What Is BHRT?

Bioidentical Hormone Replacement Therapy (BHRT) uses plant-derived hormones that are chemically identical to those naturally produced by the human body, including estradiol, progesterone, and testosterone. BHRT is used to treat symptoms associated with perimenopause, menopause, and andropause, as well as hormone-related conditions such as low libido, fatigue, mood changes, weight gain, sleep disruption, brain fog, and vasomotor symptoms (hot flashes and night sweats).

Unlike one-size-fits-all hormone therapy, BHRT is individualized based on comprehensive lab evaluation, symptom assessment, medical history, and personal health goals. Treatment plans are designed to support physiologic hormone levels while prioritizing safety, symptom relief, and long-term wellness, contact us today to learn more!

Conditions & Symptoms We Treat

• Perimenopause and menopause symptoms
• Hot flashes and night sweats
• Low libido and sexual health concerns
• Fatigue and low energy
• Mood changes, anxiety, and irritability
• Sleep disturbances and insomnia
• Brain fog and poor concentration
• Weight gain and metabolic changes
• Hormonal imbalance related to PCOS (when appropriate)
• Low testosterone in men and women

Treatment Options Offered

Your BHRT plan may include one or more of the following, depending on clinical appropriateness:

• Pellet and/or transdermal estrogen therapy (patches or creams)
• Oral micronized progesterone for uterine protection (when indicated)
• Pellet testosterone therapy
• Compounded bioidentical hormone formulations (when clinically appropriate)
• Ongoing lab monitoring and dose adjustments
• Lifestyle, nutrition, and metabolic support as part of comprehensive care

All therapies are prescribed following evidence-based guidelines and individualized risk assessment.

What to Expect

Your BHRT journey begins with a comprehensive consultation, review of symptoms, and baseline laboratory testing contact us today to learn more! Based on your clinical profile, we create a personalized treatment plan with ongoing monitoring to optimize symptom relief while maintaining safety. Most patients begin to notice symptom improvement within several weeks, with continued optimization over 2–3 months as hormone levels stabilize.

BHRT is not a one-time treatment—it is a dynamic, medically supervised process that evolves with your body’s needs.

Why Choose Hagen Health & Absolute Aesthetics?

• Medical oversight by an experienced nurse practitioner
• Individualized, lab-guided hormone protocols
• Integration of metabolic, weight management, and wellness care
• Care for perimenopausal, menopausal, and andropausal patients
• Focus on both symptom relief and long-term health outcomes

If you’re experiencing symptoms of hormonal imbalance, schedule a consultation at Hagen Health & Absolute Aesthetics in Mukilteo, WA to determine whether bioidentical hormone replacement therapy is appropriate for you. We encourage you to contact us today to learn more about how HRT could help you age masterfully!

What Is Bioidentical Hormone Replacement Therapy (BHRT)?

Bioidentical Hormone Replacement Therapy (BHRT) uses hormones that are chemically identical to those naturally produced by the human body, including estradiol, progesterone, and testosterone. Treatment is individualized based on your symptoms, medical history, laboratory testing, and personal health goals to restore hormone balance and improve quality of life.

What Symptoms Can BHRT Help Treat?

Hormonal changes can affect many aspects of health. BHRT may help improve symptoms such as:

• Hot flashes and night sweats
• Low libido and sexual dysfunction
• Fatigue and low energy
• Mood changes, anxiety, and irritability
• Brain fog and difficulty concentrating
• Sleep disturbances and insomnia
• Weight gain and changes in body composition
• Vaginal dryness and painful intercourse
• Reduced muscle mass and strength
• Low testosterone symptoms in both men and women

Every treatment plan is personalized based on your symptoms and laboratory evaluation.

Who Is a Candidate for BHRT?

BHRT may be appropriate for women experiencing perimenopause or menopause, men with clinically confirmed testosterone deficiency, and certain patients with other hormone-related conditions. A comprehensive medical evaluation, symptom assessment, and laboratory testing are performed to determine whether hormone therapy is appropriate and safe for you.

What Is the Difference Between Bioidentical Hormones and Traditional Hormone Therapy?

