Perimenopause, menopause, thyroid dysfunction, and hormonal imbalance don't have to define your quality of life. Bioidentical hormone therapy restores what your body is losing — naturally and precisely.
Many women are told their symptoms are "just part of aging" or dismissed with antidepressants. Often, the root cause is hormonal — and when balanced correctly, the symptoms resolve.
The labels differ. The process does not: consult, panel, review, then a protocol if you are a candidate. More on the menopause care guide — this page is the clinical BHRT program.
Bioidentical hormones are molecularly identical to the hormones your body produces. Unlike synthetic alternatives, they're compounded to match your exact needs — your labs drive every dose.
Estrogen is prescribed by topical and transdermal routes only — absorbed through the skin. The usual prescription is Bi-Est, not estradiol as the standard starting prescription. There is no oral or vaginal menu.
Bioidentical progesterone is prescribed for all women in this conversation — not only for endometrial protection. Bone, mood, and sleep are part of why it is used, alongside balancing estrogen.
Women produce testosterone too — and low levels cause low libido, fatigue, poor body composition, and cognitive decline. A small, properly dosed amount makes a substantial difference. This is a low-dose female protocol inside BHRT — not mini-TRT. See testosterone for women.
Thyroid dysfunction affects roughly 1 in 8 women. We test beyond TSH alone — measuring free T3, free T4, and reverse T3 to find dysfunction that standard panels miss. More on thyroid care →
A precursor to both estrogen and testosterone. DHEA declines sharply with age and chronic stress. Restoring optimal levels supports energy, libido, immune function, and mood.
Chronic adrenal stress depletes hormones at every level. We assess adrenal function and address burnout patterns that interfere with hormone balance — and overall quality of life.
A 15-minute call to review your symptoms, medical history, and goals. We explain how BHRT works, what the evaluation looks like, and confirm you're a good fit.
Estradiol, progesterone, testosterone, DHEA-S, thyroid panel, cortisol, metabolic markers, and more. Over 70 factors — everything needed to understand your full hormonal picture.
Dr. Paul reviews your labs and builds a personalized BHRT protocol — compounded to your exact needs by a licensed pharmacy and delivered directly to you.
Hormones are dynamic. Repeat labs at 6–8 weeks confirm your levels are in the optimal range — and the protocol is adjusted as needed over time.
The dedicated page on what we prescribe, how estrogen is delivered, and what the process looks like.
TSH, free T3, free T4, and reverse T3 — because "normal" often isn't.
BPC-157 and NAD+ pair well with BHRT for recovery, energy, and cellular health support.
Growth hormone support — sleep, skin quality, and lean muscle in midlife.
Cellular energy and longevity — a frequent companion to BHRT.
Hormonal imbalance is a primary driver of weight gain in women — especially around perimenopause.
Partners often begin hormonal evaluations together — especially when lifestyle changes affect both.
Perimenopause is the transition. Cycles may still happen. Menopause is classically twelve months without a period. Same evaluation either way — see the menopause care guide.
The molecule matches the hormone the body already makes. Doses follow labs — not a template. More in bioidentical hormones for women.
Topical and transdermal only. The usual prescription is Bi-Est (not estradiol as the standard starting prescription), plus bioidentical progesterone. There is no oral or vaginal menu.
Yes — progesterone is part of women's hormone care here, not only for endometrial protection. Bone, mood, and sleep are part of why it is prescribed.
Women produce it. When it is discussed, it is a low-dose female protocol inside BHRT — not mini-TRT. Not every woman. Labs decide. Testosterone for women.
A comprehensive female panel — 70+ factors. Published price $100 to $345. Estrogen, progesterone, testosterone, DHEA-S, thyroid markers (TSH, free T3, free T4, reverse T3), cortisol, and metabolic markers.
Typically at 6–8 weeks after a protocol starts, then as needed. The first protocol is not the last conversation.
A free 15-minute consultation is the starting point. No pressure, no commitment — just clarity on whether BHRT is right for you.
Call for an AppointmentCall · (954) 982-8378