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Bioidentical Hormone
Replacement Therapy

Restore your body's natural balance using hormones molecularly identical to those you produce — precision-dosed to your unique lab results and symptom profile.

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BHRT Offers & Programs

Select the program that fits your goals. All services are physician-supervised and personalized to your lab results.

Complimentary Discovery Session
Start Here · Free

A no-obligation 15-minute virtual conversation with our care team to discuss your symptoms, goals, and whether BHRT is right for you. The perfect first step.

  • 15-minute virtual consultation
  • Review symptoms & health history
  • Learn about your BHRT options
  • No obligation, no pressure
FREE
Book Free Session
Wellness Circle Virtual Coaching
Free with Well Balanced

A supportive virtual coaching community to help you stay consistent, ask questions, and make the most of your hormone optimization journey — included free with the Well Balanced membership.

  • Monthly virtual group coaching sessions
  • Hormone health education & lifestyle guidance
  • Community support & accountability
  • Q&A with the Perrenia care team
  • Free with Well Balanced membership
$49 /month

6-month membership  ·  Cancellation fee equal to 2 months

Join Wellness Circle
Balance Membership
For Women & Men

Our foundational hormone optimization membership — physician-guided HRT/TRT management with everything you need to get started and stay balanced.

  • Initial HRT consultation included
  • Ongoing provider access & management
  • Lab review & dosage adjustments
  • Discounted HRT medications
  • Up to 4 pellet procedures/year for women
  • Up to 2 pellet procedures/year for men (pellet or injection only)
$199 /month

Annual membership  ·  Cancellation fee equal to 2 months

Well Balanced Membership
For Men · First 25 Members

Everything in the Balance Membership, plus your HRT testosterone supplement and Wellness Circle coaching included — the most complete TRT program for men. Limited to the first 25 members.

  • Everything in Balance Membership
  • HRT testosterone supplement included
  • Preferred optimization method — pellet or injection as prescribed
  • Up to 2 pellet procedures/year included
  • Wellness Circle virtual coaching included
$249 /month

Annual membership  ·  Cancellation fee equal to 2 months

Join — Limited Spots
Well Balanced Membership
For Women · First 25 Members

Everything in the Balance Membership, plus your HRT supplements and Wellness Circle coaching included — the most complete hormone program for women. Limited to the first 25 members.

  • Everything in Balance Membership
  • HRT testosterone supplement included
  • Progesterone included (for women with a uterus)
  • Second supplement included if progesterone isn't needed
  • Preferred optimization method — pellet therapy or other modality as prescribed (topical, oral, patch, or injection)
  • Up to 4 pellet procedures/year included
  • Wellness Circle virtual coaching included
$299 /month

Annual membership  ·  Cancellation fee equal to 2 months

Join — Limited Spots
Relaxed Membership
Flexible Care

A wellness-focused membership pairing therapeutic light sessions with hormone-friendly perks — perfect for those who want to complement their care with consistent in-office treatments.

  • 8 blue, infrared, or red light therapy sessions in the salt room
  • 10% off any additional services
  • 10% off retail purchases
$99 /month
Join Relaxed Membership
BioBox At-Home Lab Testing
No Blood Draw

Expanded baseline HRT & TRT diagnostic testing — convenient, almost painless at-home collection with no clinic visit required. Evaluates hormone balance, thyroid function, metabolic health, and key biomarkers to support personalized treatment planning and long-term hormone optimization.

  • Expanded HRT & TRT hormone panel
  • Thyroid & metabolic health markers
  • Almost painless at-home collection
  • Clinician-reviewed results
  • No clinic visit or blood draw needed
$275 expanded baseline panel

Watch: Easy At-Home Collection

BioBox At-Home Lab Kit — Easy Collection Demo
Order Your BioBox Kit — $275
Pellet Therapy
Most Popular

Tiny bioidentical hormone pellets inserted subcutaneously that dissolve steadily — the most consistent, set-it-and-forget-it delivery method. Included in Well Balanced memberships.

Women
  • Every 3–4 months
  • Steady, consistent HRT delivery
  • In-office 10-minute procedure
  • Included in Well Balanced membership
$400 per insertion
Book — Women's Pellet
Men
  • Every 5–6 months
  • Steady, consistent TRT delivery
  • In-office 10-minute procedure
  • Included in Well Balanced membership
$750 per insertion
Book — Men's Pellet

Do not book a pellet appointment unless you are a repeat patient and have already completed your medical consultation and diagnostic labs.

Hormones That Work With Your Body

Bioidentical hormone replacement therapy uses hormones that are molecularly identical to the ones your body naturally produces — meaning they fit your hormone receptors perfectly, just like a key in a lock.

As we age, hormone levels decline — testosterone, estrogen, progesterone, thyroid, and DHEA all shift. This can cause fatigue, weight gain, mood changes, brain fog, low libido, poor sleep, and accelerated aging. BHRT addresses these imbalances at the root.

At Perrenia, every BHRT protocol begins with comprehensive lab work. Our clinicians then design a program precisely tailored to your biology — not a one-size-fits-all approach.

Pellet Therapy

Long-lasting, consistent delivery. Tiny pellets inserted under the skin release hormones steadily over 3–6 months.

Oral Hormones

Daily oral formulations precisely dosed to your lab results — convenient and easy to adjust.

Injectable Hormones

Fast-acting and highly controllable — ideal for precise therapeutic titration and faster symptom relief.

Topical Creams & Gels

Transdermal formulations applied to the skin for steady, comfortable absorption throughout the day.

Physician-Supervised Lab-Guided Dosing Men & Women Bioidentical
Couple thriving with BHRT at Perrenia Wellness

BHRT FAQs

How do I know if I need BHRT?

Common signs include fatigue, weight gain, mood changes, brain fog, poor sleep, low libido, and hot flashes. A comprehensive hormone panel is the best way to confirm imbalances.

How long until I feel results?

Most patients notice improvements in energy and sleep within 2–4 weeks. Full benefits, especially with pellet therapy, typically develop over 6–12 weeks as levels stabilize.

Is BHRT safe?

When prescribed and monitored by a qualified clinician using lab-guided dosing, BHRT is considered safe for most patients. Our medical director oversees every protocol.

What is included in the home lab kit?

Our home hormone panel tests estrogen, progesterone, testosterone, DHEA, cortisol, thyroid hormones, and other key markers — all reviewed by our clinical team.

Do you treat men as well as women?

Absolutely. Testosterone decline in men (andropause) is just as real as menopause. We offer comprehensive male hormone optimization programs including TRT.

What is the Wellness Circle?

The Wellness Circle is a virtual group coaching community at $49/month — included free exclusively with the Well Balanced membership. It offers monthly group coaching sessions, hormone health education, community support, and Q&A with the Perrenia care team. It does not include clinical services, lab testing, or medication management.

What's the difference between the Balance and Well Balanced memberships?

The Balance Membership ($199/month) covers HRT consultation, ongoing management, discounted medications, and pellet procedures. The Well Balanced Membership ($299/month for women, $249/month for men) builds on that with your HRT supplements, progesterone or a second supplement for women, and Wellness Circle virtual coaching included.

What is the Relaxed Membership?

The Relaxed Membership ($99/month) is a wellness-focused plan that includes 8 blue, infrared, or red light therapy sessions in the salt room each month, plus 10% off any additional services and retail purchases — ideal for those who want consistent in-office treatments without a full hormone management program.

Start Your Hormone Journey Today

Book your complimentary discovery session and find out if BHRT is right for you — no obligation, no pressure.