Bioidentical Hormone Replacement Therapy for Women

While natural and expected, navigating the transition away from menstrual periods as you age isn’t always a smooth journey. If your quality of life has been affected by hot flashes, menstrual irregularities, weight gain, and other age-related struggles, you may be a candidate for bioidentical hormone replacement therapy (BHRT) at Longevità Medical in Victor, NY.

As leading BHRT specialists, Longevità Medical is dedicated to helping women in Rochester and throughout Upstate New York live their lives to the fullest with a safe, effective, and medically managed hormone replacement program.

Symptoms of Hormone Imbalance

You may be suffering from a hormone imbalance if you are experiencing any of the following common symptoms:

What Do Hormones Do?

The endocrine system produces hormones that send messages throughout the body, regulating menstruation, metabolism, moods, stress response, and more. When these powerful chemicals fall even slightly out of balance, women can experience various unwanted symptoms.

As we age, hormone production naturally drops or slows, making hormone imbalance more common. When women start this process, it is called perimenopause, although they may still be having menstrual cycles. Women enter menopause when they have had no menses for one full year and have very low hormone levels.

What Are Bioidentical Hormones?

Bioidentical hormones are derived from plant-based sources, such as Mexican wild yams, that contain a chemical called diosgenin. Compounding pharmacies can chemically convert diosgenin into synthetic bioidentical hormones, such as estradiol, progesterone, and testosterone, which are identical to the natural molecular/chemical structure of the hormones our bodies generate.

Is BHRT Right for You?

BHRT helps women restore a healthy balance to their hormone levels and alleviate symptoms associated with perimenopause and menopause. Bioidentical hormones have been used for more than 30 years and have a long history of safety and efficacy.

Other underlying conditions, or even medications, could be the cause of certain symptoms, so we require our female patients have an OB-GYN exam and mammogram within the past year prior to starting treatment.

Meet Our Providers

Owner and medical director Dr. Vito C. Quatela, along with Julie A. Chatt, MSN, FNP-C, provide regenerative medicine care tailored to the needs of their patients so they can live their best lives.

Vito C. Quatela, M.D., FACS Julie A. Chatt, MSN, FNP-C Request Your Appointment
Dr. Quatela and Julie A. Chatt standing next to each other smiling

Common Therapies To Balance Hormones

Menopausal symptoms occur when a woman’s hormonal levels take a steep drop. Women are commonly prescribed estradiol, progesterone, and testosterone to alleviate their symptoms.

A healthy lifestyle, including a nutritious diet, regular exercise, and minimal alcohol and tobacco use, can further support the improvements found with BHRT.

Why Is BHRT Better Than HRT?

Hundreds of evidence-based clinical studies conducted over the past 30 years have shown that bioidentical hormones are safer than synthetic hormones, such as medroxyprogesterone, which is molecularly different from our natural progesterone or its bioidentical counterpart.

Premarin, a natural hormone used in HRT (hormone replacement therapy), has an increased risk of blood clots, stroke, or heart attack in women aged 63 or older during the first year of use. These risks have not been observed with bioidentical estradiol.

Additional Benefits of BHRT

While BHRT effectively treats the symptoms of menopause, it provides additional health benefits, including:

  • Improvement in sexual function, skin quality, vitality, and cognitive functioning
  • Decreased risk for cardiovascular disease
  • Improvement in lipid profile (cholesterol panel)
  • Increased bone density (preventing osteopenia/osteoporosis)
  • Reduced risk of Alzheimer’s disease (up to 23%)
  • Reduced incidence of colon cancer

How Do I Get Started?

Call (585) 244-1506 to set up your clinical assessment. It takes three easy steps to start your personalized BHRT program:

Step 1 Magnifine glass icon Candidacy

Our Worldlink Medical-certified hormone specialist, Julie Chatt, FNP-C, will meet with you over Zoom for an exploratory visit to review your health history, symptoms, and goals for improvement. If you are a candidate for BHRT, we will order bloodwork at our office or your local Quest Diagnostics lab.

Step 2 Two people sitting and talking icon Consultation

Once your lab results are in (usually within 10 days), Julie Chatt will meet you for a consultation in our office, during which she will:

  • Perform a complete physical exam
  • Go over your lab results and how they correlate with your presenting symptoms
  • Review your personalized treatment plan for hormone balance
  • Prescribe and order your customized bioidentical hormones
Step 3 Magnifine glass over clipboard icon Treatment

Patients typically receive their specially formulated medication by mail in about 7 to 10 days and can begin treatment right away.

Ongoing monitoring by Julie Chatt involves periodic check-ins and bloodwork to ensure your treatment is effective and optimized for your needs. Julie will make dosage and medication adjustments, as necessary.

Why We Use a Compounding Pharmacy

Our compounding pharmacy is MedQuest, one of the largest compounding pharmacies in our country. They are highly regulated, third-party tested, and meet high standards of purity, safety, and accuracy. Using a compounding pharmacy allows us to further individualize medication doses for our patients depending on their age, level of hormone depletion, and response to dosages. We cannot achieve such a precise level of medication management with standard pharmacies. Also, we cannot guarantee that a standard pharmacy will not source the ingredients from other countries.

We only use serum samples (from a blood draw) to assess hormone levels and the body’s response to hormone supplementation. We do not use saliva testing as it is neither accurate nor reliable.

Bioidentical Hormone Replacement Therapy FAQs

How much does BHRT cost in Rochester, NY?

The price for our medically managed BHRT program is $2,350 per year, which covers the following professional services (labs and hormones paid for separately):

  • Virtual clinical assessment (deposit): $75
  • In-person consultation with our hormone specialist, Julie Chatt: $425
  • One year of office visits, emails, phone calls, Zoom appointments, ordering and interpreting labs, and balancing all hormone prescriptions: $1850

Will medical insurance pay for BHRT?

While Longevità Medical does not accept insurance, we do accept the following forms of payment:

  • All major credit cards
  • Cash
  • Checks
  • Patient financing through CareCredit®

How long do you stay on hormone
replacement therapy?

The length of time that patients can supplement hormones depends on their treatment plans, conditions, medical histories, and goals. With annual monitoring, women can safely continue taking hormone supplements for years.

When does BHRT start to work?

Patients may start to experience improvement in their symptoms in as little as 2 weeks, but, on average, it takes 6 to 8 weeks of consistent use. Depending on the individual, it may take several months to restore hormones to optimal levels.

Request Your Consultation

Women considering bioidentical hormone replacement therapy travel from Buffalo, Syracuse, and throughout western New York to Longevità Medical in Victor, NY. Julie Chatt, FNP-C, is a certified BHRT provider and a board-certified family nurse practitioner with 24 years of experience providing care to patients in a variety of settings. You can request a consultation using the online form or call our office at (585) 244-1506 to schedule an appointment.