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.
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.
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.
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.
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.
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.
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.
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No obligation · Every consultation is in-person with Dr. Rockhead.
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.
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.
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.
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.
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.
Dr. Charles Rockhead, Medical Director — Oshun Cosmetic Services, Kingston.
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.
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.
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."
| What it is | 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. |
| 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. |
| How long the visit takes | Initial consultation 45–60 minutes; follow-up visits 20–30 minutes. |
| Time off after | No downtime. |
| When you'll see results | 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. |
| 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. |
| 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.
The most common indication: women in their late 40s and 50s with significant vasomotor symptoms affecting sleep and quality of life.
Genitourinary syndrome of menopause often responds to vaginal-only oestrogen with minimal systemic exposure.
Women whose ovaries have been removed surgically or who experienced early menopause have a stronger indication for HRT.
Patients starting HRT alongside other Oshun care (vaginal rejuvenation, sexual wellness).
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.
Every testimonial below this line will be a real Oshun patient who wrote it themselves, signed a consent form, and gave permission to use their name. Oshun does not buy reviews, ghostwrite reviews, or publish anonymous five-star strings. Real or nothing.
Open any of them. We've written each answer the way Dr. Rockhead would actually say it — not the way a brochure would.
HRT is a deeply individual decision based on your symptoms, your risk profile, and your goals.
No obligation · Every consultation is in-person with Dr. Rockhead.