Hormonal changes in women can begin earlier than many expect and often show up as fatigue, weight changes, brain fog, mood shifts, or disrupted sleep. At Pura Vida, we provide thoughtful, medically supervised hormone therapy designed around your symptoms, lab values, and long term health goals. We look at the full picture so treatment is precise and supportive of your body’s natural rhythm. The result is care that helps you feel strong, steady, and confident in every season of life.
Concerns treated
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Perimenopause & Menopause Symptoms
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Hormonal Imbalance
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Low Energy or Fatigue
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Mood Changes or Brain Fog
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Low Libido
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Weight Gain Resistant to Diet & Exercise
WHAT TO EXPECT
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Comprehensive lab work
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Personalized treatment plans
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Continuous symptom monitoring
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Regular provider follow-ups
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Education on nutrition & lifestyle
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Bioidentical hormone prescriptions
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Ongoing support from a compassionate team
KEY BENNEFITS
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Improved energy and mood stability
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Reduced hot flashes and night sweats
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Better sleep and mental clarity
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Enhanced libido and sexual wellness
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Weight maintenance and muscle tone
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Support for bone health and heart function
our approach
Bioidentical Hormone Therapy offers a natural, individualized approach to restoring hormonal balance in women experiencing symptoms of perimenopause, menopause, or hormone-related conditions.
We commonly prescribe: Injections (when appropriate), Topical creams, Transdermal patches, and Oral capsules
These delivery methods allow us to adjust your dosing with precision and flexibility. In many cases, we can combine multiple hormones into a single cream, patch, etc. for ease and simplicity. This means fewer prescriptions to manage and more consistent results.
What the Process Looks Like
01
Labs & Hormone Panel
Call our office at 440-290-0755 to arrange for lab work and book your appointment.
After speaking with our office, our medical providers will order a comprehensive lab panel to assess your current levels and identify any imbalances.
*All forms and paperwork must be completed if you would like to use insurance for your labs.
02
FIRST APPOINTMENT
Once your lab results are in, you’ll meet with one of our board certified medical providers who will take the time to talk with you about your symptoms, medical history, and health goals. They will walk you through your lab results, answer questions, and develop a personalized treatment plan tailored to your body’s needs.
03
TREATMENT
With your plan in place, you’ll begin BHRT using bioidentical hormones—most commonly delivered in one of the following: creams, transdermal patches, oral forms, or injections. We’ll closely monitor your progress and make adjustments as needed, ensuring you feel supported every step of the way.
How to Get Started
Hormone therapy begins with lab work. Call our office at 440-290-0755 to speak with a patient coordinator who will guide you through the initial paperwork and arrange your hormone panel. Lab testing must be completed prior to your first appointment.
You may also submit an inquiry using the form below, and a member of our team will reach out to assist you.
FAQ
Bioidentical hormone therapy uses hormones that are chemically identical to those naturally produced by the body. Treatment is designed to restore balance when levels decline or become disrupted due to age, stress, metabolic changes, or medical conditions. At our clinic, therapy is guided by comprehensive lab testing and ongoing medical oversight.
Candidates typically experience symptoms associated with hormonal imbalance such as fatigue, brain fog, mood changes, sleep disruption, weight changes, low libido, hot flashes, or reduced muscle mass. Candidacy is determined after reviewing medical history, symptoms, and lab results. Not everyone with symptoms requires hormone therapy, and treatment is only recommended when clinically appropriate.
Hormone therapy should never be based on symptoms alone. Comprehensive lab testing allows us to evaluate hormone levels, metabolic markers, and overall health before making treatment decisions. This ensures dosing is appropriate and aligned with your physiology from the start.
We commonly prescribe topical creams, transdermal patches, oral formulations, and injectable therapies when appropriate. These delivery methods allow for precise dosing and ongoing adjustments based on lab results and how you are feeling. In many cases, hormones can be combined into simplified regimens to support consistency and ease.
Pellet therapy involves a minor surgical procedure and provides a fixed dose that cannot be adjusted once implanted. Because hormone needs can change over time, we prioritize delivery methods that allow real time titration. Adjustable therapies help reduce the risk of sustained hormone levels that are higher than intended and allow us to respond safely to lab changes or side effects.
Some patients begin to notice changes within a few weeks, while others may take several months to experience full benefit. Hormone therapy is not an immediate fix. It requires thoughtful dosing and gradual adjustments to reach stable, therapeutic levels.
Follow up frequency depends on your treatment plan and how your body responds. Early monitoring may be more frequent to ensure safe titration. Once levels are stable, visits are typically spaced further apart, with periodic lab reassessment to maintain balance.
Medications may be sourced in different ways depending on the prescription. Some medications and injectable support therapies are filled through licensed, U.S.-based compounding or specialty pharmacies, while others are sent to a patient’s preferred local pharmacy. All prescriptions are written and reviewed by licensed medical providers. Any oral supplements recommended are selected from trusted medical-grade partners.
All hormone therapy carries potential risks, which vary depending on the hormone used, dose, delivery method, and individual health history. Possible side effects may include acne, fluid retention, mood changes, breast tenderness, or changes in hair growth. More serious risks depend on medical history and whether hormone levels are kept within appropriate physiologic ranges.
This is why careful evaluation and ongoing monitoring are essential. Hormone therapy is complex and requires an experienced medical provider who understands hormone physiology, lab interpretation, dosing adjustments, and risk stratification. When therapy is thoughtfully prescribed, titrated appropriately, and monitored consistently, risks can be significantly reduced.
Our approach prioritizes conservative dosing, regular lab review, and individualized oversight to support both safety and effectiveness.
Lab work may be eligible for insurance coverage depending on your plan. Hormone prescriptions and follow up visits are typically self pay. Our team can review options with you prior to starting care.
We practice structured, evidence based hormone therapy. Treatment begins with comprehensive lab testing and is adjusted thoughtfully over time based on measurable data and clinical expertise.
We prioritize delivery methods that allow precise dosing and real time adjustments. Ongoing monitoring is built into our model of care to reduce risk and ensure hormone levels remain within appropriate physiologic ranges.
Hormone therapy requires nuance. Our focus is medical oversight, conservative titration, and long term partnership rather than one time prescribing.
Hormone therapy is personalized, so pricing depends on the specific hormones prescribed, delivery method, and your individual treatment plan.
Our initial comprehensive consultation, where we review your lab results and develop a treatment plan, is $100. This visit is scheduled only after lab work confirms you are an appropriate candidate for therapy. If your lab results indicate that hormone therapy is not recommended, we discuss that with you before scheduling a consultation.
Ongoing costs vary based on the medications and dosing required. During your consultation, all pricing is reviewed clearly so you understand your options before beginning treatment. Our goal is transparent, structured care without unnecessary procedures or bundled fees.
Medications may be sourced in different ways depending on the prescription. Some medications and injectable support therapies are filled through licensed, U.S.-based compounding or specialty pharmacies, while others are sent to a patient’s preferred local pharmacy. All prescriptions are written and reviewed by board certified medical providers. Any oral supplements recommended are selected from trusted medical-grade partners.