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Bioidentical Hormone Replacement Therapy
Peri-Menopause and Menopause: Hormone Testing and Treatment
Hormone therapy has been used for decades to help women manage the natural changes that come with aging. When hormone levels become imbalanced—whether due to perimenopause, menopause, or other causes—bioidentical hormone replacement therapy (BHRT) may offer real relief.
Bioidentical hormones are designed to closely match the molecular structure of the hormones your body naturally produces. This allows for a more personalized and physiologically compatible approach to treatment.
BHRT may be beneficial for any woman experiencing symptoms of hormonal imbalance. While many seek treatment during perimenopause—the transitional phase leading to menopause—others may benefit earlier or later in life. Some women have struggled with hormone imbalances since adolescence, leading to difficult menstrual cycles, mood swings, and other persistent symptoms.
My care is designed around the whole person. Hormones, thyroid health, mood, metabolism, sleep, and reproductive health are deeply interconnected, and addressing only one piece often misses the root cause.
For this reason, most care is provided through my Comprehensive Women’s Wellness Package, which includes an in-depth consultation, personalized evaluation, and a tailored care plan designed around your unique health picture.
My goal is not only to help address current concerns, but to build a long-term partnership in your health. I hope to serve as your primary women’s health provider over time, supporting you through the many stages of life—from cycle health and fertility to perimenopause, menopause, and beyond.
This approach allows me to move beyond symptom management and support true balance, prevention, and lasting wellness.
What to Expect
During your initial visit, I will take a comprehensive approach to understanding your needs:
- Thorough review of your symptoms and health history
- A focused physical assessment
- Lab work to evaluate your hormone levels and overall wellness
Your Personalized Plan
Your care plan will be fully customized based on your symptoms, lab results, and goals. This may include:
- Nutrition and lifestyle recommendations
- Targeted supplements
- Prescription bioidentical hormones (in forms such as creams, patches, pills, or pellets) and any other treatments deemed necessary during our visit
Follow-up visits are scheduled according to your unique treatment plan, ensuring you receive the support and adjustments you need as your body responds.
Hormone balance isn’t just about symptom relief—it’s about restoring vitality, clarity, and comfort in your daily life.
Initial Intake Visit & Comprehensive Evaluation
Includes in-depth consultation, review of symptoms and health history, and personalized evaluation.
In-Office Lab Draw or Lab Order -Included-
Convenient in-office specimen collection or customized lab ordering based on your health goals.
Personalized Care Plan & Telehealth Review -Included-
Your individualized care plan will be created and reviewed with you during a follow-up telehealth visit.
⭐ Investment: $150
Peri-Menopause
Common Signs & Symptoms
Perimenopause can begin years before menopause and is often driven by fluctuating progesterone and estrogen levels. Symptoms may come and go—and are frequently dismissed.
- Irregular or unpredictable cycles
- Heavy or prolonged bleeding
- PMS that feels more intense or lasts longer
- Sleep disruption or early morning waking
- Anxiety, irritability, or low mood
- Brain fog or difficulty concentrating
- New or worsening headaches
- Breast tenderness
- Weight changes, especially around the midsection
- Average onset age 40-50 but varies
Treatment Options
Care is individualized and based on symptoms, lab evaluation when appropriate, and patient preference.
- Bioidentical Progesterone supplementation
Supports cycle regulation, sleep quality, mood stability, and breast health during progesterone-deficient states.
- Estrogen support (when indicated)
- Estrogen detox support for symptoms related to estrogen dominance
- Low-dose bioidentical estrogen cream or patches for symptom relief when estrogen levels decline
- Estrogen detox support for symptoms related to estrogen dominance
- Testosterone Hormone pellets
For select patients seeking consistent hormone delivery and symptom stability over time.
Menopause
Common Signs & Symptoms
Menopause reflects a sustained decline in estrogen and progesterone, often affecting multiple body systems.
