Bioidentical Hormone Replacement Therapy For Women

Many of the common symptoms and conditions associated with menopause are widely known and discussed, but there are many that are overlooked. In our practice, we have seen patients misdiagnosed with other illnesses that are actually the result of a decline in hormone levels. Our BHRT program for women focuses on the unique needs of women who are suffering from the common as well as the less common symptoms of menopause. The Program includes bioidentical hormone replacement including progesterone, estrogen and testosterone when clinically indicated combined with nutritional guidence, nutritional supplementation recommendations and an optional exercise component.

Depending on lab results and patient goals, the program may also include growth hormone and/or hcg (human chorionic gonadotropin). If you can identify with some of the symptoms below, you are a candidate for laboratory testing to determine if BHRT is right for you.

Symptoms of Menopause


You are so great! I truly appreciate all you are doing for me. Phyllis and I are so fortunate to have found you.

TB - Pottstown, PA

June4, 2009. “Good morning! I have to tell you that I weigh 157… down from 191!!! OMG…thank you so much! I feel incredible!”

KB – Reston, VA

“So far I have lost 30#’s in 6 weeks and have the energy of a 40 year old. Am so thankful to be able to handle unpacking and shelving 6000 books. I am up and down stepladders and extension ladders with books in tow. The awful arthritis pain is there but the energy isn’t depleted from the pain like before and I keep going like this for hours.”

LL - Winchester, VA

Dare I say it out loud? It sure is looking as though Semorelin has given me my life back. I was so worried about skiing – afraid I’d ski one day and be in bed the rest of the week. But I was just fine. This past Saturday I prepared, served, and cleaned up (with help) dinner for 14. Sunday I was just fine.

SJ - McLean, Virginia

My update. I feel pretty good!!! My bleeding is under control and I am now regular for the most part. Sometimes I will have a strange menstral bleed (long and slow), but I will take it compared to my old “normal”. I still love the progesterone and testosterone I am on. They leave me with no side effects.

I was very happy at my recent (Feb 6th) annual doc appt (physical). After the standard blood draw work up, my numbers were:
Vitamin D= 66.9 (down a bit from your work up which was 77, but still good)
Cholesterol=123 (down from 150 in Sept 2011)
Triglycerides=91 (down from 129 in Sept 2011)

So… I am the new spokesperson for HCG! I love that stuff!! smile The second round for me was amazing. I was very disciplined and determined and after about the 3rd day, it become very easy for me. I was able to drop 14lbs in an 18 day cycle!!!! AND….I am keeping that off with very little effort! OMG I couldn’t be happier! I am in the body that I am comfortable in once again! That feels so good. I am continuing to eat clean and exercise, it is a great life change!

JG—Vienna, VA

Dear Lynese,

Words cannot describe how happy I am with your anti-aging program. I have not felt this good in YEARS. Since getting pregnant in 1995 I have been overweight. Between 1992-1995 I was being treated for infertility and had to take all sorts of hormones that made me bloated and tired.

Now, at the age of 46 I have more energy and I look better than I have in YEARS. I actually THRIVE on exercise and do it religiously because I know it is the key to keeping the weight off and enjoying the foods that I love.

As a successful businesswoman, you often feel that you can’t have everything and I put my weight and health on hold to grow my business. You have given me the gift of being able to run a business AND look good. I am getting so much attention for my weight loss and it has helped my confidence and self esteem greatly.Since I do a lot of speaking engagements, I know that image is more important than what you say or how you say it. By looking better and appearing fit and healthy, I am a more powerful public speaker!

I can’t say enough about this gift you have given me and I hope you know how much I appreciate you.

On top of all of this, you are truly a beautiful person inside and out who provides a level of caring I have never seen from a doctor, weight loss clinic or other health professional.

HAVE A GREAT DAY!!!!!!!!!!!!!!

KB - Reston VA

Hi Lynese – In an old file I found a print out from an online longevity calculator I had used in 2007 ( I thought I was doing well because it said I would likely live to 86! But I just re-took the survey. Basically by cutting out the coffee, carbs and sugar, increasing my exercise and losing weight, I’ve apparently added 13 years to my life!! The calculator now says I could live to be 99!! With a little more exercise and a little less work, I could live to 106!! Thanks for all the added years Lynese!!!

All the best.

P.S. – I saw Diane over the weekend – she’s looking great, and is so happy with her weight loss.

AP - Falls Church, VA

Hi Lynese – Just had to share this with you. I have appeared in an online newsletter (Legal Bisnow) twice – the first time a year ago and the second time today. Look at the difference in my photos!

