Bioidentical
Hormone Replacement Therapy
We offer bioidentical hormone therapy, which means the hormones used are designed to be chemically identical to the hormones your body naturally makes. For many women, this allows treatment to be tailored more precisely based on symptoms, lab results, health history, and personal preference.
Hormone therapy is not one-size-fits-all. The right option depends on what symptoms you are dealing with, how your body responds to treatment, and what route feels most realistic for your lifestyle. That is why we offer multiple delivery methods and build your plan around what makes the most sense for you.
This medication will only be deemed medically necessary following a clinician’s review and is not prescribed for performance enhancement purposes. PharmAssist drugs may include compounded products that have not been approved by the FDA. The FDA does not verify the safety or effectiveness of compounded drugs including compounded hormone health. Our specialists may prescribe this medication off label from its intended use.
Understanding Hormone Replacement Therapy (HRT)
HRT involves supplementing the body with hormones, such as estrogen and progesterone, that diminish during menopause. This therapy helps alleviate common symptoms like hot flashes, night sweats, mood swings, and vaginal dryness, thereby improving quality of life. Deciding whether HRT is suitable involves a personalized approach, considering your medical history and symptom severity.
Types of HRT We Offer
Estrogen-Only HRT: Typically recommended for women who have had a hysterectomy.
Combined HRT (Estrogen and Progesterone): Used for women with an intact uterus to prevent certain health risks.
Bioidentical Hormones: Derived from plant sources and chemically identical to the hormones produced by the body, often personalized to your individual hormone levels.
- Troches are small dissolvable tablets that are placed in the mouth and absorbed through the tissues, offering another alternative to swallowing a pill.
- Injections may be used when a more direct and structured dosing approach is preferred.
- Vaginal and rectal suppositories can be useful in certain cases depending on symptoms, hormone needs, and treatment goals.
- Creams and Patches deliver hormones transdermally and delivery steady dosages.
The Benefits and Risks of HRT
Personalized hormone therapy can help you feel like yourself again. Our patients report a wide range of life-changing benefits.
The Benefits of HRT
- Relief from Menopausal Symptoms: Significant reduction in hot flashes, night sweats, and vaginal discomfort.
- Relief from PCOS Symptoms – Because PCOS is driven by hormonal imbalance, treatment often needs to go deeper than just managing one symptom at a time.
- Improved Bone Health: Helps maintain bone density and reduce the risk of osteoporosis.
- Better Mood and Mental Health: Can lead to an improvement in mood swings and overall mental well-being.
- Cardiovascular Health: Some studies suggest HRT may offer cardiovascular benefits when started early in the menopausal transition.
Potential Risks & Side Effects
- Increased Health Risks: Depending on the type and duration of therapy, HRT can be associated with an increased risk of certain health conditions.
- Cardiovascular Issues: Potential risk of heart disease, stroke, and blood clots, particularly with older age at initiation.
- Other Side Effects: Can include bloating, breast tenderness, headaches, and mood changes.
- (A thorough consultation with your provider is crucial to weigh your personal benefits and risks.)
Our Women’s Hormone Replacement Programs
We offer several specialized programs to address your unique needs.
Optimization Therapy (HRT)
$250 – 60-minute consultation
- $299/month
- Up to 3 hormone prescriptions and supplies conveniently delivered directly to your home.1
- Quarterly follow up visits, telehealth.
- Monitored blood work2
- Access to quality supplements
- Access to premier weight loss medications
1. Includes progesterone, testosterone, and estradiol. All other medications and/or recommended supplements are a la carte. Medications and/or recommended supplements will vary based on individual needs.
2. Blood work done via health insurance, or paid with discounted cash-price via LabCorp.
Our Personalized Approach to Your Care
Your hormonal health journey is unique. We are committed to providing compassionate, individualized support every step of the way.
In-Depth Consultations & Assessments
Your journey begins with an in-depth consultation to discuss your symptoms, medical history, and personal goals. We use comprehensive lab work to get a clear, data-driven picture of your health, allowing us to create the most effective plan for you.Tailored Treatment Plans
There is no “one-size-fits-all” approach to hormone therapy. Based on your assessments, we will design a personalized treatment plan that is tailored specifically to relieve your symptoms and meet your unique needs.Ongoing Monitoring & Support
Your care doesn’t end once your plan begins. We provide regular follow-ups to monitor your progress, adjust your therapy as needed, and ensure you have access to the resources and support you need to feel your best.
