Hormone Replacement Therapy at Oshun · Kingston, Jamaica
Hormones, balanced. Doctor-led.
Hormone Therapy at Oshun is led by Dr. Charles Rockhead — diagnostic evaluation, individualised hormone-replacement plans (HRT for menopause; bioidentical or conventional formulations), and ongoing monitoring through bloodwork. No one-size protocols.
No obligation · Every consultation is in-person with Dr. Rockhead.
Hormone Replacement Therapy at a glance
Dr. Rockhead
Manages your care personally
In person
Consultation before anything is booked
In writing
Your quote, given at consultation
9 Devon Road
Kingston, Jamaica
No obligation
You decide after the consultation
WhatsApp
Questions answered privately
Every visit, without exception
Four things that are true of every visit
Care by an OB/GYN
Every procedure at Oshun is reviewed and led by a board-certified Obstetrician and Gynaecologist. Dr. Rockhead is a physician first — the same one who treats women's health on the other side of his practice.
30 years caring for women
Three decades as a practicing OB/GYN at Amadeo Medical Group, the parent clinical practice. Every Hormone Replacement Therapy plan is reviewed by a physician who has cared for women through pregnancy, surgery, perimenopause, and post-natal recovery.
Written plan first
Every Hormone Replacement Therapy patient leaves consultation with a written plan: areas, technique, timing, recovery, cost. Returning patients refine the same plan rather than starting from scratch every visit.
Conservative, considered
Oshun's approach favours conservative, considered care over aggressive intervention. Decisions are made in conversation with you, options are presented in plain language, and consent is informed at every step.
Treatment Details
Every fact about your first visit, in plain language.
Most first-time patients arrive with the same set of unspoken questions. They are answered below in the order most people think them — from "how much will I need" to "what if I'm pregnant."
Last clinically reviewed: · Medical reviewer: Dr. Charles Rockhead, Medical Director, Oshun Cosmetic Services
01Hormone Replacement Therapy 101
The procedure itself.
Hormone Replacement Therapy (HRT) replaces oestrogen, and progesterone where the uterus is present, to treat symptoms of menopause and to support long-term bone, cardiovascular, and quality-of-life outcomes. Modern HRT individualises type, dose, and route (oral, transdermal, vaginal) to each patient's symptoms and risk profile.
How long it's been around
HRT has been used clinically since the 1940s. After the WHI study findings (early 2000s) reshaped understanding, modern practice has shifted to lower doses, transdermal options, and risk-stratified prescribing.
What we treat with it
Hot flushes, night sweats, sleep disturbance, mood changes, vaginal dryness, low libido, bone-density loss, and other menopause-related symptoms. Some women use HRT for early-menopause indications.
The honest version
Why hormone replacement therapy sometimes disappoints.
HRT disappoints when patients are started on the wrong type/dose/route, when WHI-era risk narrative leaves both patients and clinicians overly cautious, or when individual variation isn't accommodated.
The 2002 WHI study findings produced a generation of patients and clinicians scared away from HRT entirely — even in patients who would have benefited substantially. Modern re-analysis shows the risk profile is much more favourable in younger menopausal women using lower-dose modern formulations, particularly transdermal. Risk-stratified prescribing is current best practice.
The other failure mode is one-size-fits-all dosing. Different symptoms respond to different formulations. Individualised prescribing produces better outcomes than standard packets.
At Oshun, we don't run that model. Hormone Replacement Therapy here is physician-led from consultation through follow-up, with a written plan in your hands and a follow-up visit on the calendar before you leave.
02Medical Leadership
The same physician, from first question to final follow-up.
Every HRT patient at Oshun is managed by Dr. Rockhead personally across the treatment course. Hormone management benefits from continuity — the same physician adjusting the regimen catches drift that fragmented care misses.
Dr. Charles Rockhead, Medical Director — Oshun Cosmetic Services, Kingston.
Dr. Charles Rockhead
Medical Director · Board-Certified OB/GYN · 30+ years of practice
Dr. Charles Rockhead is a board-certified Obstetrician and Gynaecologist with more than thirty years of practice in Kingston. He is the Medical Director of Oshun Cosmetic Services and the founding physician of Amadeo Medical Group, the parent clinical practice.
A Hormone Replacement Therapy visit at Oshun follows a clear sequence — from consultation through the procedure itself through follow-up. Here is what happens, step by step.
i.
Consultation
Before any Hormone Replacement Therapy is scheduled, you meet Dr. Rockhead in person at 9 Devon Road. He reviews your medical history, examines you as appropriate, and explains the options — including the option not to proceed. You leave with a clear written plan and a quote.
ii.
