Bioidentical Hormone Replacement Therapy (BHRT) Programs
Feel more like yourself
Hormonal changes can affect nearly every aspect of how you feel, from your sleep, energy and mood to your metabolism, sexual health and overall well-being. Yet symptoms like fatigue, brain fog, weight changes and disrupted sleep are often dismissed as simply part of getting older.
Bioidentical Hormone Replacement Therapy (BHRT) is a personalized approach to addressing hormone deficiencies and imbalances. Bioidentical hormones have the same molecular structure as hormones naturally produced by the body. Depending on your needs, treatment may involve estrogen, progesterone, testosterone or other therapies.
At Privé-Swiss MedSpa, hormone care begins with a comprehensive evaluation of your health, symptoms, medical history and goals. Laboratory testing may help guide your care, and your treatment plan is adjusted over time based on your individual response. Read more about our BHRT programs below.
A personalized approach
Your treatment is never based on a single symptom or lab result. We consider the bigger picture, including your reproductive history, medications, nutrition, sleep, stress, exercise, metabolic health and personal goals. Through ongoing provider visits, appropriate testing and health coaching, we work to develop a treatment strategy that addresses your needs and supports your long-term health.
Read more in our BHRT FAQs.
Is BHRT right for you?
Hormone changes can occur during perimenopause, menopause and other stages of life. You may benefit from an evaluation if you’re experiencing:
- Hot flashes, night sweats or irregular periods
- Persistent fatigue or low energy
- Brain fog, difficulty concentrating or memory changes
- Mood swings, irritability or disrupted sleep
- Changes in libido or sexual health
- Unexplained weight changes or difficulty maintaining muscle
- Vaginal dryness or discomfort
- Other symptoms that may be related to hormonal changes
Understanding Your Hormones
Hormones work together to regulate many of your body’s essential functions. Understanding their individual roles can help explain why an imbalance may affect everything from your sleep and mood to your metabolism and sexual health.
Not every hormone requires treatment. Your provider will determine which factors warrant further evaluation.
Estrogen
Often associated with reproductive health, estrogen also plays important roles in bone density, vaginal health, temperature regulation, skin and brain function. Changing estrogen levels can contribute to hot flashes, night sweats, vaginal dryness, disrupted sleep and mood changes.
Progesterone
Progesterone helps regulate the menstrual cycle and balance estrogen. It also protects the uterine lining in women taking systemic estrogen who have an intact uterus. Changes in progesterone may contribute to irregular periods, PMS symptoms and sleep disturbances.
Testosterone
Women produce testosterone in smaller amounts than men, but it still plays an important role in sexual desire, muscle maintenance, bone health and overall well-being. Low levels may be associated with changes in libido, energy and muscle strength.
DHEA
Produced primarily by the adrenal glands, DHEA is a precursor hormone that the body can convert into estrogen and testosterone. Levels naturally decline with age. Its role in hormone health and healthy aging may be considered as part of a broader evaluation.
Cortisol
Often called the stress hormone, cortisol helps regulate your body’s response to stress, blood sugar, inflammation and sleep-wake cycle. Persistent stress and certain medical conditions can affect cortisol regulation.
Thyroid Hormones
Thyroid hormones regulate metabolism, energy production, body temperature and many other functions. An underactive or overactive thyroid can contribute to fatigue, weight changes, mood changes and hair or skin concerns.
Insulin & Glucose
Insulin helps move glucose from the bloodstream into cells for energy. When the body becomes less responsive to insulin, blood sugar regulation and metabolic health can be affected. Evaluating glucose and insulin markers can provide additional insight into weight changes, energy and overall health.
BHRT Programs at Privé-Swiss
Hormone optimization is not a one-time prescription. It takes time to evaluate your needs, establish an appropriate treatment plan, monitor your response and make adjustments. Privé-Swiss MedSpa offers three levels of support, ranging from a four-month foundation to a comprehensive year-long hormone and health optimization experience.
4-Month BHRT Foundation
A starting point for women ready to understand their symptoms, explore hormone therapy and establish a personalized treatment plan.
Your program includes:
- 90-minute comprehensive initial consultation
- Medical, menstrual and reproductive history
- Lifestyle and wellness assessment
- InBody body composition scan
- Baseline laboratory testing and additional testing when clinically indicated
- Three follow-up provider visits, including a comprehensive reassessment
- Four monthly health coaching sessions
- Weekly photobiomodulation (PBM) and infrared sauna sessions
- Monthly vitamin booster and mini IV infusion
- Secure one-to-one messaging for non-urgent questions and care coordination
Four months of building a foundation: Understanding your hormones, supporting metabolic health, improving sleep and managing stress while establishing sustainable habits.
$2,400 for the 4-month program
8-Month BHRT Optimization
For women who want more time to fine-tune treatment, address lifestyle factors and make meaningful, sustainable changes.
This program builds on the BHRT foundation with an extended period of provider oversight and health coaching.
Your program includes:
- Comprehensive initial consultation and InBody scan
- Baseline and repeat laboratory testing as clinically indicated
- Approximately six provider visits, including the initial consultation
- Treatment initiation, monitoring and adjustments
- Eight monthly health coaching sessions
- Weekly photobiomodulation (PBM) and infrared sauna sessions
- Monthly vitamin booster and mini IV infusion
- Secure one-to-one messaging for non-urgent questions and care coordination
- Personalized long-term maintenance and monitoring plan
Your program progresses through three phases:
- Integrate: Establish a sustainable approach to maintaining your progress, with an individualized plan for ongoing care.
