BHRT for Perimenopause

Perimenopause is the natural transitional phase before menopause, during which a woman’s ovaries gradually begin to produce less estrogen and progesterone. This phase usually begins in a woman’s 40s and lasts for several years until she goes 12 consecutive months without a period, which marks the official start of menopause.

Before-and-After is a top clinic with locations in Southern California and Utah offering services for weight loss, wellness, and aesthetics. Our expert staff strives to help you achieve your goals through personalized and professional care. If you are entering your perimenopausal phase and want to potentially enhance your quality of life, contact us online or call our California office at (888) 240-6242 or our Utah office at (385) 420-5051 to schedule your personal consultation!

About BHRT for Perimenopause

Bioidentical hormone replacement therapy (BHRT) optimizes hormone levels when natural forms of aging cause significant shifts and breakdown of body cells, tissues, and metabolic processes more slowly. When aging occurs, glands produce fewer hormones, and receptors become less sensitive to chemical signals, which causes estrogen and progesterone to plummet. ⁽¹⁾ BHRT hormones contain the same chemical structure as the hormones that your body produces. Some of the bio-identical hormones include estrogen, progesterone, and testosterone, which can assist with the different types of imbalances you have and your specific goals. This hormone therapy can assist with perimenopause by replenishing fluctuating estrogen and progesterone levels. They are composed of plant-derived hormones that align with the body’s molecular structure to potentially minimize hot flashes, improve sleep quality, and more.

Benefits

BHRT encourages healthy changes in the body when it is adjusting to symptoms that cause discomfort. These improvements can:

Patient experiences may vary, and benefits are not guaranteed.

Candidates

If you are currently experiencing symptoms that are disrupting your quality of life, such as unpleasant hot flashes, night sweats, sleep disruptions, and mood swings, you might benefit from BHRT. This treatment is ideal for patients who are 40 or older, who are experiencing disruptive symptoms that affect their daily life, and who are free of any underlying conditions that could affect their ability to undergo treatment. Patients should have realistic expectations for their results and understand that this is a monitored medical treatment that requires customized dosages and ongoing healthcare professional oversight. ⁽²⁾

Personal Consultation

During your personal consultation, one of our expert team members will begin by evaluating your medical history and discussing your symptoms and any medications you are currently taking. You may also undergo a physical exam and complete lab testing so that your specialist can further evaluate your hormone levels and determine how to address your concerns.

They will explain how BHRT works and address any questions or concerns you may have about your treatment. If you are ready to take the next steps in your health journey, to feel and look your best, contact us online or call our California office at (888) 240-6242 or our Utah office at (385) 420-5051.

We only offer initial consultations in San Marcos and Menifee. After your initial consultation, you can go to any location.

We look forward to hearing from you!

Preparing for BHRT

Effectively preparing your body for BHRT might help you achieve maximum benefits from the treatment and alleviate your symptoms more effectively. While instructions may vary, our team may recommend that you:

BHRT Procedure

Your first dose may be given in our office. Your specialist will carefully guide you through the administration process. Your dosage frequency may depend on your unique hormone levels, symptoms, and concerns, but administration is typically recommended once or twice a week.

Your specialist will make sure you know how and when to administer your doses in the convenience of your own home.

Your specialist may have you return to the office to evaluate your hormone levels after your treatment begins to provide additional support.

We do not offer pellets for BHRT at this time.

The Adjustment Phase: What Happens After You Start Treatment

Locally, you may notice some tenderness around your injection site, which is a completely normal reaction and will subside after a couple of hours. Although you will not require any downtime, we recommend that you allow your body to rest and take things easily to allow yourself to adjust to the new hormone levels. Mild side effects like constipation, breast tenderness, bloating, mild nausea, and PMS-like mood swings may arise but will resolve within the first few months. We recommend that you drink plenty of water and keep a log of any symptoms, side effects, or improvements you notice after starting your BHRT treatment.

BHRT Results: What to Expect After Consistent Treatment

The timeline of results looks a little different for everybody. After starting your therapy regimen and consistently following your specialist’s instructions, you may begin to notice improvements in your symptoms. The first improvements patients might notice are things like improved sleep, an increase in energy levels, a more balanced mood, and less brain fog.

Some patients have experienced less joint pain, better sleep quality, improved libido, a reduction in vaginal dryness, and more after consistently following a BHRT regimen. ⁽³⁾

The goal is to achieve results that help you feel more comfortable, strong, and graceful as you navigate perimenopause.

Corresponding Procedures

NAD+ Therapy

NAD+ therapy is designed to enhance and replenish the body’s internal nicotinamide adenine dinucleotide levels. It is thought to assist the body in its natural processes by facilitating cellular function and energy production. It is often administered in the form of an injection or nasal spray.

Pure Encapsulations® Nutritional Supplements

Pure Encapsulations nutritional supplements are a trusted supplement brand that offers science-backed, hypoallergenic formulations that are designed to support optimal health. The supplements claim to help improve energy, immune support, better sleep, and enhanced overall wellness. During perimenopause, taking supplements is a common way patients try to get their body all the nutrients it needs.

Skin Care

We offer a personalized treatment plan to rejuvenate your skin and enhance your overall facial appearance. The skin care line includes a cleanser, toner, exfoliant, sunscreen, and moisturizer that target oily skin, improve hydration, and diminish signs of premature aging. We offer medical-grade lines that cannot typically be found in regular retail stores. Many of these products contain clinically proven active ingredients. If you are going through perimenopause and feel like your skin could use a boost, these products can help you achieve a more youthful, healthy glow.

Cost of BHRT for Perimenopause in California and Salt Lake City

The cost of your BHRT treatment varies depending on the severity of your perimenopause symptoms and concerns, the duration of your treatment, whether you will combine other procedures with your treatment, and more. Our team will provide you with a detailed cost outline during your personal consultation along with your treatment plan. Contact us online or call the office nearest to you to schedule your personal consultation.

FAQ

References

1. Yanachkova V, Vasileva-Slaveva M, Kostov S, Yordanov A. Reconsidering Hormone Replacement Therapy: Current Insights on Utilisation in Premenopausal and Menopausal Women: An Overview. Journal of Clinical Medicine. 2025;14(20):7156. doi:https://doi.org/10.3390/jcm14207156
2. Fishman JR, Flatt MA, Settersten RA. Bioidentical hormones, menopausal women, and the lure of the “natural” in U.S. anti-aging medicine. Social Science & Medicine. 2015;132:79-87. doi:https://doi.org/10.1016/j.socscimed.2015.02.027
3. Contributors WE. What is Bioidentical Hormone Replacement Therapy? WebMD. https://www.webmd.com/menopause/what-is-bioidentical-hormone-replacement-therapy