Thoughtful, individualized care for women navigating perimenopause, menopause, and other hormone-related concerns. Your treatment plan is guided by your symptoms, health history, laboratory findings, and personal goals.
Menopause is reached after 12 consecutive months without a menstrual period. It most often occurs between ages 45 and 55, although every woman is different.
Perimenopause is the transition leading up to menopause. Changing hormone levels can contribute to hot flashes, night sweats, sleep changes, vaginal symptoms, mood changes, changes in sexual health, and irregular periods.
You do not have to wait until menopause is complete to seek care. Treatment can begin during perimenopause when symptoms affect your quality of life.
Perimenopause and menopause can affect sleep, mood, sexual health, energy, comfort, concentration, and overall well-being.
Bioidentical hormones have the same molecular structure as hormones naturally produced by the body. BHRT may help relieve menopause symptoms and address clinically meaningful hormone changes when treatment is appropriate.
Bioidentical hormone options may include estradiol, micronized progesterone, and other individualized hormone therapies when clinically appropriate.
FDA-approved estradiol is available in forms such as patches and gels, while micronized progesterone is available as an FDA-approved oral prescription. Customized compounded formulations may also be considered when an individualized strength, combination, or delivery method is needed.
If you have a uterus and use systemic estrogen, progesterone or another progestogen is generally added to help protect the uterine lining. Progesterone may also be considered in selected women without a uterus based on symptoms and individual treatment goals.
Bioidentical hormone replacement therapy is not one-size-fits-all. Your provider can help choose a formulation, route, and dose based on your symptoms, health history, preferences, and treatment goals.
Many FDA-approved hormone medications may be filled through insurance. Customized and compounded therapies are generally self-pay.
For customized or compounded hormone care, our membership options offer a personalized approach. Book your appointment to review your symptoms, health history, and goals. Your provider will help choose care that fits your needs, and our team will explain included services and any separate costs.
Book Your AppointmentThe Women's Health Initiative was an important study, but its early results were often applied too broadly to women of all ages and every type of hormone therapy.
Today, hormone therapy is selected more individually. For many healthy women with bothersome symptoms who begin treatment closer to menopause, the benefit-risk balance can be favorable when there are no contraindications.
Menopause can affect sleep, energy, comfort, relationships, sexual health, and emotional well-being. Your symptoms deserve to be taken seriously.
Our team reviews your symptoms, medical history, treatment preferences, and laboratory information when appropriate before discussing your options.
Care can begin during perimenopause. You do not have to wait until symptoms become severe or your periods have stopped for a full year.
Estrogen, progesterone, testosterone, and DHEA change in different ways as women age. BHRT is designed to address clinically meaningful hormone changes and menopause symptoms — not simply push hormone levels as high as possible.
Estradiol falls significantly around menopause and may contribute to hot flashes, night sweats, vaginal symptoms, sleep disruption, and accelerated bone loss.
Ovarian estrogen production declines substantially during the menopause transition.
Restore enough estrogen exposure to improve symptoms and support bone and genitourinary health without unnecessarily chasing a specific number.
Progesterone begins to decline as ovulation becomes less frequent during perimenopause and becomes very low after menopause.
Less frequent ovulation means less natural progesterone production during the menopause transition.
With a uterus, progesterone helps protect the uterine lining when systemic estrogen is used. It may also be considered without a uterus based on symptoms and individual treatment goals.
Women naturally produce testosterone, and levels generally decline with age. In some women, androgen changes may be relevant to sexual desire and other symptoms.
Testosterone production gradually decreases across adulthood rather than dropping abruptly at menopause.
When clinically appropriate, use an individualized dose while monitoring symptoms and laboratory values and avoiding excessive androgen exposure.
DHEA is produced primarily by the adrenal glands and serves as a precursor to other hormones. DHEA-S levels naturally decline as women age.
DHEA-S is generally highest earlier in adulthood and progressively decreases with age.
Interpret DHEA-S with symptoms and the broader hormone picture rather than automatically replacing a low age-related value.
Hormone care is only one part of women’s health. We encourage patients to stay current with recommended breast and cervical cancer screening.
Stay current with recommended mammography based on your age and individual risk factors.
Your screening plan may differ based on family history, previous breast findings, breast density, genetic risk, or other individual factors.
If you have a cervix, stay current with recommended cervical cancer screening.
Your Pap and/or HPV testing schedule depends on your age, previous results, medical history, and the type of screening being used.
If your mammogram or cervical screening is overdue, we recommend arranging it with your medical provider or gynecologist. Additional screening may be appropriate based on your personal or family history.
Meet with an Alpha Hormones® provider to review your symptoms, hormone options, health history, and whether an insurance-covered or customized self-pay BHRT approach may be right for you.
Book Your ConsultationThis page is for general education. Bioidentical hormone replacement therapy requires medical evaluation and individualized treatment. Medication selection, hormone dosing, laboratory testing, monitoring, insurance coverage, supplement use, and pharmacy availability vary by patient and treatment plan.
Personalized care with compounded hormones when appropriate, ongoing support, and added wellness benefits in one membership.
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View Membership & BenefitsMedical evaluation and labs determine treatment. Benefits vary by program; setup fees and additional treatment costs may apply.
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