Bioidentical Hormone Replacement Therapy

Personalized hormone optimization designed to restore balance, improve how you feel and function, and support long-term health through every stage of life.

Row of glass medical ampoules with a single pale-blue dosage vial
What this involves

Bioidentical Hormone Replacement Therapy, in detail

Bioidentical hormones have the same structure as the hormones your body makes. But what matters most is how your therapy is managed. At EvoHealth, we first confirm that hormones are the cause of your symptoms. Then we dose your therapy based on your lab results, not a standard protocol, and adjust it over time based on your symptoms and follow-up labs.

This is for you if you are in perimenopause or menopause and dealing with hot flashes, trouble sleeping, mood changes, or vaginal dryness. It is also for men and women with fatigue, low libido, muscle loss, or slower thinking related to low testosterone. Some health histories, including certain cancers, blood clots, and heart conditions, may mean hormone therapy is not safe for you. We review your history before prescribing anything.

Your assessment includes hormone testing, along with full thyroid function, insulin resistance markers, and nutrient levels. This helps make sure a thyroid or metabolic problem is not mistaken for a hormone problem. Your compounded hormones are dosed based on your results, then adjusted using follow-up labs and how you feel. We continue to monitor you for as long as you are on therapy.

Your care plan includes consultations, a personalized treatment plan, and ongoing monitoring. Compounded hormones and lab testing are arranged separately. Brianna Cole, DNP, APRN manages every treatment plan, in person in Overland Park or by telehealth across Kansas and Missouri. If hormone therapy is not right for you, or if you would be better served by a reproductive endocrinologist, she will let you know.

FAQ

Common questions

The ones we are asked most about Bioidentical Hormone Replacement Therapy.

Bioidentical hormones have the same structure as your own, rather than being synthetic. Your dose is based on your lab results instead of a standard starting dose. We also keep monitoring and adjusting your therapy for as long as you are on it.

Sleep and hot flashes often improve within a few weeks. Energy, body composition, and libido usually take longer, because thyroid, metabolism, and exercise also play a role. Your first dose is a starting point, and we expect to adjust it.

That depends on your health history, which is why we review it before prescribing. Certain cancers, blood clots, and heart conditions may rule out hormone therapy. If therapy is right for you, regular monitoring helps keep it safe and effective.

Conditions treated here

Woman standing by a bright window in a minimal room

Hormone Imbalance

Estrogen, testosterone, thyroid, cortisol, and insulin all affect each other. We test them together so your treatment addresses the full picture.

Woman sitting on the edge of a bed in early-morning light

Chronic Fatigue

Ongoing fatigue often has more than one cause. We look at thyroid function, cellular energy, stress hormones, and nutrient levels together to find what is draining your energy.

Brianna Cole, DNP, APRN, FNP-C examining a patient with a stethoscope at EvoHealth in Overland Park
Get started

Ready to start with a clear clinical picture?

Start with the fifteen-minute consultation. No cost, and a straight answer on whether this model fits your case.