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Multiple delivery methods
BHRT for women — pellets, creams, injections, oral, vaginal. Often used in combination.
Most clinics push one delivery method as the answer. Travis runs the full clinical toolkit — Biote pellets, compounded bioidentical creams (testosterone, estrogen, progesterone — alone or in combination), weekly testosterone injections in select patients, oral micronized progesterone, and localized vaginal estrogen or DHEA. Many women end up on a thoughtful combination — for example, pellets paired with oral progesterone, or a testosterone/estradiol cream paired with vaginal estrogen. The plan is built around your symptoms and lab pattern, not a default protocol.
Biote Pellet Therapy
Steady, low-maintenance, 3-5 month cycles
Hormone pellets are placed just beneath the skin during a brief in-office procedure. They release a continuous, physiologic dose of bioidentical hormones over 3-5 months. No daily compliance, very stable levels. Travis is a Certified Platinum Biote provider.
May fit if
You want set-it-and-forget-it convenience and your lab pattern is stable.
Compounded Topical Creams
Flexible dosing — testosterone, estrogen, progesterone
Bioidentical hormone creams absorbed through the skin. Available as testosterone-only, testosterone + estradiol, testosterone + estradiol + progesterone, and other compounded combinations tailored to your situation. Allows for fine-grained dose adjustment between cycles.
May fit if
You want dose flexibility, prefer daily application, or need a customized hormone blend.
Testosterone Injection Therapy
Weekly cypionate, select patients
Weekly testosterone cypionate injections (low-dose for women), intramuscular or subcutaneous, with self-injection training. Used in select female patients who want the dose precision injection therapy provides.
May fit if
You have specific testosterone-driven symptoms (libido, recovery, energy) and want tight dose control.
Oral Micronized Progesterone
Sleep, mood, uterine protection
Bioidentical progesterone capsules taken at bedtime. Often layered with other delivery methods — particularly for women with intact uterus on estrogen therapy, women with sleep disturbance, or women with progesterone-deficiency symptoms.
May fit if
You need progesterone specifically — for sleep, mood, or uterine protection alongside estrogen.
Vaginal Hormone Therapy
Localized estrogen or DHEA
Localized vaginal estrogen or DHEA preparations. Targets vaginal dryness, painful intercourse, urinary symptoms, and recurrent UTIs with minimal systemic absorption. Frequently added on top of systemic BHRT for women with genitourinary symptoms.
May fit if
You have vaginal dryness, painful sex, or urinary symptoms — with or without other BHRT.
Most patients end up on a combination — for example, a pellet paired with oral progesterone, or a compounded testosterone/estradiol cream paired with vaginal estrogen. We design the protocol at consultation around your specific symptoms, your lab pattern, and your goals. There is no default plan.
If you are sleeping poorly, gaining weight without explanation, losing your focus, feeling emotionally flat, or watching your libido fade — these are not signs of getting older. They are signs that your hormone levels have shifted, and that shift is measurable. Most women in their 40s and 50s have never had a hormone panel done with any clinical precision. They have been told their labs are 'normal' while they feel anything but.
What is this treatment?
Bioidentical hormone replacement therapy (BHRT) at Revitalize uses hormones that are structurally identical to those your body produces — testosterone, estrogen, and progesterone — restored to optimal levels for how you actually want to feel. We offer the full clinical toolkit: Biote pellet therapy, compounded bioidentical creams (testosterone-only, testosterone/estradiol, testosterone/estradiol/progesterone, and other custom blends), weekly testosterone cypionate injections in select patients, oral micronized progesterone, and localized vaginal estrogen or DHEA. Many women end up on a combination — the right plan depends on your symptoms, your labs, and what you want your day-to-day life to look like.
How we approach it at Revitalize
Every woman's treatment begins with a comprehensive consultation and selective lab work. We are not looking for 'normal ranges' — we are looking for optimal ranges relative to your symptoms and goals. We review your complete history, including medications, sleep patterns, stress load, and prior hormone-related concerns. From the labs and the conversation we design the BHRT protocol — which delivery methods, which hormones, which doses, what cadence. Most women are reassessed at 3-5 months on pellets, or 6-12 weeks on creams and injections.
