A woman discussing bioidentical hormone therapy with her physician

Personalized care for changing hormones and healthy aging

BHRT for Women

Perimenopause and menopause may affect sleep, mood, energy and sexual health. A medical evaluation can help determine whether hormone therapy is suitable for your symptoms and health history.

2013 Providing personalized care
A4M Board-certified physician
20+ years Doctor-led experience

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Individual assessment
Risk–benefit discussion
Options when appropriate
Ongoing reassessment

What to know before treatment

BHRT is not appropriate for every woman. The decision is individualized and reviewed over time.

Individual risk: Age, health history and personal risk factors inform the recommendation.
Testing: Laboratory or other assessment may help, but hormone levels alone do not decide treatment.
Administration: Topical preparations or pellets may be discussed when clinically suitable.
Monitoring: Symptoms, health changes and risks are reassessed at follow-up.

What is BHRT?

Bioidentical hormone therapy uses compounds chemically identical or structurally equivalent to hormones produced by the body. Depending on individual needs, therapy may involve estrogen, progesterone or other hormones. The term bioidentical does not make a treatment appropriate for everyone.

The decision considers age, symptoms, medical history, risk factors and goals. Hormone levels are only one part of that assessment. When therapy is appropriate, Dr. Jeff Ugalde discusses the available formulations, expected benefits, risks and alternatives before treatment begins.

Why choose Age Metrics Medical?

Menopause affects women differently. Recommendations are based on the full clinical picture rather than a standard hormone protocol, with follow-up to reassess symptoms and the balance of benefits and risks over time.

Who may benefit from an evaluation?

Symptoms during perimenopause or menopause deserve assessment, but do not by themselves establish a need for hormone therapy.

Hot flashes or night sweats
Sleep disturbances
Vaginal dryness or discomfort
Changes in sexual desire or function
Mood changes or irritability
Changes in energy or overall well-being

What to expect

Conversation

Review symptoms, history, medications, lifestyle and goals with Dr. Jeff Ugalde.
Clinical evaluation

Testing or additional assessment may be recommended; results are considered in context.
Shared decision

Discuss whether hormone therapy is appropriate, including benefits, risks and administration options.
Follow-up

Reassess symptoms and health needs, adjusting treatment when indicated.

Frequently Asked Questions

What is the difference between BHRT and traditional hormone therapy?

BHRT describes hormone products chemically identical or structurally equivalent to hormones made by the body. The specific formulation still needs an individual medical assessment.

Is BHRT appropriate for every woman?

No. Potential benefits, risks and medical contraindications vary. Evaluation is essential before treatment.

Will I need hormone testing?

Possibly. Hormone levels alone do not determine whether menopausal hormone therapy is appropriate.

How can BHRT be administered?

Depending on the hormone and your clinical needs, topical preparations or subcutaneous pellets may be discussed as options.

How long will I need BHRT?

Duration varies. Your physician will periodically reassess symptoms, health status and the balance of benefits and risks.

International patients

Why patients choose Costa Rica for their care

International patients may find individualized women’s health care in Costa Rica at a lower cost than comparable services at home. Actual costs and follow-up needs depend on the evaluation and treatment plan.

Explore Why Costa Rica