honors and supports that.

10/09/2026

If your face cream has estrogen in it, it’s no long just skin care. The hormones in your face cream do get absorbed and will raise your overall estrogens.

There’s a lot of hype and marketing targeting our wrinkles and changing skin, yes it’s changing but applying more hormones isn’t always the best (or safest) solution.

Also, please do not use your va**nal estrogen on your face, it’s made specifically for the va**na.

08/25/2026

Low iron (iron deficiency) can cause very similar, if not the same symptoms as low estrogen.

Hormone therapy is incredibly beneficial, supportive and protective, but it’s not the only beneficial, supportive and necessary thing in menopause.

Keep a wide view and don’t lose sight of foundations like mineral and vitamin deficiencies.

Getting all of these deficiencies fixed, and other hormone imbalances (like your thyroid) addressed, MHT is that much better!

08/02/2026

Hormones are changing in perimenopause and post menopause. Your body, brain, joints, muscles and every cell is working to adapt to this shifting hormonal landscape.

It can be frustrating, confusing and uncomfortable.

And, you’re not doing anything wrong.

But, what worked when you were 30 isn’t going to work now. Different strategies are needed. And by “different” I don’t mean harder or stricter.

I mean smarter and strategic.

If you’re not on my email list, hop on for more info on why and how the rules are changing in menopause.

07/16/2026

Vaginal estrogen is protective, effective and can even save lives.

It’s not just about pain with intimacy. It’s dry, itchy, irritated tissue day to day, recurring bladder infections, stress incontinence, yeast infections and pelvic floor dysfunction.

The estrogen patch doesn’t always support the va**nal and bladder tissues enough, you often need both.

Don’t be uncomfortable, don’t suffer through painful intimacy and know that you may need to be the one to bring it up at your doctors visit.

**naldryness

06/26/2026

Figuring out when to start hormone therapy (HRT or MHT) isn’t always easy. You don’t want to start too late (10+ years after the menopause transition), and you don’t want to start too early.

Get specific with your body and your hormone profile. Perimenopausal symptoms are often due to WAY more estrogen than normal, with varying levels of progesterone.

You may not need estrogen at the first sign of perimenopause but you definitely don’t need to suffer either.

06/16/2026

Vaginal estrogen is not part of regular HRT, but it should be.

Vaginal estrogen is super important in protecting your urinary, pelvic and va**nal health. It’s more than pain with s*x - it’s daily dryness, burning and irritation. Bladder infections and recurrent (chronic) bladder infections, and urinary leaking.

You may need to bring this up with your provider. And please do if they don’t ask.

Even if you’re not a candidate systemic hormone therapy, everyone is a candidate for va**nal estrogen (because when used va**nally it doesn’t raise your systemic or whole body levels).

Know your options and find a provider who listens.

**nalhealth **nalhealth **nalestrogen

Address

Stevenson, OR
98648

Telephone

+15416380422

Website

https://linktr.ee/wildpursuits

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