Who is a good candidate
- ✓Women in perimenopause or menopause experiencing fatigue, brain fog, hot flashes, or night sweats
- ✓Those with unexplained weight gain, sleep disruption, or mood changes not explained by other conditions
- ✓Women experiencing decreased libido or changes in sexual responsiveness
- ✓Women with vaginal dryness, painful intercourse, or recurrent urinary symptoms
- ✓Women with bone density concerns or muscle loss as part of mid-life hormonal shift
- ✓Women who want a low-maintenance pellet protocol for steady hormone levels
- ✓Women who want dose flexibility through compounded topical creams
- ✓Women with progesterone-specific needs (sleep, mood, uterine protection on estrogen)
- ✓Patients who have had prior hormone therapy and want a more individualized, multi-method approach
Not appropriate for
- ×Current or recent diagnosis of hormone-sensitive cancers — requires physician coordination
- ×Active blood clots or history of thromboembolic disease without specialist clearance
- ×Pregnancy or those actively trying to conceive
- ×Certain liver conditions that affect hormone metabolism
- ×Women who have not had a clinical consultation and baseline labs
What to expect at your appointment
1
Comprehensive consultation: We review your symptoms, health background, medications, and goals. We discuss the BHRT delivery options — pellets, compounded creams, oral progesterone, vaginal estrogen, injections — so you understand the full picture.
2
Lab work: A baseline hormone panel — estradiol, progesterone, total and free testosterone, SHBG, DHEA, thyroid markers, and a metabolic panel. We review every value with you, not just the headline numbers.
3
Treatment plan: We design a BHRT protocol around your specific picture. This may be a single delivery method (e.g., pellet only, or cream only) or a thoughtful combination (e.g., pellet plus oral progesterone, or compounded cream plus vaginal estrogen). We explain why each piece of the plan was chosen.
4
Initiation: Pellet patients have a brief in-office insertion procedure (~15 minutes, well-tolerated, local numbing). Cream patients receive their compounded prescription with application guidance. Injection patients receive in-office self-injection training. Oral progesterone and vaginal preparations come with usage instructions.
5
First weeks: Many women notice sleep and energy improvements within 2-4 weeks. Mood and libido often follow over 4-8 weeks. Vaginal symptoms typically respond within the first month for women on localized therapy.
6
Reassessment: Pellet patients return at 3-5 months for labs and clinical review. Cream and injection patients reassess at 6-12 weeks. Dose is calibrated based on your response. Most women find their optimal protocol within 1-2 cycles.
Beyond the Clinic
Go deeper with the Rebuild Institute
If clinic visits are not the full picture for you, the Rebuild Metabolic Health Institute is the structured coaching layer Travis built for patients who want more depth than a single appointment can give.
Learn About the Institute →From the Learning Library
Related reading on Hormone Therapy for Women
Frequently asked questions
Medical information on this page is educational and does not constitute medical advice. Consultation and lab work are required to determine candidacy for hormone therapy. Individual results vary. Not all patients are appropriate candidates. Always consult with a licensed healthcare provider before beginning any hormone treatment.
Revitalize Nutrition Shop
Professional-grade supplements curated by the Revitalize clinical team — the same formulations recommended in the clinic, available directly.
Local service pages
Also available as a local guide
City-specific guides for patients in our service areas — clinic info, local context, and what to expect at the consult.
Free patient tool
Hormone Health Self-Assessment
Use this assessment before your consultation to help identify relevant services and prepare for your appointment.
Have questions about Hormone Therapy for Women?
Send Travis a message.
Ready to learn if this is right for you?
Every treatment begins with a consultation. We'll review your history, your goals, and your candidacy — and give you a clear, honest recommendation.
What BHRT may help with
The symptom picture we see most often.
Women coming in for BHRT consultations describe some combination of the following. None of these in isolation guarantee a hormonal cause — but the pattern, together with labs, usually clarifies the picture quickly.
Fatigue and low energy
Weight gain and slowed metabolism
Brain fog and poor concentration
Mood swings, anxiety, irritability
Low libido and sexual wellness changes
Sleep disturbances and insomnia
Hot flashes and night sweats
Vaginal dryness and urinary symptoms
Muscle loss and decreased strength
Bone density and healthy aging concerns
Every BHRT plan is customized based on your symptoms, lab work, medical history, and goals. The focus is restoring vitality, confidence, metabolic health, and quality of life — safely and with a protocol you understand. Book a consultation to discuss your specific picture.
Women's hormone education video
Menopause and estrogen-focused education
This video is selected specifically for women evaluating hormone support around menopause and estrogen changes.