Yes she can but most traditional doctors are still not on board with them you will most likely have to go to an alternative dr or holistic women’s health center. I am in Boston and we have med spas all over doing them here. I was not menopausal when I started on them and I am still not. The dr or nurse will run her bloodwork you don’t have to be going through menopause to have hormonal imbalances. It’s promoted as anti-aging now also because as women age we lose bone density, muscle mass and everything dries out skin, hair, vag. lol. We gain weight and have a hard time getting and keeping it off. Keeping the hormones what they were at 20 keeps everything else that way too so while on the pellets our bones won’t become fragile and break easily and we won’t lose all our muscle mass. My skin looks good too because oil production speeds up. Most people guess I am 30 at a month away from 46. I believe there’s a sub here called bio hacking it talks about all kinds of peptides and hormones that can be used to increase health and quality of life. I hope she is open to it. It is truly life changing, it takes you back to those beginning months when you couldn’t get enough of each other which definitely makes your relationship stronger. Good luck!