Hormones and
Your Sexual Health
Your sexual health is a vital part of your overall well-being. We offer comprehensive care and dedicated solutions on our specialized Sexual Health page.
It’s common for sexual health to be affected by hormonal changes. Sexual dysfunction—which can include low libido, difficulty with arousal, or pain during intercourse—is a common issue that can significantly impact your quality of life and relationships. We are committed to providing the understanding, support, and effective treatments needed to help you regain your confidence and well-being.
Frequently Asked Questions
Deciding if HRT is right for you is a very personal decision made in partnership with a healthcare provider. An ideal candidate is typically a woman experiencing moderate to severe symptoms of menopause, such as hot flashes, night sweats, or mood swings. Your provider will conduct a thorough review of your medical history, symptom severity, and personal risk factors to determine if you are a suitable candidate.
When managed by a qualified medical provider, HRT is a safe and effective treatment for many women. However, it’s important to be transparent about potential risks. Depending on the type and duration of therapy, HRT can be associated with an increased risk of certain health conditions. A key part of your consultation will be a detailed discussion of your personal benefits and risks to ensure you are making a fully informed decision.
Bioidentical hormones are a popular option for HRT. They are derived from plant sources and are designed to be chemically identical to the hormones naturally produced by your body, like estrogen and progesterone. Treatment with bioidentical hormones is often personalized based on your specific hormone levels.
Our process is built on a foundation of personalized care. It starts with an in-depth consultation to assess your health needs and goals. We then use comprehensive lab work to get a clear picture of your hormone levels. Based on this, we create a customized HRT plan and provide regular follow-ups to monitor your progress and adjust your therapy as needed.
While every woman’s experience is unique, many begin to notice relief from symptoms like hot flashes and night sweats within the first few weeks of starting therapy. Improvements in mood, sleep, and mental clarity can take a bit longer, often becoming more noticeable after a few months of consistent treatment.
HRT is typically viewed as a long-term therapy to manage the symptoms of menopause. The goal is to provide continuous relief. If you decide to stop HRT, your symptoms will likely return. The duration of your therapy is a decision you will make in ongoing partnership with your provider based on your health and wellness goals.
Hormone Replacement Therapy (HRT) or Hormone Optimization Therapy (HOT) involves supplementing estrogen, progesterone, and sometimes testosterone to restore hormones to optimal levels. For most healthy women under 60 who are within 10 years of menopause onset, current evidence supports that the benefits of HRT outweigh the risks.
When prescribed and monitored by a qualified medical provider, HRT can significantly reduce hot flashes, improve sleep, protect bone density, support cardiovascular health, and dramatically improve quality of life. It is not a one-size-fits-all treatment — your provider will tailor therapy to your specific hormone levels, health history, and goals.
HRT is available in several forms, including:
- Topical creams or gels — Applied daily to the skin for transdermal absorption.
- Patches — Worn on the skin and changed every few days.
- Oral tablets or capsules — Taken daily, though transdermal delivery is often preferred for its more favorable risk profile.
- Vaginal preparations — Low-dose local estrogen for vaginal dryness and urinary symptoms.
- Pellets or injections — Longer-acting options for sustained hormone delivery.
Your provider will discuss the best method based on your symptoms, preferences, and medical history.
HRT may not be appropriate for women who:
- Have a history of hormone-receptor-positive breast cancer
- Have a history of blood clots or stroke (though transdermal options may be lower risk)
- Have uncontrolled high blood pressure or liver disease
- Are pregnant or may be pregnant
- Have unexplained vaginal bleeding
A thorough medical history and lab panel are essential before beginning any hormone therapy. Your provider will assess your individual risk factors carefully.
Every patient’s response is different, but many women begin noticing improvements in hot flashes, sleep, and mood within the first 2–4 weeks. Changes in energy, body composition, libido, and cognitive clarity often develop more gradually over 3–6 months. Achieving optimal results requires careful dose adjustment and regular lab monitoring — a process your provider will guide you through at every step.
It’s Time to Reclaim Your Well-Being
Don’t let hormonal symptoms define your life. Our providers will work with you to regain your vitality and feel your best at any age. You deserve it.