It’s an absolute miracle! In the older photo even my eyelids look fat! I can’t get over how much I now look like my old self – of 20 years ago! I certainly don’t look like I’m closing in on 59, do I??

The best thing anyone has said to me so far was a comment made by a neighbor who saw me today for the first time in over a year. At first he didn’t recognize me. Then he just stared intently into my face for a few minutes and said “How is your mother?” (I was confused because he doesn’t know my mother). Then he said “I had to ask that because you look like your own daughter!” Wow!

Thank you, thank you, thank you!!!

AP - Falls Church, VA

“With that said, I have been getting incredible compliments:
“You look like a movie star”
“What have you been doing”
“You look amazing”
“You look ten years younger”
I feel incredible”

KB - Reston, VA

Hi – hope you are doing well. Are you ready for Thanksgiving? I’m getting there. I wanted to let you know I hit the 30 lb loss today!!! Yeah! So excited! Clothes that didn’t fit are fitting. Clothes I used to wear are too big. Feeling great! A little nervous about tomorrow’s feeding frenzy- but hoping to not overindulge too bad.

LJ - Arlington, VA

Anyway – just had to tell you that my size 12 pants have been falling off of me! I went to Target this weekend to get some cheap crop pants and shorts for the summer – still not wanting to invest much in clothes that are not my “target” size. (I’ve blown past the size 14 shorts I couldn’t fit into for years). And wouldn’t you know – the 12s were too big – I fit best in the size 10!!

I’M A 10!!! I’m amazed!!

I broke the 170 barrier too – I’m now 168. Just 13 pounds to go to my goal weight. I can’t believe it. The meds have been working like a charm. I think the extra thyroid has really boosted me past a plateau. I’m cleaning out my closet like a madwoman; I can’t believe how much clothing I have for donations.

I’m still getting double takes and amazed looks from people who haven’t seen me for awhile. And after remarking how great I look, a girlfriend recently peered suspiciously at me and said – “And have you had something done to your face too? You look younger!” And I do!

AP - Falls Church, VA 6/2010

Hi Lynese — Great news – seems a fibroid has disappeared! The ultrasound revealed only one fibroid this time, and it is just a little teensy bit smaller than before. So it hasn’t gotten any bigger at all. And the other fibroid didn’t show up on the ultrasound. smile

Thank goodness I did not get that hysterectomy, huh? and thank goodness I came to you to start the bio-identical hormone therapy. I believe that the progesterone is working. And I’m so glad I’m not on the birth control pills anymore. BTW, haven’t had a period since September, and haven’t had any hot flashes either! Life is good.

AK - Germantown, MD

Social Media

  • Hot flashes
  • Night sweats
  • Vaginal dryness
  • Mood swings
  • Fatigue/loss of energy
  • Irritability
  • Depression
  • Decrease in sexual libido/interest/desire
  • Hair growth on face
  • Painful intercourse
  • Urinary tract infections
  • Weird dreams
  • Vaginal itching
  • Lower back pain
  • Bloated Flatulence/gas
  • Indigestion
  • Osteoporosis
  • Aching ankles, knees, wrists, shoulders, heels
  • Hair loss
  • Frequent urination
  • Snoring
  • Sore breasts
  • Palpitations
  • Varicose veins
  • Urinary leakage
  • Dizzy spells/vertigo
  • Panic attacks
  • Skin feeling crawly
  • Migraine headaches
  • Memory lapses
  • Anxiety
  • Weight gain

Our BHRT program for women is designed to help women elim-inate many of these symptoms and recapture the energy level, vitaility, and attributes of their earlier years.

What are the benefits of BHRT for women?

Our BHRT program for women provides many benefits for women with hormonal imbalances including:

  • Restored hormone balance and relief of related symptoms
  • Elimination of hot flashes
  • Improved libido
  • Improved heart health
  • Increased bone production and prevention of osteoporosis
  • Enhanced energy
  • Reduced wrinkles and improved skin tone
  • Improved mental sharpness and better memory

What are Bioidentical Hormones? Bioidentical hormones, also known as natural hormones, are substances that have the same chemical structure as the hormones that are produced by the human body, and they also create the same physiologic response. Hormones are NOT drugs. They are naturally occurring substances that are found in all humans since the time of conception. BHRT replaces hormones at a “physiologic” level that is not harmful to the body. Physiologic levels never exceed what the individual has already been accustomed to in his or her younger years.

Are Bioidentical Hormones FDA Approved? We use FDA approved bioidentical hormones (natural hormones) whenever possible; however, when a dosage or strength that the patient requires is not commercially available, we use a compounding pharmacy to prepare an individualized prescription. Compounding pharmacists must comply with the regulation of the state boards of pharmacy, and they have access to the highest grade bulk ingredients as well as state-of-the art equipment used to accurately prepare hormone preparations. Close monitoring of the patient by PWC helps to promote maximum benefits and safety.

