The Fourth Trimester:

Hormone Therapy for Postpartum Care

Become the Clinician Who Confidently Supports Postpartum Women with Evidence-Based Hormone Therapy

An on-demand clinician training to help you confidently assess, diagnose, and treat postpartum depression and postpartum sexual dysfunction using evidence-based hormonal support.

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Monarch Clinician Academy Postpartum Course

Women deserve better care in the postpartum period — and clinicians deserve training that goes beyond “watch and wait.”

This course gives you the tools, protocols, and clinical understanding you need to show up with confidence for patients navigating mental health and sexual health changes after birth.

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Postpartum Care is Failing Women — and Clinicians are Feeling it Too

Up to 1 in 8 women experience postpartum depression.

Upwards of 90% experience postpartum sexual dysfunction.

Yet most clinicians were never trained to recognize hormonal patterns, prescribe hormone therapies safely, or guide patients through recovery in a way that honors physiology and lived experience.

Women are struggling.

Clinicians are overwhelmed.

And the gap in care continues.

This course closes that gap with practical, hormone-focused tools you can implement immediately.

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For Clinicians Who Want to Improve Postpartum Care

This course is designed for Nurse Practitioners, Physicians, PAs, Midwives and other licensed clinicians caring for new mothers who want to:

  • Confidently assess postpartum depression and postpartum sexual dysfunction

  • Understand the hormonal shifts that drive symptoms

  • Learn when and how to use hormone therapy safely

  • Offer your patients more than screenings and referrals

  • Build treatment plans that create meaningful, lasting outcomes

If you’re ready to move beyond “watch and wait” postpartum care and into truly informed, hormone-centered treatment, you’re in the right place.

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Course Overview

  • Understanding the Fourth Trimester & Hormonal Changes

    The hormonal landscape of the postpartum period

    Why postpartum mental and sexual health concerns are under-recognized

    How PPD and postpartum sexual dysfunction develop

    Neurochemistry and hormonal interplay

    Why the U.S. insurance-based model is failing postpartum patients

    How to redefine postpartum care from a physiological lens

  • Hormone Therapy for Postpartum Depression

    Why conventional models often fall short

    Pharmaceutical vs. hormonal interventions

    Hormone protocols that support mood regulation

    Special considerations for lactating and non-lactating patients

  • Hormone Therapy for Postpartum Sexual Dysfunction

    Assessment tools

    How to prescribe hormone therapy safely

    Understanding pelvic pain, libido changes, and sexual response

    Special considerations for postpartum sexual health conversations

  • Bonus Resources

    Supplement protocols for postpartum general health, mood, and sexual function

    Lactation Support Reference Guide (with prescriptions, dosing, and management protocols)

    Patient education handouts you can use immediately

    Counseling scripts for sensitive postpartum conversations

A Practical Postpartum Training You Can Implement Tomorrow

  • Self-paced, on-demand modules you can watch on your schedule

  • Immediate access to all content

  • Downloadable tools for real-world practice

  • Mobile-friendly so you can learn between patients, on call, or at home

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Meet Your Instructor

Jackie Piasta, DNP, leading advanced education in menopause and hormone therapy for clinicians

Jackie Piasta, DNP, WHNP-BC, is an experienced Women’s Health Nurse Practitioner with advanced expertise in postpartum hormone therapy, perinatal mental health, and sexual medicine. Jackie developed this training to equip clinicians with the tools to treat postpartum depression and sexual dysfunction through a physiologic, compassionate, and evidence-informed lens.

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✺ Frequently Asked Questions ✺

  • Yes. You’ll gain foundational understanding that prepares you to collaborate with prescribers or expand your own prescribing practice.

  • Yes. Module 2 includes lactation-focused dosing considerations, medication choices, and patient guidance.

  • Lifetime access to all modules and future course updates.

  • No. Clinicians across primary care, mental health, sexual health, midwifery, and women’s health benefit from this training.

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