ASA Health MD

BHRT: bio-identical hormone replacement therapy.

Bio-identical hormone replacement therapy for women and men experiencing hormone-related changes. It is physician-managed and driven by lab data, with realistic expectations that guard against both under-treatment and over-correction.

Book Consultation(972) 612-1900
A focused medical consultation on hormone optimization.

The Therapy

What BHRT means

Bio-identical hormones are molecules structurally identical to the hormones your body produces: estradiol, progesterone, testosterone, DHEA and sometimes thyroid hormone. They are derived from plant sources and compounded or commercially produced into delivery forms (creams, pellets, oral, injectable) that restore hormone levels to optimized ranges when symptoms and labs indicate need.

BHRT is not limited to perimenopause, and no single protocol fits everyone. We use it for women in perimenopause and menopause, for men with documented testosterone decline, and for both sexes addressing thyroid, DHEA and sometimes cortisol patterns. The principle is the same across all of them: restore physiologic levels, with every dose guided by data and symptoms.

A clinical analysis of laboratory hormone data.

Indications

When BHRT is the right tool

BHRT is appropriate when symptoms correlate with documented hormone changes and lifestyle interventions are not enough on their own. The specific protocol depends on which hormones are involved, your sex, and your goals.

  • Perimenopause or menopause: hot flashes, sleep disruption, mood changes, bone health, libido, cognitive symptoms
  • Post-menopausal symptom management: when symptoms persist or worsen years after menopause
  • Male testosterone decline: fatigue, mood, libido, muscle composition changes with documented low testosterone
  • Thyroid optimization: when symptoms suggest hypothyroidism beyond what standard TSH testing alone captures
  • DHEA and adrenal patterns: selectively, when labs and symptoms indicate measurable benefit
  • Pre- and post-procedural optimization: hormone support around surgical recovery or significant life transitions
Personalized hormone therapy protocol design.

Candidates

Who BHRT is for

Strong candidates include patients whose hormone-related symptoms have not responded well enough to lifestyle and foundational work, those with documented hormone deficiency on labs, and anyone seeking responsibly managed hormone optimization with realistic expectations.

BHRT is less appropriate for patients with active hormone-sensitive cancers or significant cardiovascular contraindications, or for those seeking aggressive hormone elevation beyond physiologic ranges. Because BHRT is powerful and requires careful patient selection, we screen carefully at consultation.

A composed individual considering hormone optimization.

The Process

From assessment to an optimized protocol

BHRT requires careful initial assessment, gradual titration and ongoing monitoring. Here is how the process runs.

  1. 01

    Initial consultation

    60–90 minutes covering symptoms, history, medication review, family history, and goals. We discuss what BHRT can and cannot deliver, because realistic expectations are central.

  2. 02

    Comprehensive labs

    Detailed hormone panel including estradiol, progesterone, testosterone (total and free), DHEA-S, thyroid panel, plus cardiometabolic markers and any indicated specialty testing.

  3. 03

    Protocol design

    We match the protocol to your labs, symptoms and goals, then set the delivery method, starting dose and monitoring schedule. It is often combined with foundational lifestyle work to maximize benefit.

  4. 04

    Titration and monitoring

    Gradual dose adjustment based on symptom response and repeat labs. Most patients reach a stable maintenance dose within 3–6 months.

  5. 05

    Ongoing management

    Once you are stable, we monitor every 6–12 months with labs, a symptom check and dose adjustments as needed. BHRT is a long-term partnership.

Why ASA Health MD

Hormone therapy managed with rigor

  • Lab-data driven

    Every dose decision is based on your labs and symptoms. We measure, we titrate, we measure again.

  • Physiologic ranges

    The goal is optimized physiologic function without aggressive hormone elevation. We look for the lowest dose that produces benefit.

  • Long-term partnership

    BHRT is an ongoing treatment. Monitoring, dose adjustment and continuity of care over the years matter as much as the initial protocol.

  • Careful screening

    Not every patient is a candidate. We screen carefully and decline when contraindications or risk profiles suggest BHRT is not the right tool.

Common Questions

What patients ask about BHRT.

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Ready to evaluate?

Schedule your hormone consultation.

A 60-minute consultation with Dr. Lee to discuss your symptoms, review your labs and decide whether BHRT is the right tool for your situation.

Book Consultation(972) 612-1900

5508 W. Plano Parkway, Plano, TX 75093