Hormone Optimization · Women

Hormone balance, restored.

Bioidentical hormone replacement therapy for women navigating perimenopause and post-menopause. We use the same molecular structure your body already makes — titrated to your labs, your symptoms, and your goals.

What we treat

The symptoms women bring us

Perimenopause and post-menopause look different for everyone. The shifts are real, measurable, and treatable — when someone takes the time to actually look. We also support women navigating hormone-driven conditions well outside the menopausal transition: PMS and PMDD, suspected estrogen/progesterone imbalance, endometriosis, PCOS, fertility challenges, early menopause, and surgical menopause following hysterectomy or oophorectomy.

Hot flashes & night sweats

Vasomotor symptoms that disrupt sleep, focus, and daily life.

Sleep disruption

Waking at 3am, trouble falling back asleep, unrefreshing rest.

Energy & fatigue

A flatness that coffee no longer fixes.

Mood & cognition

Irritability, anxiety, brain fog, the word that won't come.

Libido & intimacy

Diminished desire, vaginal dryness, discomfort.

Body composition

Stubborn weight gain, especially around the midsection.

Skin & hair

Thinning skin, drier texture, hair changes.

Joint & muscle

Aches, stiffness, slower recovery from exertion.

How we run BHRT

Bioidentical. Titrated. Monitored.

01

Bioidentical molecules

Estradiol, progesterone, and testosterone in the exact molecular form your body produces — not synthetic analogs.

02

Titrated to your labs

We start with comprehensive baseline biomarkers, then adjust dose and delivery based on how you respond — both on paper and in your life.

03

Monitored over time

Ongoing labs and clinical visits. We track safety markers, optimize dosing, and adjust as your body changes.

BHRT vs. Conventional HRT

How bioidentical differs from traditional HRT.

Both approaches address the same symptoms, but the chemistry, the dosing, and the patient experience are different. Here's how the two compare on the dimensions that matter most.

BHRT Conventional HRT
Hormones used Estrogen, progesterone, and testosterone — read together Typically one or two standard hormones
Molecular structure Identical to the hormones your body produces Synthetic or animal-derived analogs
Dosing Customized and often compounded to your needs Standardized dosing
Tolerability Generally better tolerated; recognized by the body More commonly associated with side effects
Approach Whole-person, multi-hormone balancing Focused on symptom control

What we test

The lab panel goes well beyond hormones.

Standard panels miss the connections that matter. We work from a comprehensive baseline that lets us see hormones in their actual context — metabolic, methylation, nutrient, and inflammatory:

  • Estradiol, progesterone, and testosterone — the core sex-hormone trio
  • Thyroid panel — TSH, free T3, free T4, antibodies
  • Kidney and liver panels
  • Lipids and cardiometabolic markers
  • Methylation status
  • Nutrient status — the inputs that hormones can't function without
  • Anemia screening

Follow-ups happen on schedule, with adjustments driven by both labs and how you feel — not a fixed protocol.

Delivery forms

Bioidentical hormones are plant-derived compounds, often compounded specifically to your needs. The right delivery route depends on which hormones you need, your absorption profile, and what fits your life. Options include:

  • Creams — transdermal application; smooth daily curve, easy to titrate
  • Capsules — oral dosing for hormones that tolerate first-pass metabolism
  • Troches — dissolvable lozenges absorbed sublingually; bypasses the gut, fast onset
  • Injections — longer-acting, predictable serum levels for select cases

We choose the route that fits your body and your life, then refine as your response tells us more.

Your clinician

Holly Morris, PA-C

Holly leads our women's longevity practice. She specializes in BHRT, hormone-driven skin care, and the integrated approach women deserve at this stage of life — listened-to, taken seriously, and dosed precisely.

Read Holly's bio

Ready when you are

Let's see if BHRT is right for you.

Get in touch — no pressure, no commitment, just a clinical conversation about where you are and what's possible.

Contact Us