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WHAT ARE 'BIOIDENTICAL' HORMONES?
Bioidentical hormones have the same molecular structure as hormones naturally produced by your body. Common examples include estradiol and micronized progesterone, which may be prescribed to help manage symptoms of perimenopause and menopause. These hormones are available in FDA-approved formulations, as well as compounded preparations when clinically appropriate. Treatment is individualized based on your symptoms, medical history, and health goals, with careful consideration of the benefits and risks.
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WHAT'S HAPPENING DURING PERIMENOPAUSE?
During the years leading up to menopause, ovulation becomes irregular. As ovulation becomes less predictable, progesterone production may decline, while estrogen levels can fluctuate significantly, sometimes high, sometimes low. This hormonal rollercoaster can cause hot flashes, anxiety, breast tenderness, heavy periods, mood swings, and sleep changes. As estrogen production eventually declines, the drop can affect brain function, metabolism, bone strength, and even gut balance which is why so many symptoms feel “whole-body".
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WHERE DOES TESTOSTERONE FIT IN?
Although often thought of as a “male” hormone, women naturally produce testosterone too, and levels generally decline with age. The most widely accepted, evidence-based indication for testosterone therapy in women is distressing low sexual desire. However, in clinical practice, some women also report improvements in energy, mood, motivation, drive, and overall well-being. While these additional benefits are not yet consistently supported by clinical research, they remain important considerations in individualized care. Because there is currently no FDA-approved testosterone product specifically for women in the U.S., treatment is prescribed off-label. Options include carefully dosed topical preparations, as well as injections and pellets, each with different benefits, limitations, and safety considerations. At InHerBalance Gut and Hormone Clinic, we emphasize shared decision-making, individualized dosing, and ongoing monitoring to help patients make informed choices about testosterone therapy.
DON'T FORGET THE THYROID
Thyroid hormones influence energy, metabolism, weight, and mood, and thyroid dysfunction can mimic many symptoms of perimenopause and menopause. At InHerBalance Gut and Hormone Clinic, our integrative approach looks beyond commonly ordered thyroid labs like TSH and T4 alone. We take a more comprehensive look at thyroid function while considering your symptoms and overall hormonal health. When appropriate, treatment may include T4 (levothyroxine) or combination T4/T3 therapy, with individualized dosing and careful monitoring.
HORMONE THERAPIES WE USE
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Estradiol
Formulations
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Patches
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Creams
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Gels
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Oral tablets
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Injections
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Pellets
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Vaginal Cream or Capsule
Transdermal route (through the skin) or vaginal preferred over oral administration
Helps with...
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Hot flashes
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Sleep
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Mood
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Cognition
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Bone health
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Vaginal discomfort
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