Bioidentical hormone replacement therapy begins with comprehensive lab work and a full clinical review — then a plan built around your results, your symptoms, and your health history.
Perimenopause and menopause bring hormonal changes that can affect nearly everything — sleep, temperature regulation, mood, concentration, libido, bone density. For many women, the hardest part is being told it's simply something to get through.
Bioidentical hormone replacement therapy uses hormones that are structurally identical to the ones your body produces. It's a well-established option, and for many women it makes a significant difference. But it isn't right for everyone, and the decision deserves a proper clinical conversation rather than a sales pitch.
That conversation starts with information. We'll review your symptoms, your full medical and family history, and comprehensive lab work before recommending anything. If therapy is appropriate, we'll discuss the options, the risks alongside the benefits, and what ongoing monitoring involves.
1
Individualized to your labs and symptoms
Dosing and hormone selection are based on your bloodwork, your symptom picture, and your health history — not a standard protocol applied to everyone.
2
Addresses symptoms at the source
Where symptoms are driven by declining estrogen or progesterone, replacing those hormones targets the underlying cause rather than managing each symptom separately.
3
Monitored throughout
Follow-up appointments and repeat lab work track how you're responding, allowing dosing to be adjusted over time and any concerns caught early.
Choosing a treatment shouldn't feel like guesswork. Here's what most people ask before their first visit — and if your question isn't here, just ask us.
Worth knowing: many FDA-approved hormone therapies — including estradiol and micronized progesterone — are bioidentical. The term doesn't automatically mean compounded, and we'll explain exactly what we're prescribing and why.
Through a full clinical assessment: your symptoms, your medical and family history, and comprehensive lab work. Certain histories — including some cancers, blood clots, liver disease, or unexplained bleeding — are contraindications. We'll go through all of this before anything is prescribed.
Hormone therapy carries real risks that vary considerably with your age, how long since menopause began, your health history, and which hormones are used. These include cardiovascular and cancer-related risks.
Options include pills, patches, topical creams and gels, and pellets. Each differs in dosing frequency, how steadily hormones are delivered, and how easily the dose can be adjusted. We'll recommend based on your labs and what fits your life.
It varies by symptom and by person. Some changes are noticed within weeks; others take a few months as levels stabilize. We'll schedule follow-up labs and reviews to assess how you're responding and adjust accordingly.
