Hormonal imbalances present unique health challenges and come with a long list of life-draining symptoms, including hot flashes & night sweats, sleep disturbances, mood changes, and anxiety, as well as weight gain, slowing metabolism, and irregular periods.

Many of these symptoms occur as a direct consequence of naturally declining hormone levels (such as estrogen and progesterone) during perimenopause and menopause – but today’s busy, always-on lifestyle paired with an epidemic of chronic health issues frequently contributes to “hormonal havoc” that’s wrecking your life.

When your hormones are “out of whack,” everything is out of whack… making you think you’re going crazy.

Unfortunately, most medical schools aren’t teaching endocrine (hormone) disorders sufficiently, leaving PCPs and even OBGYNs ill-prepared to address your valid concerns.

So, if you feel discouraged, please don’t give up! 

While taming these waves of hormone chaos is no small feat, it isn't impossible.

Perimenopause & Menopause

Menopause often begins in a woman’s late 40s to early 50s, when her ovaries cease producing eggs and stop the subsequent release of hormones that initiate the monthly menstrual cycle. Perimenopause is the stage just before menopause when a woman’s menstrual cycles start to become irregular, triggering symptoms similar to menopause.

Hormone levels change dramatically throughout perimenopause into menopause, inducing uncomfortable symptoms commonly associated with this stage in life.

Since hormones control every aspect of the body's function – from temperature regulation to metabolism to the sleep cycle, it’s no wonder that most women experience a wide range of frustrating issues during this transition.

Yet, while menopause is unavoidable, you don't have to let hormone imbalances call the shots.

Many women don’t realize that natural options are available to help them restore optimal hormone levels, including lifestyle changes and bioidentical hormone replacement therapy (BHRT) for women with a functional medicine approach.

This therapy can naturally restore optimal hormone levels, improving physical and mental health. Let's dive into more detail about how BHRT for women works, who should get it, potential side effects, and why partnering with Dr. Barbara NP by Anthea Health is such a smart move.

Other Causes of Hormone Imbalances


A woman’s ovaries produce hormones, including estrogen.  If her ovaries are removed, post-surgical symptoms mimic menopause, even when the patient is younger than the typical menopausal age.

Low Testosterone

Deficient testosterone levels in women may manifest as low sex drive, fatigue, weakness, muscle mass loss, bone loss, depression & mood changes, or vaginal dryness.


Counterintuitively, women can experience high testosterone, which may lead to a condition called Polycystic Ovary Syndrome (PCOS), which is quite common in younger women. PCOS can be difficult to diagnose. High testosterone levels can present with symptoms such as aggression, moodiness, and excess facial hair. 

Premenstrual Dysphoric Disorder (PMDD)

PMDD is a severe form of Premenstrual Syndrome. Those who suffer from PMDD may experience physical changes, including tiredness, bloating, breast tenderness, irritability, sadness, and extreme moodiness. 



Also called underactive thyroid disease, hypothyroidism is a common disorder. With hypothyroidism, your thyroid gland does not make enough thyroid hormone. When you do not have enough thyroid hormone, your body processes slow down, resulting in less energy and a sluggish metabolism.


Bioidentical Hormone Replacement Therapy (BHRT) can be instrumental in addressing adrenal fatigue. It works by rectifying hormone imbalances that may directly impact the adrenal glands, as well as mitigating the adverse effects stemming from general hormone imbalances, such as sleep disturbances, fatigue, bodily discomfort, and more.

Insulin Resistance

You may have heard that insulin resistance can be caused by poor diet, namely a diet that is high in sugar, refined carbohydrates, and processed foods.

Lack of movement can contribute as well, but there are many little-known causes to have on your radar as well. This includes unmanaged chronic stress and high cortisol levels, exposure to environmental toxins (such as pesticides and pollutants), and shifts in hormone balance including low levels of estrogen, progesterone, and testosterone that greatly impact insulin and aspects of your genetics.

Testing For Hormone Imbalances

Before diving into bioidentical hormone replacement therapy for women, evaluating your current hormone levels is essential to determine the best personalized treatment approach – ideally through lifestyle changes that support natural hormone balance.

The most common lab tests for estrogen and progesterone are blood tests, but urine and saliva tests are also frequently used depending on your unique situation.

In addition, I might also test for other hormones such as DHEA, testosterone, cortisol, melatonin, or thyroid hormones to get a more complete picture of your current hormone health. It's important to note that these tests are usually done on specific days of the menstrual cycle and should be done under the guidance of a healthcare provider.

Given our team's expertise in treating hormone imbalances, the best first step is to schedule a free discovery call to discuss your situation and what hormone testing might be required. I will help you understand what’s going on and develop a comprehensive plan that might involve bioidentical hormone replacement therapy.

Why Should Women Consider BHRT?

BHRT is a treatment approach that uses bioidentical forms of progesterone and estrogen (identical in molecular structure to the hormones produced by your ovaries) to optimize hormone levels so you can reclaim your vitality, energy levels, and sex drive.

Because your body can't tell whether the hormones came from your ovaries or the pharmacy, BHRT is arguably safer than synthetic progesterone and estrogen medications merely mimicking the function of these hormones. 

In addition, many studies over the last 30 years have shown BHRT as a safe and effective strategy for treating hormone imbalances – provided that appropriate hormone testing is used to individualize your dose to your specific needs.

Women who have used BHRT have experienced the following benefits:

  • Increase in energy & resilience
  • Stabilization of mood & improved sleep
  • Boost in sexual drive & libido
  • Increase in body tone & lean muscle (making weight management easier)
  • Reduction in body fat
  • Decrease in anxiety
  • Maintains higher bone density (which can help prevent osteoporosis later in life)
  • Alleviation of hot flashes

Choosing A BHRT Provider

When considering hormone replacement, working with a licensed health practitioner with expertise in hormone issues is important.

When working with clients, our team provides the proper guidance for their unique situations. I also examine lifestyle factors that could be unnecessarily draining your natural hormones and provide guidance on natural ways to boost your resilience and longevity.

Bioidentical hormone pellet therapy offers many benefits, including consistent delivery and potentially fewer side effects than other dosing forms. If you think this type of treatment might be right for you, consider signing up for a free discovery call so I can answer any questions you may have.

Take The First Step To Better Hormone Balance

Looking to restore hormone balance & vibrant health, but aren't sure about your options? Book a free discovery call to get the clarity & confidence you need!

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