Perimenopause and menopause are measurable, and they are treatable. Bioidentical estradiol, progesterone, and low-dose testosterone — prescribed from a full panel and adjusted from follow-up labs.
Most women are handed an antidepressant or told this is simply what forty-five looks like. Often the driver is hormonal, and when it is corrected properly, the symptoms go with it.
Bioidentical hormones are molecularly identical to the ones your body makes. Every dose here is compounded by a licensed pharmacy to the level your panel calls for — not picked off a standard-strength shelf.
The most active form of estrogen, and the one that drives hot flashes, sleep disruption, bone loss, and vaginal atrophy when it falls. Dr. Paul prescribes estradiol by topical and transdermal routes only — absorbed through the skin rather than taken by mouth.
Bioidentical progesterone balances estrogen, and many women notice the sleep benefit first. It is essential for women who still have a uterus and useful for a great many who do not.
Women produce testosterone too, and low levels show up as flat libido, fatigue, and difficulty holding muscle. A small, carefully dosed amount often makes the largest single difference.
A precursor to both estrogen and testosterone that declines sharply with age and sustained stress. Addressed when the panel shows it is low.
Fatigue, weight change, cold intolerance, and brain fog are as easily thyroid as they are estrogen. Your panel includes TSH, free T3, free T4, and reverse T3. More on thyroid care →
Hormones move. Repeat labs confirm where your levels actually landed and the protocol is adjusted from there — which is the part that separates therapy from a prescription.
A short call to go through your symptoms, your history, and what you want back. No charge and no commitment.
Estradiol, progesterone, testosterone, DHEA-S, the full thyroid set, cortisol, and metabolic markers. Over 70 factors in total.
He goes through the results with you — what is low, what is optimal rather than merely "in range", and exactly what he would prescribe.
Your prescription is compounded by a licensed pharmacy and shipped to you. Labs repeat at 6–8 weeks and the protocol is tuned from real numbers.
Perimenopause is the transition. Hormones fluctuate, cycles become irregular, and symptoms often begin while periods are still happening — commonly starting in the forties and lasting several years. Menopause is the point at which twelve consecutive months have passed without a period. Treatment is guided by your labs and symptoms, not by your age.
By topical and transdermal routes only — absorbed through the skin rather than taken by mouth. Dr. Paul does not use oral estrogen.
Not by telehealth. Hormone therapy, including women's hormone care, is available by telehealth to Florida residents only. Patients from any state are welcome in person at our Oakland Park clinic in Fort Lauderdale. Non-controlled peptides remain available nationwide.
Yes, without exception. Nothing is prescribed before Dr. Paul has seen a full panel and reviewed it with you.
A free 15-minute call with Dr. Paul is the starting point. Bring your questions and your last set of labs if you have them.
Hormone telehealth available to Florida residents. In-person available to all states.
The overlap is large enough that we test thyroid on every hormone panel.
Sleep quality, skin, and lean muscle in midlife — supported with secretagogues.
Hormonal change is a primary driver of midlife weight gain. Available nationwide.
The wider bioidentical hormone service page, including adrenal support.