Bioidentical hormones have the same molecular structure as the hormones naturally produced by the human body. Traditional hormone therapy may contain bioidentical hormones, synthetic hormones, or hormones derived from animal sources. At Hagen Health & Absolute Aesthetics, treatment recommendations are individualized and based on current evidence, your medical history, and your treatment goals.

Is BHRT Safe?

For appropriately selected patients, hormone therapy can be both safe and effective when prescribed and monitored by a qualified medical provider. Before starting treatment, we carefully review your personal and family medical history, perform laboratory testing, assess risk factors, and discuss the potential benefits and risks. Ongoing follow-up appointments and laboratory monitoring help ensure treatment remains safe and effective over time.

What Forms of BHRT Are Available?

Treatment options may include:

• Hormone pellet therapy
• Transdermal estrogen patches
• Topical hormone creams
• Oral micronized progesterone
• Testosterone therapy for appropriate candidates
• Compounded bioidentical hormone formulations when clinically appropriate

Your provider will recommend the option that best fits your medical needs, lifestyle, and treatment goals.

Why Do I Need Laboratory Testing Before Starting BHRT?

Laboratory testing helps evaluate your current hormone levels and identify other medical conditions that may contribute to your symptoms. Combined with a detailed symptom assessment and medical history, lab results allow us to develop a personalized treatment plan and safely monitor your response over time.

How Long Does It Take for BHRT to Work?

Many patients begin noticing improvements in symptoms such as energy, sleep, mood, or hot flashes within several weeks. Hormone optimization is a gradual process, and maximum benefit often occurs over two to three months as hormone levels stabilize. Individual response varies depending on the hormones prescribed, dosage, and your body's unique physiology.

Will I Need Ongoing Follow-up Appointments?

Yes. Hormone therapy is an ongoing medical treatment that requires periodic follow-up visits and laboratory monitoring. As your body changes over time, your hormone needs may also change. Regular follow-up appointments allow us to adjust treatment, optimize symptom relief, and monitor long-term safety.

Can BHRT Help With Weight Loss?

Hormone optimization alone is not a weight-loss treatment. However, correcting hormone deficiencies may improve energy, sleep quality, muscle mass, and metabolic function, making it easier for some patients to achieve and maintain a healthy weight. When appropriate, BHRT can be combined with nutrition counseling, lifestyle modifications, and evidence-based medical weight loss therapies.

Does BHRT Increase the Risk of Breast Cancer?

The relationship between hormone therapy and breast cancer is complex and depends on factors including the type of hormone used, route of administration, dose, duration of treatment, and an individual's medical history. During your consultation, we will review your personal risk factors, discuss the current evidence, and determine whether hormone therapy is appropriate for you.

Can Men Benefit From BHRT?

Yes. Men with clinically confirmed low testosterone may benefit from testosterone replacement therapy when medically appropriate. Treatment may improve energy, libido, erectile function, muscle mass, mood, and overall quality of life. Testosterone therapy should always be prescribed and monitored by a qualified healthcare provider.

Can Women Receive Testosterone Therapy?

Yes. Testosterone plays an important role in women's health and may be considered for carefully selected patients, particularly those experiencing hypoactive sexual desire disorder (HSDD) or other symptoms of androgen deficiency. Treatment decisions are individualized and based on current clinical guidelines and a comprehensive medical evaluation.

Are Hormone Pellets Better Than Creams or Patches?

There is no single "best" method of hormone delivery. Pellets, patches, creams, and oral medications each have advantages and potential limitations. The most appropriate option depends on your medical history, symptoms, lifestyle, treatment goals, and personal preferences. We will discuss all available options and recommend the approach that best fits your individual needs.

Why Choose Hagen Health & Absolute Aesthetics for BHRT?

Our providers are certified in hormone replacement therapy. We provide evidence-based, individualized hormone care that goes beyond simply prescribing medication. Your treatment plan is guided by a comprehensive evaluation, laboratory testing, symptom assessment, and ongoing monitoring. We also integrate nutrition, metabolic health, weight management, and preventive wellness strategies to help you achieve both symptom relief and long-term health.

How Do I Get Started?

Your first appointment includes a detailed review of your medical history, symptoms, medications, lifestyle, and health goals. We will order appropriate laboratory testing, discuss your treatment options, and develop a personalized plan if hormone therapy is appropriate. Our goal is to help you feel better while maintaining the highest standards of safety and evidence-based care.