Did you know that inadequate hormone support is an independent risk factor for Alzheimer’s disease according to Dr. Dale E. Bredesen as published in his book “The End of Alzheirmer’s”.  Specifically according to the Bredesen protocol, risk is increased for Type 2 Alzheimer’s when hormones are not optimized.   Type 2 is  characterized by an atrophic profile, with reduced support from molecules such as estradiol, progesterone, brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), testosterone, insulin, and vitamin D.  Click here to read more about the Bredesen Protocol so you can find out if you are at risk?

Follow this link to find out how to get started with our BHRT program for women

Below, our five step approach to assessing patients and implementing the BHRT program is described.

STEP 1: Get started online right now or contact us for further information

Click here to get started with our 5 step online registration process now. After completing a short demographic enrollment, activating your profile and logging back into our secure patient portal, you will be guided through completing your health history form, HIPAA Acknowledgement, providing your payment information for the initial consult and making your appointment—all online and easy to to!

Or, if you prefer you may contact Proactive Wellness Centers at 703-822-5003 Ext 5 to start the intake process. You will have a brief telephone conversation with our Patient Educator or our Physician/Medical Director to answer any questions that you have. If you are a candidate for one of our programs, you will be directed to our secure online intake process or if you prefer, we can provide the intake forms by mail or fax. At the end of this process, you will be given access to our 24×7 online appointment scheduling system and advised to set your appointment for 5-7 days from the day you go to the lab.

STEP 2: Go to the Lab

Using the health history form, a physician will review your health history, chief complaint and prepare a lab requisition for you. The lab requisition will be sent to you through our secure portal and you may go to either Quest or Labcorp depending on your insurance and preference to have your blood drawn. In 5-7 days, your results will be transmitted to us and we will review them prior to your initial consultation and develop our treatment plan recommendations prior to your initial visit. This approach, while unconventional, allows for a much more productive initial visit.

STEP 3: Initial Consultation

The initial consultation is 1 ½ hours long and consists of a review of your family history, past medical history, current medical problems, risks factors for preventable diseases, nutritional history, toxic substance exposure history and recent symptoms. Additionally, all of your laboratory results will be reviewed with you in detail. We explain the concept of “optimal ranges” versus the traditional concept of “reference ranges”. We then provide our recommendations for your individualized BHRT program and explain the costs involved with the specific program. Depending on your individual requirements, we will either prescribe commercially available hormone preparations or a compounded variation. Depending on your particular situation, other specialized tests may be ordered such as vitamin and nutritional assessments, stool analysis and detoxification profiles. At this point, it is the patient’s choice to commence with the BHRT program or not. Note that we do not prescribe hormones for patients not on one of our BHRT programs.

STEP 4: Starting the BHRT Program

If a patient chooses to commence with the BHRT program, the prescriptions will be prepared and submitted to the appropriate pharmacies within 24 hours. Further, patients will be provided with an individualized notebook containing their lab results, treatment plan, eating plan recommendations and appropriate reading material. The reading material is important since educated patients make the best long-term patients. Patients need to make payment arrangements with the pharmacies and/or purchase certain medications directly from the Proactive Wellness Online store. The physician or Patient Care Coordinator will provide explicit instructions for using the prescribed medications. Within 2-3 days, the patient should have received all medications and can commence with a tailored program of hormone replacement.

STEP 5: Follow-Up

Appropriate followup is the key to the success of our program since every person is biochemically unique. Accordingly, no two people respond to medications the same way. Our program is a “high touch” program by design, meaning that we provide each patient with individualized attention and direct access to the physician. The program requires new lab work and a reevaluation within the first three months of treatment, and either quarterly or every six months thereafter depending on the results, for the first year. If the hormone levels stabilize, less frequent reevaluations are required for the second and additional years.

What are the costs of the BHRT program?

The physician fee for the initial consultation is $475.00. For patients that are on hormone prescriptions or otherwise require continuing monitoring, we require one of our annual Health Assured Programs. The Health Assured Programs include quarterly/semi-annual office visits, email consultations and phone consultations as needed for the first year. The price of the BHRT program (Physician Fees Only) for the first year ranges from $975 to $1,775 depending on the number of hormones being monitored and the complexity of the patient’s treatment program. After the first year, the nature and pricing of the followup program is on a case by base basis. In addition, it is recommended that all patients commit to a nutritional supplementation program. The prices provided above do not include the cost of lab tests and the actual hormone preparations. These costs vary significantly and may or may not be covered by insurance.