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.
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.
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.
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.
Course Overview
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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
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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
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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
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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
Meet Your Instructor
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.
✺ Frequently Asked Questions ✺
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Yes. You’ll gain foundational understanding that prepares you to collaborate with prescribers or expand your own prescribing practice.
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Yes. Module 2 includes lactation-focused dosing considerations, medication choices, and patient guidance.
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Lifetime access to all modules and future course updates.
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No. Clinicians across primary care, mental health, sexual health, midwifery, and women’s health benefit from this training.

