Female Hormone Replacement

Bioidentical Hormone Replacement
Estradiol Patch
This is a transdermal form of hormone replacement therapy (HRT) that delivers bioidentical estrogen (estradiol) through the skin into the bloodstream. It is commonly used to manage symptoms of estrogen deficiency, such as hot flashes, night sweats, vaginal dryness, and mood swings, often associated with menopause or conditions like premature ovarian insufficiency. One of the primary benefits of the estradiol patch is its ability to provide a steady and consistent dose of estrogen, avoiding the hormonal peaks and troughs seen with some other forms of estrogen therapy. Additionally, because it bypasses the liver's first-pass metabolism, the patch has a lower risk of certain side effects, such as blood clots, compared to oral estrogen. It is also convenient and non-invasive, requiring replacement only once or twice a week, depending on the formulation, making it an effective and user-friendly option for many individuals seeking hormone support.Â
Estradiol Cream
This is a topical form of hormone replacement therapy (HRT) that delivers bioidentical estrogen (estradiol) directly through the skin. While it is primarily used to treat localized symptoms of estrogen deficiency, such as vaginal dryness, itching, irritation, and painful intercourse, it can also serve as an HRT modality to address broader systemic estrogen needs when used in larger doses under medical supervision. Estradiol cream is effective for improving vaginal and vulvar health by restoring tissue elasticity, hydration, and overall comfort, particularly in individuals experiencing menopause or low estrogen levels. Additionally, its flexibility in dosing allows for tailored treatment based on individual needs. Because estradiol cream offers the potential for both localized relief and systemic hormone support, it is a versatile and valuable option for managing a range of estrogen-deficiency symptoms.Â
Estriol Vaginal Cream
This is a topical form of hormone therapy that delivers estriol, a bioidentical and naturally occurring estrogen, directly to the application site. Estriol is considered a gentler estrogen with a weaker estrogenic effect compared to other forms like estradiol, making it an appealing option for women seeking hormone support with potentially fewer systemic side effects. Estriol cream is commonly used to address vaginal and vulvar symptoms of menopause, such as dryness, itching, burning, and painful intercourse, by improving tissue elasticity, hydration, and overall health. It is also sometimes utilized as part of a broader bioidentical hormone replacement therapy (BHRT) regimen to manage systemic symptoms of estrogen deficiency, such as hot flashes or night sweats, though its primary benefit lies in its localized action. The cream’s mild profile and ability to provide targeted relief while supporting overall hormone balance make it a popular choice for women seeking a natural and individualized approach to hormone therapy. Always use under medical supervision to ensure safe and effective dosing.Â
Estradiol Cypionate Injection
This is a bioidentical form of hormone replacement therapy (HRT) that delivers estradiol, a naturally occurring estrogen, into the body through intramuscular or subcutaneous injection. The cypionate ester attached to the estradiol molecule slows its release, providing a long-acting effect that can maintain stable hormone levels over time. This makes estradiol cypionate an effective option for managing systemic symptoms of estrogen deficiency, such as hot flashes, night sweats, mood swings, and vaginal dryness, often associated with menopause or conditions like premature ovarian insufficiency. It is also commonly used in gender-affirming hormone therapy for transgender women. One of the primary advantages of estradiol cypionate injection is its ability to deliver consistent and sustained hormone levels with less frequent dosing, typically every 1–2 weeks, depending on individual needs. This method bypasses the liver’s first-pass metabolism, reducing the risk of certain side effects, such as blood clots, that are associated with oral estrogens. Estradiol cypionate injections are an excellent option for individuals seeking a flexible and effective HRT modality under medical supervision
Progesterone Oral
Oral progesterone is a bioidentical form of hormone replacement therapy (HRT) that delivers micronized progesterone to the body through oral administration. This form of progesterone is commonly used to address hormonal imbalances and support overall health, particularly in women undergoing menopause or those with conditions like estrogen dominance. Oral progesterone is frequently prescribed as part of a combination HRT regimen with estrogen to protect the uterine lining (endometrium) from overgrowth and reduce the risk of endometrial hyperplasia, a potential side effect of estrogen therapy alone. It is also used to manage symptoms such as irregular periods, sleep disturbances, anxiety, and mood swings. One of the key benefits of oral progesterone is its sedative properties, which can promote better sleep and overall relaxation, especially when taken at bedtime. Micronized progesterone is bioidentical, meaning it has the same molecular structure as the progesterone naturally produced by the body, making it well-tolerated for most users. Always use oral progesterone under the guidance of a healthcare provider to ensure the correct dose and safety, especially in combination with other HRT modalities.Â
DHEA Capsules
DHEA capsules contain dehydroepiandrosterone, a hormone naturally produced by the adrenal glands, which serves as a precursor to sex hormones like estrogen and testosterone. These capsules are commonly used as a supplement in hormone replacement therapy (HRT) or to address low levels of DHEA, which can decline with age, stress, or certain health conditions. DHEA supplementation is often used to help improve energy, support libido, promote skin elasticity, and enhance overall well-being. It may also support bone health, mood stabilization, and cognitive function. Additionally, DHEA capsules can help restore hormonal balance in individuals with conditions like adrenal insufficiency or those undergoing menopause. As an oral supplement, DHEA is convenient and easy to use, with dosing typically tailored to individual needs and monitored by a healthcare provider. However, because DHEA can convert into both estrogen and testosterone, careful supervision is recommended to avoid hormone imbalances or side effects. Always consult with a healthcare professional before starting DHEA capsules to determine the appropriate dosage and ensure safe use.Â
Our bioidentical hormone replacement therapy for women is designed to restore hormonal balance and alleviate symptoms associated with perimenopause and menopause. Using hormones that are molecularly identical to those naturally produced in the body, our treatments aim to improve energy levels, mood, sleep, and overall quality of life. To complement this therapy, we collaborate with dieticians who specialize in perimenopause and menopause nutrition, providing personalized dietary guidance to address hormonal changes, support weight management, and promote overall wellness during this transformative stage of life.Â