--- title: "Bioidentical Hormone Therapy for Women | Pure Hormone Health" description: "Individualized BHRT for perimenopause, menopause, and hormonal health. Physiologic transdermal Bi-Est, progesterone, and targeted androgens." lang: en json-ld: --- [![Pure Hormone Health](https://ignitersaas.com/objects/media/cbb1beb2-0a6b-4f7c-b457-7e729e17c534/cd375279-399f-4f37-bf3a-2d692bea0408/1789757186808-logo.png)](/) [Home](/)[About](/about) Services [FAQ](/faq)[Contact](/contact) [](https://www.instagram.com/purehormonehealth)[](https://www.facebook.com/purehormonehealth) [Book a Discovery Call](/contact) Our Services Physiologic, body-identical care delivered entirely by telehealth and titrated to your labs and symptoms. [View all services](/services) [ 01 ### Women's Health & BHRT Perimenopause, menopause and beyond with physiologic Bi-Est, progesterone and targeted androgens. ](/services/womens-health-bhrt)[ 02 ### Men's Health & TRT Testosterone optimization for andropause and low-T with rigorous cardiovascular monitoring. ](/services/mens-health-trt) [Home](/)[About](/about) Services [FAQ](/faq)[Contact](/contact) [](https://www.instagram.com/purehormonehealth)[](https://www.facebook.com/purehormonehealth) [Book a Discovery Call](/contact) ![](/assets/womens-health-BC_rWtFa.jpg) 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. ![Woman in soft natural light during midlife hormone care](/assets/womens-detail-_MrKu0uj.jpg) 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. 01 ### 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. 02 ### 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. 03 ### Physiologic Female Testosterone Micro-dosed androgen therapy based on free and total testosterone levels to support energy, cognitive drive, bone density, and libido. 04 ### Local Vaginal Therapies Targeted, low-dose local estrogen therapy to restore tissue integrity, mucosal moisture, and urogenital comfort without systemic absorption concerns. 05 ### 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. [Book a Discovery Call](/contact)[Call 901-830-8439](tel:9018308439) [![Pure Hormone Health](https://ignitersaas.com/objects/media/cbb1beb2-0a6b-4f7c-b457-7e729e17c534/cd375279-399f-4f37-bf3a-2d692bea0408/1789757187433-logo-white.png)](/) A dedicated virtual telehealth practice providing clinician-directed, physiologic body-identical hormone care for women and men. - [901-830-8439](tel:9018308439) - Bartlett, Tennessee · Virtual telehealth practice · Licensed in Tennessee - 1028 Cresthaven Road, Suite 200 # 1148, Memphis, TN 38119 [](https://www.instagram.com/purehormonehealth)[](https://www.facebook.com/purehormonehealth) #### Explore - [Home](/) - [About](/about) - [Services](/services) - [FAQ](/faq) - [Contact](/contact) #### Services - [Women's Health & BHRT](/services/womens-health-bhrt) - [Men's Health & TRT](/services/mens-health-trt) #### Licensed In Tennessee Pure Hormone Health LLC is a virtual telehealth practice. Care is provided by Sue Piller, DNP, APRN-BC, after a scheduled video visit. Compounded bioidentical hormone prescriptions, when issued, are prepared by a separately licensed U.S. compounding pharmacy and shipped to the patient. Customized compounded preparations are not FDA-approved drug products. This website does not establish a patient–practitioner relationship and does not provide emergency care. If you have a medical emergency, call 911. **Compounded prescriptions are currently fulfilled by:** Designer Drug Labs, Chattanooga, TN, (888) 935-2930 · Belmar Pharma Solutions, Odessa, FL, 877-418-4692 · Olympia Pharmacy, Orlando, FL, (800) 991-9079 © 2026 Pure Hormone Health LLC. All rights reserved. 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