Preparation
Bring records of any prior gynaecological care, family history of breast/ovarian cancer or cardiovascular disease, current medications. Recent mammogram and Pap smear typically expected.
iii.
The HRT plan
Dr. Rockhead reviews your symptoms, examines you, and orders any necessary baseline labs. He then writes an individualised HRT prescription — type, dose, route — with a clear plan for follow-up assessment and dose adjustment.
iv.
Recovery & follow-up
Use prescribed regimen as directed. Report breakthrough bleeding, new breast lumps, leg swelling, or other concerning symptoms. Initial response visit at 6–8 weeks; routine review every 6–12 months.
How much you'll need
Ongoing treatment. Initial induction at low dose, then adjustment over weeks to months. Duration is individualised.
Will it hurt?
Non-invasive: oral tablets, transdermal patches/gels, or topical vaginal preparations.
Vasomotor symptom relief typically within 2–4 weeks. Sleep and mood improvement over 4–8 weeks.
The days before your visit
Bring records of any prior gynaecological care, family history of breast/ovarian cancer or cardiovascular disease, current medications. Recent mammogram and Pap smear typically expected.
Right after your visit
Use prescribed regimen as directed. Report breakthrough bleeding, new breast lumps, leg swelling, or other concerning symptoms.
Two-week follow-up
Initial response visit at 6–8 weeks; routine review every 6–12 months.
05Is Hormone Replacement Therapy right for you
Who gets the most out of Hormone Replacement Therapy at Oshun.
Who should not have Hormone Therapy
History of breast cancer or oestrogen-sensitive cancer, history of stroke or thromboembolic disease, active liver disease, undiagnosed vaginal bleeding, pregnancy.
Hormone Replacement Therapy isn't a one-size category — the right approach depends on your specific situation. Below are common patient profiles we see. If one sounds like you, an in-person consultation at 9 Devon Road is the next step.
Vasomotor symptoms
Hot flushes and night sweats
The most common indication: women in their late 40s and 50s with significant vasomotor symptoms affecting sleep and quality of life.
Genitourinary symptoms
Vaginal dryness, pain with intercourse
Genitourinary syndrome of menopause often responds to vaginal-only oestrogen with minimal systemic exposure.
Early or surgical menopause
Premature ovarian insufficiency
Women whose ovaries have been removed surgically or who experienced early menopause have a stronger indication for HRT.
Combined cosmetic-medical care
Coordinated with other Oshun care
Patients starting HRT alongside other Oshun care (vaginal rejuvenation, sexual wellness).
06Logistics, cost & safety
Booking and pricing.
Consultation policy
Every Hormone Replacement Therapy patient meets Dr. Rockhead in person at the 9 Devon Road clinic before any procedure is scheduled. (Virtual consultations are not currently offered.)
Where treatments happen
HRT management is conducted at Oshun, 9 Devon Road, Kingston.
What it costs
Consultation and follow-up visits priced separately; medication costs billed by pharmacy.
How to pay
Cash, debit, credit card, or approved financing.
Insurance
Consultations typically covered. Prescription HRT may be covered or partially covered depending on insurer.
If this sounds right
The next step is a conversation, not a commitment.
Every Hormone Replacement Therapy patient at Oshun starts with a consultation. Twenty minutes, in-person at 9 Devon Road, with Dr. Rockhead. No procedure is scheduled, no quote is signed, no pressure either way. You leave with a plan and a price — or you leave with neither.
No obligation · Every consultation is in-person with Dr. Rockhead.
The honest answers
Nine questions every nervous first-timer asks.
Open any of them. We've written each answer the way Dr. Rockhead would actually say it — not the way a brochure would.
Is HRT safe?
Modern HRT, prescribed individually and using lower-dose modern formulations, has a much more favourable safety profile than the higher-dose older regimens. Risk depends on your specific profile.
Will HRT cause breast cancer?
The relationship is nuanced. Combined HRT in older women has a small increased risk; oestrogen-only in women without a uterus has a smaller effect. Family history and other factors are reviewed individually.
How long can I stay on HRT?
Modern practice does not impose a fixed duration. Patients are reviewed annually for ongoing benefit and risk.
What are the different HRT routes?
Oral, transdermal (patches, gels), and vaginal. Transdermal often preferred when there are cardiovascular risk concerns.
Do I need progesterone with oestrogen?
If your uterus is intact, yes — progesterone protects the endometrium. Women without a uterus generally take oestrogen alone.
Can I have HRT after breast cancer?
Generally no — history of breast cancer is a relative or absolute contraindication.
Are there risks?
Small increased risk of breast cancer (combined HRT), thromboembolic events (more with oral than transdermal), and gallbladder disease.
Is HRT covered by insurance?
Consultations typically covered. Prescription HRT coverage varies.
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