Bioidentical hormone therapy · Austin, TX · Virtual across Texas
Hormone care for every stage
Bioidentical hormone therapy for perimenopause and menopause, and natural hormone balancing before it. Personalized to your symptoms and labs, and carefully monitored.
Sound familiar?
It may not be “just getting older.”
Why hormones matter
Hormones decline. Symptoms follow.
Estrogen swings sharply in perimenopause and then drops after menopause. Progesterone starts declining in your mid-30s and often falls more than 75% by menopause. Testosterone, DHEA and pregnenolone drop about half between 25 and 50.
Women now live 30 to 40 years after menopause, and research shows that women who start hormone therapy before 60 have lower overall mortality. This stage of life deserves real attention.
When estrogen declines
- Hot flashes and night sweats
- Vaginal dryness and painful sex
- Mood swings, anxiety, low mood
- Brain fog and memory lapses
- Thinning skin
Longer-term effects
- Bone loss and osteoporosis risk
- Higher cardiovascular risk
- Rising cholesterol
- Urinary infections and urgency
Bioidentical hormone therapy
Feel like yourself again
Bioidentical hormones match your body's own chemistry. Your plan is built from your symptoms, history and labs, and adjusted at each follow-up.
Benefits
- Relief from hot flashes and night sweats
- Better sleep and steadier energy
- Balanced mood
- Improved libido and natural lubrication
- Stronger bones, easier joints
How I prescribe
- Estradiol, progesterone and testosterone
- Patches, creams, gels, troches or capsules
- FDA-approved products, filled at local or online pharmacies
- Compounded only when clinically necessary
- No pellets
Not in menopause yet?
Natural hormone balancing
Fatigue, PMS, irregular cycles, acne or weight changes can signal imbalances in thyroid, adrenal or blood-sugar regulation. We find and correct what's driving them.
Common concerns
- PMS and PCOS
- Irregular or absent periods
- Recovery after birth control
- Thyroid and adrenal imbalance
- Stress and cortisol
- Acne and weight changes
How we approach it
Rather than treating isolated symptoms, we look at the whole gut, adrenal, thyroid and ovarian hormone axis: stress, nutrient depletion, gut inflammation and toxin exposure.
Take the 1-minute thyroid quiz →Your plan may include
- Blood, DUTCH or saliva hormone testing
- Targeted nutrition and lifestyle support
- Gut and detox support for hormone clearance
- Stress and sleep protocols
- Progress tracking and adjustments
What to expect
Your first year
- 01
New patient visit
We review your medical and family history and your symptoms, and I order the labs you need.
- 02
Your personal plan
Treatment is built from your results and started right away.
- 03
First follow-up
About two months in, we check how you feel and adjust your dose.
- 04
Ongoing care
Follow-ups every 2–6 months in year one, then labs and a visit every 6 months to keep levels safe.
Getting started
New patient visit
- Review of your medical and family history
- Assessment of your symptoms and concerns
- Lab tests ordered, often covered by insurance
- A personalized treatment plan from your results
Ongoing care
Follow-up visits
- Follow-up visit15–20 min. Check how treatment is working, adjust medications, order labs if needed.$175
Your first year: about $775
- Up to 4 visits in year one, often less than a membership model
- After year one, a visit and labs every 6 months
- Hormones are filled at your pharmacy and may be covered by insurance
Visits are self-pay and HSA/FSA eligible, with a superbill for possible out-of-network reimbursement.
What is BHRT?
Bioidentical hormone replacement therapy uses hormones chemically identical to the ones your body makes, to restore balance during perimenopause and menopause.
How is it different from traditional hormone therapy?
Older hormone therapy often used synthetic or animal-derived hormones. Bioidentical hormones are plant-derived and structurally identical to human hormones, which may improve tolerability and offer a better safety profile.
Who is a good candidate?
Women with perimenopausal or menopausal symptoms such as hot flashes, night sweats, mood changes, poor sleep, low libido or vaginal dryness. I review your history, symptoms and labs to decide whether BHRT is right for you. Some younger women with hormone imbalances may benefit too.
Is BHRT safe?
Treatment is personalized and closely monitored. Your medical history, risk factors and regular follow-up labs guide every dose, which makes it a safe and effective option for many women.
Do I need labs before starting?
Yes. Comprehensive labs show your hormone levels and overall health so treatment is personalized. These labs are usually covered by insurance.
How soon will I feel better?
Many women notice improvement within days to a few weeks. Optimal results often take a few months as we fine-tune your doses.
Can BHRT help my bones?
Yes. Estrogen helps maintain bone density, so BHRT can lower the risk of osteoporosis and fractures. It also supports joint health.
Will BHRT make me gain weight?
Balanced hormones usually support a healthy metabolism and body composition. We also work on nutrition and lifestyle to help you maintain a healthy weight.
This stage deserves care.
Start with a free 15-minute call, or book your new patient visit in person or by video.