Dr. Amy B Killen

Dr. Amy B Killen Hormones, Women's Longevity M.D. Welcome to your Queen Phase™ As a former ER doctor, I saw plenty of unhealthy, unhappy people.

Five years ago, I changed my own life and became determined to help others do the same. I love using cutting edge therapies and treatments, along with good, old-fashioned common sense, to help patients reach their highest potential. I have two clinics in the Salt Lake City/Park City areas. I also speak nationally about topics of interest to me, such as regenerative medicine and s*xual health. I teach a physician training course as well. In my spare time, I spend time in the mountains, hanging out with my awesome kids!

03/08/2026

Transmenopause is a critical intervention window.

This is when we should be starting hormones. 💥

Not 5 years into menopause. Not after much of the damage has been done.

Yes, late start hormones can still have benefits but the most benefits will come when we learn to start prescribing during the critical window.

Save this video and share with your medical provider. ✅

SWAN data are available as multiple published studies - transmenopause was first described by Sowers et al, J Clin Endo Metabolic, 2010.

03/06/2026

L***a's are back! 💋

I love a chance to talk about the very normal variations in women's "down under" tissues.

Thanks to and for this fantastic conversation. 😍

What do you think about the Puffy L***a trend? ❓

03/04/2026

This is not what I thought I'd be talking about today!

Old to young mouse f***l microbiome transfers resulted in IMPROVED ovarian inflammatory markers and increased ability to get pregnant. 💩

This study is fascinating and reminds us of just how smart and interconnected every system of our body is.

Now, who wants an Old F***s Transfer? Im making a list! 🤣

03/02/2026

Ah... estrogen and the immune system! 💥

Estrogen acts like a security director, telling immune cells when to attack and, just as importantly, when to stand down.

It also keeps your barriers healthy so pathogens and toxins stay outside your body (think: gut, lungs, va**na). 🫁

In some cases, an estrogen -activated immune response may be TOO STRONG (ex autoimmune disease)

But, in general, estrogen + immune system = love affair ( ).

Have you noticed immune or inflammatory changes recently? ❓

02/27/2026

Are you taking a GLP1 agonist? 🤔

Weight loss in menopause can be beneficial, but it can also affect estrogen signalling in women.

Too much, too fast may actually lead to MORE hot flashes, night sweats, joint pain, dry skin, etc because you've lost a key source of estrogen. 😩

This is in women NOT taking hormones.

This is one reason I love GLP1's + Hormone Optimization Therapy (HOT) for midlife women needing weight loss.

And, don't forget to keep training those muscles so you don't lose them along the way. 💪💪

Have you tried the GLP1 + HOT combo? ❓

Progesterone isn’t a vibe.⏰It’s a schedule. If you still have a uterus,progesterone = protection… but only if you take i...
02/27/2026

Progesterone isn’t a vibe.
⏰It’s a schedule.

If you still have a uterus,
progesterone = protection… but only if you take it correctly.

Not every other day.
Not “when you remember.”
Not menopause roulette.
🚨 Sporadic progesterone = unprotected uterine lining = real long-term risk.

Check out my (old) Substack article on this "The 411 on Progesterone: Forms, Routes and Dosing Strategies" from Feb, 2025.

02/25/2026

Can I take estrogen "as-needed?" 🤔

We used to say you should wait to start estrogen until after the cycles stopped since it can randomly go high at any moment.

But now, I generally prefer to start estrogen (and progesterone) during perimenopause because the consequences of low estrogen (ex bone loss) happen early. ✅

Whether you take estrogen every day or just "as needed" make sure you're taking progesterone (cycled or daily).

And, always discuss with your doctor first.

How do you take hormones in perimenopause? ❓

02/24/2026

Should we be checking FSH in women taking estrogen in menopause? 🤔

FSH rises at menopause from < 10 IU/L to > 40 IU/L as the ovaries become less able to make estrogen.

Estrogen therapy will often cause FSH to go back down as the pituitary gland stops SCREAMING at the ovaries to make estrogen.

We don't have an ideal number for FSH in menopausal women taking hormones but some physicians like keeping it < 20.

If you want to learn more, check out my recent Substack article on the topic. ✅

🌹 Your land down under is getting edited out.And we're shocked women think painful s*x is "normal?"🤔 If the medical mode...
02/23/2026

🌹 Your land down under is getting edited out.
And we're shocked women think painful s*x is "normal?"

🤔 If the medical model doesn’t even include the full map, no wonder so many women feel lost.

Welcome to Part 1 of Lies You Were Told About the Land Down Under.
🚫 We’re starting with the organ that got edited out.

Comment "SUBSTACK" to get this week's free article sent right to you!

New York! 🏙️Thanks to all who attended my  talk, "HOT KISS" (hormone optimization therapy, keep it simple stupid) . And ...
02/20/2026

New York! 🏙️

Thanks to all who attended my talk, "HOT KISS" (hormone optimization therapy, keep it simple stupid) .

And thanks to the fabulous for inviting me onto her podcast.

My only complaint.... This NYC winter weather is brutal! ❄️

🤕 You shouldn't be battling menopause alone.And you don't have to!💞 Share these easy tips with your partner so they have...
02/19/2026

🤕 You shouldn't be battling menopause alone.
And you don't have to!

💞 Share these easy tips with your partner so they have a clear guide on how to make the most of this time,
For both of you.

02/17/2026

Got Progesterone questions? 🤔

If you're having regular cycles, we generally recommend cycling progesterone so it doesn't mess up your cycles.

If you're having irregular cycles or no cycles, we usually recommend daily use.

In menopause, if you're on estrogen and have a uterus, you need at least 12 consecutive days of progesterone each month.

Make sense? ❓

Address

2614 Perseverance Dr
Austin, TX
78731

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