Hormonal Changes in Women
Hormonal shifts are a natural part of every woman’s life. Estrogen, progesterone, and testosterone begin to fluctuate as early as the late 30s, often leading to symptoms that can feel frustrating and unpredictable. Whether you’re navigating perimenopause, have transitioned into menopause, or are years postmenopausal, hormone changes can impact your mood, metabolism, energy, sleep, and overall quality of life.
TRT/HRT in numbers
Hormone optimization isn’t hype; it’s measurable, sustainable, and life-changing.
of adults over 45 experience symptoms of hormonal imbalance
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%
average improvement in energy, motivation, and overall vitality within the first 6 months of therapy
0
%
better sexual function and libido in both men women
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%
Understanding BHRT
You may be experiencing hormone changes if you notice:
- Hot flashes, night sweats, or temperature swings
- Fatigue, low motivation, or decreased stamina
- Mood swings, anxiety, or irritability
- Weight gain, especially around the abdomen
- Low libido or vaginal dryness
- Brain fog, poor focus, or memory changes
- Trouble sleeping or feeling unrefreshed in the morning
- Thinning hair, dry skin, or changes in muscle tone
BHRT is a treatment designed to restore your hormones to healthy, balanced levels using bioidentical hormones, formulations that are chemically identical to those naturally produced by your body. Unlike synthetic hormone therapies, bioidentical HRT allows for customized dosing and delivery methods to fit your individual needs and goals.
The goal of BHRT is not just symptom relief, but true hormone optimization, helping you feel more like yourself again by improving energy, focus, mood, metabolism, and sexual wellness.
- Feel like yourself again: More stable energy, better sleep, and improved mood
- Restore intimacy: Enhanced libido, comfort, and sexual well-being
- Think clearly: Reduced brain fog and improved focus
- Age gracefully: Support for bone strength, skin elasticity, and heart health
- Maintain balance: Fewer hot flashes, night sweats, and mood fluctuations
Discover the New You with 3 Easy Steps
Step 1
Initial Consultation & Comprehensive Labs
Your journey begins with a 60-minute consultation (in-person or telemedicine) to review your medical history, symptoms, and goals. We order a complete hormone and health panel that includes estradiol, progesterone, testosterone, thyroid studies, metabolic markers, and other key indicators to understand your unique hormone profile.
Step 2
Lab Review & Personalized Treatment Plan
At your second visit (60–90 minutes), we review your lab results together and create a customized BHRT plan designed specifically for you. Treatment may include estradiol (cream or injectable), progesterone troches, and testosterone therapy if indicated. Pellet therapy is also available as an option for women.
Step 3
Ongoing Care, Monitoring & Optimization
We closely monitor your progress with follow-ups every 2 – 4 months. Once stable, you can transition to semi-annual blood work and visits at a reduced rate. Our approach combines precision dosing with a holistic view of wellness so your hormones remain balanced and effective long term.
What to expecet
Most women begin noticing improvements in energy, mood, and sleep within the first few weeks of treatment. As hormone levels stabilize, symptoms like hot flashes, night sweats, and low libido improve significantly. Over several months, many women experience renewed focus, body confidence, and an overall sense of well-being.
What’s Included in Your HRT Plan
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Personalized Treatment Plan
Your therapy is fully customized to your hormone levels and goals. Treatments may include bioidentical estrogen, progesterone, and testosterone tailored to your needs. Pellet therapy is available as an optional procedure for women who prefer longer-term hormone delivery.
Comprehensive Blood Work
Regular lab testing assesses hormone balance, thyroid and metabolic function, blood counts, and nutrient markers. This ensures your treatment stays both effective and safe over time.
Routine Doctor Visits
You’ll meet with your provider regularly to review your progress, adjust your treatment, and address any concerns. Most follow-ups are conducted conveniently via telemedicine, with in-person options available when needed.
All-Inclusive Hormone & Supplies Package
Your membership covers compounded bioidentical hormones, all necessary medications and supplies, and adjustments as needed. No hidden fees, just personalized care designed around you.
Ongoing Support & Guidance
You’ll receive continuous support from your provider and care team throughout your treatment journey, ensuring you feel confident, informed, and supported every step of the way.
Pricing, Billing & Insurance Policy
We believe in transparent pricing; no hidden fees, no surprises.
Membership-Based, Not Insurance-Driven
We choose not to work with insurance so our focus stays exactly where it belongs, on YOU. This allows us to spend more time understanding your goals, creating truly customized treatment plans, and using the best options available, not just what an insurance company covers.
Our membership model keeps everything transparent. You’ll always know what’s included and what you’re paying for, no hidden costs or surprise bills, just clear, personalized care designed around your needs.
Initial Consultation Fee
The initial evaluation (intake, lab orders, and follow-up review) is $400, which covers your first two visits and a comprehensive assessment.
Membership & Follow-Up Fees
Once treatment begins, you’ll transition into the membership plan: $200/month: includes all hormone medications, labs, supplies, and quarterly follow-ups. $150/month: available for patients who are stable and require monitoring every six months.
*Pellet therapy is available for women at an additional $100 per procedure.
Frequently Asked Questions
Many women notice improved mood, energy, and sleep within the first few weeks. Hot flashes, night sweats, and libido typically improve over 3-6 months as hormone balance is restored.
Most treatments can be managed from home, with telemedicine follow-ups for convenience. Pellet therapy is performed in-office.
Most women receive a combination of estradiol, progesterone, and low-dose testosterone, customized to their lab results and symptoms.
If you decide to move forward with treatment at your second visit, your provider will review your plan, teach you how to administer your medications, and order your prescriptions that same day. Your membership begins once your medications are shipped directly to your home.
Follow-up appointments are designed to be convenient and personalized. At least one week before your scheduled visit, you’ll complete your blood work at Labcorp or Quest Diagnostics so results are ready for review. During your appointment, video or in-person, your doctor will discuss your results, evaluate your progress, and make any needed adjustments to your plan.
Yes, when carefully monitored with regular labs and follow-ups. Bioidentical HRT is supported by clinical research when used in the right patient population.
Balanced hormone replacement typically improves metabolism and body composition. If weight changes occur, we address contributing factors such as thyroid or insulin resistance.
Due to federal regulations, we cannot accept returns or issue refunds for prescription medications. All sales are final. However, if there’s an error with your prescription refill or delivery, please contact us right away so we can resolve it promptly
Let’s Start Your Wellness Journey
Have questions or ready to schedule your visit?
Reach out today and take the first step toward balanced health.
DR. Goldis Faghihi ND/DC
Phone: (503) 928-4288
Address: 3735 SE Division St, Portland, OR 97202
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