- Assess: Evaluate your health, establish your baseline and initiate treatment.
- Optimize: Monitor symptoms, energy, sleep, libido, mood and metabolic health while adjusting your plan.
$4,400 for the 8-month program
12-Month BHRT Transformation
A full-year hormone and health optimization experience for women seeking comprehensive support across multiple dimensions of wellness and healthy aging.
Beyond hormone therapy, this program takes a broader look at metabolic health, sexual wellness, sleep, energy, bone health, brain health and sustainable lifestyle changes.
Your program includes:
- Comprehensive initial evaluation and InBody scan
- Baseline and repeat laboratory testing as clinically indicated
- Approximately 11–13 provider visits, including the initial consultation
- Ongoing treatment monitoring and medication adjustments
- Twelve monthly health coaching sessions
- Weekly photobiomodulation (PBM) and infrared sauna sessions
- Monthly vitamin booster and mini IV infusion
- Secure one-to-one messaging for non-urgent questions and care coordination
- Personalized Hormone & Longevity Maintenance Plan
Your year, in four phases:
- Foundation | Months 1–3: Comprehensive evaluation, treatment initiation, symptom tracking and lifestyle foundations.
- Optimization | Months 4–6: Fine-tuning treatment, metabolic health, body composition, sleep and sexual wellness.
- Longevity | Months 7–9: A broader focus on cardiometabolic health, muscle, bone health, brain health and healthy aging.
- Maintenance | Months 10–12: A personalized strategy for ongoing treatment, lifestyle priorities, monitoring and long-term wellness.
$6,000 for the 12-month program
Additional BHRT Services
BHRT Continuity of Care
Ongoing provider support for women who have completed a BHRT program or are transitioning their existing hormone care to Privé-Swiss MedSpa.
Membership includes:
- Two annual laboratory panels
- Two 30-minute follow-up visits annually
- Three 45-minute health coaching sessions annually
- Ongoing BHRT prescription management and refills while actively enrolled
An option for maintaining continuity of care, monitoring your treatment and making adjustments as needed.
$99 per month
3-Visit Comprehensive Assessment
A focused evaluation for women who want a deeper understanding of their symptoms and health, without committing to a full optimization program.
Includes:
- 90-minute initial consultation
- Laboratory orders
- Review and interpretation of results
- Two 30-minute follow-up visits
Ideal for women already on BHRT who want to transition their care, or those seeking to investigate persistent fatigue, weight changes, suspected hormone imbalance and other concerns.
$500*
*Lab fees not included
À La Carte Services
Additional support is available when needed, including:
| Additional laboratory interpretation | $100 |
| Additional 30-minute provider follow-up | $75 |
| Additional 45-minute health coaching session | $50 |
Laboratory fees are separate. Additional services are available in conjunction with applicable programs.
FAQs
Are bioidentical hormones safer than conventional hormone therapy?
Not necessarily. Bioidentical describes hormones that have the same molecular structure as those naturally produced by the body. Some are FDA-approved medications, while others are custom-compounded preparations.
The term itself does not guarantee greater safety or effectiveness. Your provider can help determine which formulation and delivery method are appropriate for your needs.
Can women with a history or risk of blood clots use hormone therapy?
It depends on your individual risk factors and the type of therapy being considered. Oral estrogen can increase the risk of blood clots, while transdermal estrogen (delivered through the skin) may carry a lower risk. However, a transdermal formulation does not eliminate risk or make hormone therapy appropriate for everyone.
A thorough medical evaluation is essential before beginning treatment.
Is there an age limit for starting hormone therapy?
No single age determines whether hormone therapy is appropriate. However, the balance of benefits and risks changes with age and the time elapsed since menopause.
For generally healthy women under 60 or within 10 years of menopause, the benefit-risk profile is typically more favorable. Starting therapy after age 60 or more than 10 years after menopause requires more careful consideration and individualized assessment.
Can women with heart disease or cardiovascular risk factors use BHRT?
Not all women with cardiovascular risk factors are automatically excluded from hormone therapy. However, existing cardiovascular disease, a history of stroke or blood clots, and other risk factors can significantly affect whether treatment is appropriate.
Your provider will consider your medical history and individual risk profile before recommending treatment.
Is hormone therapy an option for women with a family history of breast cancer or a personal history of breast cancer?
A family history of breast cancer does not automatically rule out hormone therapy, but it is an important consideration when evaluating your individual risk.
For women who have had breast cancer, systemic hormone therapy is generally avoided because of concerns about recurrence. Certain localized treatments may be considered in specific circumstances with guidance from the patient’s oncology team.
The decision requires careful, individualized discussion.
Do I have to be experiencing menopause to benefit from hormone evaluation?
No. Hormonal changes can occur during perimenopause, the years leading up to menopause, as well as during other stages of life. Symptoms such as irregular periods, changes in sleep, fatigue and mood changes may warrant further evaluation.
A comprehensive assessment can help determine whether hormones or other underlying factors may be contributing to your symptoms.
How do I know which hormones I need?
There is no universal hormone combination or treatment plan. Your provider considers your symptoms, medical history, reproductive health and overall wellness. Laboratory testing may provide additional information, but results must be interpreted in the context of your health and symptoms.
Treatment is individualized and prescribed only when clinically appropriate.