- One year (12 months) without a period
- Hot flashes and night sweats
- Vaginal dryness or discomfort with intimacy
- Sleep disturbance and fatigue
- Mood changes or increased anxiety
- Brain fog or memory concerns
- Joint aches or stiffness
- Changes in skin elasticity and hair quality
- Weight gain or metabolic slowing
- Average onset age late 40s to mid 50s
Treatment Options
My approach emphasizes symptom relief, long-term health, and informed shared decision-making.
- Bioidentical progesterone support
Used for endometrial protection (when applicable), sleep support, mood balance, and overall hormonal harmony.
- Bioidentical estrogen therapy
Transdermal estrogen creams or patches
- Estrogen and Testosterone Hormone pellets
For patients seeking consistent hormone delivery and symptom stability over time.
A new way of thinking about menopause & hormone therapy
- For a long time, menopause was treated as something you just had to “get through” for a few years—if it was addressed at all. Once hot flashes settled down, support often stopped.
- We now know that menopause affects much more than periods and temperature control. Lower estrogen can impact sleep, mood, vaginal and urinary health, bone strength, and overall quality of life.
- Hormone replacement therapy is the most effective treatment for hot flashes and night sweats. Estrogen—especially vaginal estrogen—can also improve vaginal dryness, painful sex, and urinary symptoms, and can lower the risk of recurrent UTIs in many women.
- Hormone therapy may also help protect bone health and reduce fracture risk. While it isn’t used just to prevent heart disease or other chronic conditions, many women feel better overall when symptoms are properly treated and care is individualized.
Bioidentical Hormone Replacement Therapy supports your health, comfort, and quality of life long-term.
Investment:
Comprehensive Women’s Wellness Visit — $150
Includes:
- 60-minute in-depth consultation
- Complete medication and health history review
- In-office lab draw or lab order sent to your preferred site
- Structured follow-up appointment for review of Comprehensive, personalized care plan
The Process
Consultation and Workup
Consultation and Workup
I will thoroughly review your health history, current and past symptoms, and learn about your goals with treatment.
I will draw a comprehensive laboratory panel to assure there are no other underlying concerns. Labs are drawn same day, in-office!
Customized Plan
Consultation and Workup
Receive your customized plan based on your goals, diagnoses, and personal preferences. Most plans include nutrition and lifestyle guidance, supplement support, and Bio-identical Hormone Replacement if needed.
Follow Up
Follow Up
I will follow up closely to observe lab values, symptom improvement, and reassess your next treatment. I hope to be your partner in your health and wellness for a good while to come!
Want a simplified option? Start with Labs
Labs First. Then Decide.
Start with Labs Option is a program for those who prefer to stay home and get the data first, and then decide. It also uses discounted, self-pay labs- so there are no insurance surprises on your bill.
We have at-home collection and in-lab collection options
Are you a Complex Case?
For women who have already had hormone blood tests, and nothing was found or treatment was unsuccessful, I offer the advanced diagnostic DUTCH Complete test.
DUTCH comprehensive hormone testing evaluates hormone balance, metabolism, and stress physiology in greater detail. This test can be helpful in complex cases involving perimenopause, PMDD, fertility concerns, or persistent fatigue when standard labs do not fully explain symptoms.
Advanced testing is recommended only when clinically appropriate.
Investment: $375- test only
Offered to established patients or in conjunction with a comprehensive hormone consultation or "Start with Labs" program.
Bioidentical Hormone Replacement via Pellets
Hormone pellet therapy provides steady, long-acting bioidentical hormone support through a small implant placed beneath the skin. Pellets release consistent levels of hormone over time, helping avoid the daily fluctuations that can occur with creams or oral medications.
This option may be helpful for some patients seeking support for low testosterone, perimenopausal or menopausal symptoms, low libido, mood changes, or persistent fatigue.
Careful evaluation, laboratory testing, and ongoing follow-up are essential. Pellet therapy is offered on a case-by-case basis to ensure it aligns with each patient’s overall health goals and safety profile.