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Transdermal Body-Identical Bi-Est
Customized formulations of 17-beta estradiol and estriol delivered via metered topical oils or creams, bypassing hepatic first-pass metabolism to support cardiovascular and clotting safety.
Women's Health, BHRT, Perimenopause & Menopause
Individualized Hormone Restoration for Perimenopause, Menopause & Beyond
Midlife, Medically Supported
Hormonal change is biology, not a character test
Midlife hormonal shifts are biological events that benefit from medical support, not a character test to endure. When ovarian production of estradiol and progesterone fluctuates and declines, the brain, heart, bones, metabolic systems, and mood pathways are directly impacted. Pure Hormone Health provides physiologic, body-identical hormone replacement therapy (BHRT) designed to alleviate acute symptoms and support long-term cellular health.
Who We Help
Clinical indications & symptoms addressed
If any of these describe your last few years, there is a physiologic explanation—and a measurable path forward.
Clinical Indications
- Perimenopause & Menopausal Transition
- Surgical or Premature Menopause
- Post-Menopause Management
- Genitourinary Syndrome of Menopause (GSM)
- Female Androgen Deficiency
- Thyroid & Metabolic Overlap
- Complex Histories (e.g., Remote Breast Cancer)
Common Symptoms Addressed
- Severe Vasomotor Symptoms (Hot Flashes, Night Sweats)
- Disrupted Sleep Architecture & Insomnia
- Cognitive Fog, Memory Lapses & Word-Finding Difficulty
- Mood Instability, Heightened Anxiety & Low Vitality
- Vaginal Dryness, Discomfort & Painful Intimacy
- Unexplained Weight Gain & Lean Muscle Loss
- Joint Aches, Muscle Stiffness & Systemic Fatigue
Protocols
Our Treatment Approach
Body-identical molecules, adjustable delivery, and dosing guided by how you actually feel.
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Body-Identical Progesterone
Tailored body-identical progesterone administered to provide essential endometrial protection and support restorative sleep pathways. In our concierge tier, we use specialized compounded progesterone in organic oils; accessible non-membership tiers may utilize standard bio-identical options (such as oral micronized capsules or standard creams) based on budget.
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Physiologic Female Testosterone
Micro-dosed androgen therapy based on free and total testosterone levels to support energy, cognitive drive, bone density, and libido.
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Local Vaginal Therapies
Targeted, low-dose local estrogen therapy to restore tissue integrity, mucosal moisture, and urogenital comfort without systemic absorption concerns.
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Thyroid & Metabolic Coordination
Evaluation of free T3, free T4, and reverse T3 when persistent fatigue or metabolic resistance overlaps with midlife hormone shifts.
Note on Delivery Methods: We prescribe daily, adjustable transdermal therapies so that dosing can be raised, lowered, or stopped at any point based on how you feel and what your labs show. We do not offer implanted hormone pellets, which cannot be adjusted or removed once placed.
Safety
The Science of Safety & the WHI Context
Much of the hesitation surrounding hormone therapy stems from the 2002 Women’s Health Initiative (WHI), which evaluated conjugated equine estrogens (Premarin) and synthetic medroxyprogesterone acetate (Provera) in an older patient cohort.
Pure Hormone Health utilizes body-identical 17-beta estradiol and progesterone—molecules that match the exact chemical structure of human hormones. Delivered transdermally, bioidentical estradiol avoids hepatic first-pass stimulation of clotting factors. Body-identical progesterone provides uterine protection without the adverse vascular and breast tissue signals associated with synthetic progestins.
Every protocol is guided by baseline diagnostic mammography, ongoing symptom evaluation, serum labs, and comprehensive 24-hour urine metabolite testing.
Next Step
Begin your hormone journey
A focused conversation to discuss our virtual telehealth model, clinical requirements, logistics, and program pricing to determine if our practice is the right fit for your health goals.