Bioidentical Replacement Hormone Therapy

Bioidentical Hormone Replacement Therapy (BHRT) is a personalized approach to hormone restoration. Rather than adding synthetic hormones, BHRT replaces the exact hormones your body naturally produced and is now lacking—estrogen, progesterone, and testosterone.

For women

During perimenopause and menopause, your hormone production dramatically reduces and can become imbalanced . This shift affects everything: your sleep, energy, skin clarity, mood, metabolism, and collagen production. BHRT restores hormonal balance to help you reclaim the vitality you've lost. It can improve symptoms of hot flashes, insomnia, mood swings, low libido, weight gain, depression, vaginal dryness, brain fog, thyroid disorders, osteoporosis, and insulin resistance.

For men

It’s commonly used to treat symptoms of andropause (low testosterone) which include fatigue, decreased libido, decreased muscle mass, erectile dysfunction, depression, insomnia, and irritability.

Here at V & Co., therapy is prescribed in the form of oral pills or troches, creams, and injections.

Our role in managing your hormone replacement therapy will involve several key aspects:
  • Evaluation: We will assess your medical history, current hormone levels, and any symptoms or concerns you may have related to hormone imbalance.
  • Treatment Planning: We will develop a personalized treatment plan tailored to your specific needs and goals.
  • Prescription and Monitoring: We will prescribe the appropriate hormones for your therapy and closely monitor your progress through regular follow-up appointments and hormone level testing.
  • Adjustments: If needed, we will adjust your hormone regimen to ensure optimal effectiveness and minimize any side effects. We may need to adjust your specific dose or type of medication to get the optimal amount that your body needs.
  • Education and Support: We will provide you with information about your BHRT, including potential benefits, risks, and lifestyle factors that may impact treatment outcomes. We will be available to address any questions or concerns you may have throughout the course of your therapy.

  • Bioidentical hormones have the exact same molecular structure as the hormones your body naturally produces. Your body recognizes them and uses them efficiently. Synthetic hormones have a different molecular structure and may cause more side effects. BHRT = body-identical. Synthetic = foreign.

  • BHRT specifically uses bioidentical hormones at physiologic doses—the amounts your body naturally produced over the years. When prescribed by a qualified provider and properly monitored, BHRT is safe and effective. We screen carefully for contraindications and monitor your health throughout treatment.

  • Absolutely. While most associate BHRT with menopause, perimenopause (which can start in your mid to late 30s) can create significant hormone fluctuation and symptoms. If hormonal imbalance is affecting your quality of life—sleep, energy, skin, mood—you're a candidate.

  • Start when symptoms are affecting your quality of life. There's no "right age"—it's about how you feel. Some patients begin in perimenopause; others wait until full menopause. We recommend starting as soon as symptoms become bothersome so you don't suffer unnecessarily. Another reason to start earlier is that it is protective of your heart, bone, and brain health.

  • Patients commonly report:


    • Improved sleep quality and duration

    • Restored energy and mental clarity

    • Enhanced mood and emotional stability

    • Clearer, more radiant skin

    • Improved libido and sexual function

    • Better metabolism and weight management

    • Reduced hot flashes and night sweats

    • Increased collagen production and skin elasticity

  • Some patients notice improvement within 2-3 weeks. Most experience significant changes by 6-8 weeks. Full benefits develop over 3-6 months as your body reaches hormonal equilibrium.

  • No. In fact, optimized hormones support healthy metabolism. Many patients find it easier to maintain or lose weight once hormones are balanced. Hormones significantly influence metabolic rate, appetite regulation, and body composition. Some patients experience initial bloating which can cause slight increases in weight.

  • This requires careful evaluation by your provider. We screen thoroughly for contraindications. Some cancer histories may preclude BHRT; others may be candidates with proper monitoring. We coordinate with your oncologist if needed. Studies show that vaginal estrogen is safe in cancer patients.

  • Bioidentical hormones at physiologic doses are generally very well-tolerated. Some patients experience minor adjustment periods—mild breast tenderness, mood sensitivity—which typically resolve within weeks as the body adjusts. Serious side effects are rare when properly prescribed and monitored.

  • We track your progress through:


    • Symptom assessment at each visit

    • Hormone level testing (typically at 6-8 weeks, then every 3-6 months)

    • Regular check-ins to adjust dosing if needed

    • Ongoing communication about how you're feeling

  • We do not take insurance. We will provide you a note if you’d like to use your HSA or FSA.

  • That's your choice. Some patients use BHRT for a few years during the transition and then discontinue. Many patients choose to stay on it long-term for the quality-of-life benefits and its protective effects for reducing all cause mortality. We work with you to determine what feels right for your body and goals.

  • You can discontinue anytime. We typically taper gradually rather than stopping abruptly to allow your body to adjust. Some symptoms may return; others won't. The decision is completely yours.

  • Schedule a BHRT consultation with our nurse practitioner. We'll discuss your symptoms, order hormone level testing, and create a customized treatment plan based on your goals and health history.

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