Stephanie Sublett MD

Stephanie Sublett MD OBGYN | Perimenopause • Menopause • Sexual Wellness • Aesthetics
Founder & Owner Lilivy Aesthetics & Wellness – Med Spa & Hormone Care ✨

08/30/2026

If you’ve been trying to find your estrogen patch lately, you’re not alone. The current shortage is frustrating, and now we’re starting to see availability issues with some of the alternatives as more women are switching formulations.

A few things I recommend: call around to local pharmacies, check online pharmacies, and talk with your provider about other options like a different patch, gel, spray, systemic vaginal ring, or even a compounded option when appropriate.

Most importantly, don’t try to figure out the dose conversion yourself. These formulations aren’t necessarily interchangeable dose for dose. Talk with a clinician who is experienced in menopause care and can help you find a personalized option that works for you.

The goal is to plan ahead and find an alternative so you can stay on your estrogen without an unnecessary interruption.

08/20/2026

Is Vyvanse messing with my hormones?

Strajhar P, Vizeli P, Patt M, Dolder PC, Kratschmar DV, Liechti ME, Odermatt A. Effects of lisdexamfetamine on plasma steroid concentrations compared with d-amphetamine in healthy subjects: A randomized, double-blind, placebo-controlled study. J Steroid Biochem Mol Biol. 2019 Feb;186:212-225. doi: 10.1016/j.jsbmb.2018.10.016. Epub 2018 Oct 28. PMID: 30381248.

Unfortunately, I don’t make the rules. 🤷🏻‍♀️
08/19/2026

Unfortunately, I don’t make the rules. 🤷🏻‍♀️

Kinda chic to peak in your 40s, maybe?
08/07/2026

Kinda chic to peak in your 40s, maybe?

07/28/2026

Am I too young for a laser?

I hear this question all the time.

The truth is, MOXI isn’t about waiting until you have significant wrinkles or damage to treat. It’s one of my favorite pre-rejuvenation lasers because it helps maintain healthy skin before those changes become more noticeable.

MOXI stimulates collagen, improves tone and texture, refines pores, and addresses early sun damage with minimal downtime. Think of it as investing in your skin’s future rather than trying to reverse years of damage later.

The best aesthetic treatments are often the ones you start before you think you need them.

What questions do you have about MOXI? Leave them below, and I’ll answer them in an upcoming video.

07/15/2026

You deserve a menopause specialist who knows the full hormone toolkit and is committed to finding the option that’s right for you. Personalized care will always matter more than one-size-fits-all advice.

07/08/2026

One of my favorite parts of menopause care is watching the relief on a woman’s face when she realizes the answer is often much simpler than she expected.

These are three questions I answer almost every day:

• Can I use vaginal estrogen if I’m already on estrogen therapy?
• Do I need progesterone if I’m using vaginal estrogen?
• Why would I need vaginal estrogen if my hot flashes are gone?

Different hormones serve different purposes, and different tissues have different needs. The right treatment plan depends on your symptoms, your goals, your medical history, and your stage of menopause.

Education is one of the most powerful tools we have. When you understand why you’re taking a medication, you can feel more confident in the decisions you’re making for your health.

What hormone therapy question have you always wondered about? Leave it below. It may be the next one I answer.

06/28/2026

Vaginal estrogen is considered the standard of care for preventing recurrent UTIs in women with hypoestrogenism. It works by restoring the health of the vaginal and urinary tissues, it is not the same as systemic hormone therapy. It is safe for everyone and life saving yet not enough women are offered it.

06/22/2026

Most skin tightening devices guess at depth. Sofwave doesn’t.

It uses ultrasound to deliver energy at exactly 1.5mm — right where collagen lives — and nowhere else. No surface damage. No fat disruption. Just your skin rebuilding from the inside out.

And if you’re in perimenopause or menopause? This is especially for you. Estrogen loss accelerates collagen breakdown — it’s one of the reasons skin changes so dramatically during this transition. Sofwave works with your biology to rebuild what hormonal shifts take away.

Real collagen remodeling. Not just surface-level results.

📍 Available at

06/17/2026

Had some really meaningful conversations with patients this week.

The conversations this week kept coming back to perimenopause and menopause and how differently each woman experiences it.

That’s exactly why I don’t believe in a one-size-fits-all approach to hormone wellness.

The approach I take is layering. Starting with the basics usually one or two foundational medications and paying attention. How is your body responding? What side effects are showing up? What’s improving? Then we build from there, adding to the plan intentionally once we know how you’re tolerating what’s already in place.

It’s slower than handing someone a prescription and sending them on their way. But it’s so much more thoughtful. And the outcomes reflect that.

Perimenopause and menopause are not a problem to fix with a single solution. They’re a transition that deserves a provider who’s actually paying attention to you specifically.

That part of this work never gets old.

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9941 Illinois Road
Fort Wayne, IN
46804

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