Perimenopause clinic

Personalized hormone therapy for women at every stage of their journey

If you’re experiencing hot flashes, mood swings, fatigue, or disrupted sleep, you’re not alone. Our perimenopause specialists provide personalized bioidentical hormone therapy to help restore balance, improve energy, and help you feel like yourself again.

FBHRT therapy clinic
Reduces hot flashes, night sweats & mood swings
Improves sleep, energy, and libido
Prescribed by experienced perimenopause specialists
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Over 8,000 patients treated
FBHRT therapy clinic
Personalized support
Local clinics
No hidden fees
LegitScript-certified
Third-party tested
Made in the USA
Can FBHRT help perimenopause
How does hormone therapy help in perimenopause?

Estrogen, progesterone, and testosterone decline years before menopause

Perimenopause can start as early as your late 30s or 40s, even before your periods cease. During this phase, fluctuating hormone levels may lead to a variety of disruptive symptoms. Our Female Bioidentical Hormone Replacement Therapy (FBHRT) aims to restore balance using plant-derived hormones that are bioidentical to your body's natural chemistry.

Bioidentical hormone therapy benefits for women

This personalized therapy helps women regain a sense of self—physically, emotionally, and mentally.
Reduce hot flashes
Get better sleep at night
Stabilizes mood and irritability
Support your metabolism
Enhances libido and intimacy
Protect against bone loss
Your symptoms are real—and treatable

Who is female bioidentical hormone replacement therapy for?

Women in perimenopause (Ages 35–50): Experiencing mood changes, cycle changes, or fatigue before periods stop
Postmenopausal women: Looking to maintain vitality, protect bone and brain health, and ease long-term aging symptoms
Women with sleep or cognitive issues: Hormonal shifts can worsen insomnia, anxiety, and brain fog—FBHRT can help
Women with low libido: Estrogen and testosterone replacement can restore confidence and comfort
Women who feel “off” but have normal labs: Symptoms often begin before labs show clinical hormone decline. Our providers treat the whole picture
A personalized consultation and lab review are required.
Who is FBHRT for
FBHRT clinic pricing
We design a custom (FBHRT) program

FBHRT pricing

In stock | Physician-prescribed
Bioidentical estrogen, progesterone, and testosterone options
Dosing based on symptoms and labs
Dispensed by a LegitScript-certified facility
Ongoing monitoring and symptom tracking
Monthly
$289.00
Billed and shipped monthly.

Hit your health goals in
4 simple steps

Friendly NAD⁺ specialist

Quick online intake

Answer a few questions about your health and goals.
Smiling woman texting

Clinical consultation

Review diagnostic labs and a personalized plan.
start your customized longevity protocol

Start your protocol

Begin treatment in-clinic or at home (if eligible).
get ongoing optimization help and feedback

Ongoing optimization

We track progress and adjust your plan as needed.

Hit your health goals in
4 simple steps

Friendly NAD⁺ specialist

Quick online intake

Answer a few questions about your health and goals.
Smiling woman texting

Clinical consultation

Review diagnostic labs and a personalized plan.
start your customized longevity protocol

Start your protocol

Begin treatment in-clinic or at home (if eligible).
get ongoing optimization help and feedback

Ongoing optimization

We track progress and adjust your plan as needed.

Expert answers to our most frequently asked questions

FBHRT uses plant-based hormones that are chemically identical to those your body produces—customized to relieve symptoms of perimenopause and menopause.

Common signs include irregular periods, hot flashes, sleep changes, mood swings, anxiety, or low libido—often starting in your 40s.

It helps balance mood, restore sleep, reduce hot flashes, improve libido, and support long-term health—especially bone and brain function.

When prescribed by a qualified perimenopause specialist and monitored appropriately, FBHRT is considered safe and effective. We use the lowest dose that brings relief.

Bioidentical hormones are structurally identical to those produced by your body. Synthetic hormones may have a different structure and are often found in standard pharmaceutical products.

Many women feel improvements in sleep and mood within 2–3 weeks. Full symptom relief may take 6–12 weeks as your dose is adjusted.

Coverage depends on your plan and whether the medications are compounded or standard. We provide itemized receipts for HSA/FSA reimbursement.

No—FBHRT is effective for both perimenopause and menopause. In fact, starting earlier may prevent worsening symptoms and long-term issues.

While not a weight loss drug, hormone balance can help reduce insulin resistance, stabilize metabolism, and reduce fatigue-driven overeating.

Each delivery method has pros and cons. We’ll help you decide based on your lifestyle, goals, and preferences.

We typically schedule check-ins every 4 weeks during early treatment, then move to quarterly maintenance.

Your blueprint for lifelong vitality

Pillars of longevity

Our five core pillars target the root causes of aging and disease to help you feel stronger, think clearer, and live better for longer.

Take the first step toward a longer, healthier life

We help you feel better, look better, and live longer—with support every step of the way.

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Over 8,000 patients treated
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Research driven products

Contact us today

Personalized plans by clinical experts
In-depth diagnostic testing before treatment begins
Ongoing support for lasting results
No insurance required

We start with advanced testing, turn your data into a personalized plan, and track progress to keep you improving.

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Over 8,000 patients treated
iThriveMD Receptionist Staff
Personalized support
Local clinics
No hidden fees
LegitScript-certified
Third-party tested
Made in the USA

Patient testimonials

“I’ve lost 31 pounds, and my sleep is fantastic!”

Waynes testimonial
Wayne’s Story

Love the staff and all the amazing encouragement and most definitely the results of the weight loss medication!

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Kim W.

The Doctors here are very knowledgeable and friendly. I have been comming here for 5 months and have had such amazing weight loss! I highly recommend I Thrive MD.

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Alicia M.

They are very good at explaining & guiding me in the direction I should go with procedures without “selling”, which I super appreciate.

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Jennifer M.

I had my first visit at IThrive Encinitas and I am happy I did! The facility was well maintained, clean and bright and as soon as I arrived I was greeted by 2 very polite and professional Receptionists.

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Sheena H.

The Dr was very thorough and patiently answered all my questions. My first visit was awesome!

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Marina C.

I couldn’t be more thankful for iThriveMD! Since I started my journey mid October I’ve lost 25 pounds and feel like a new person! I have way more energy and don’t feel uncomfortable in my own skin anymore.

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Angelica H.

Their new wellness center in Mission Valley is awesome! So calming and comfortable from the moment you walk in.

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Holly G.

I have been coming to iThriveMD ever since they opened up and I am obsessed! This is like my new wellness place that I enjoy coming to when I am feeling down and need to be lifted up!

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Ari P.

I’ve been on it for 3 months and lost35 pounds. Fortunately I had no negative side effects. I feel great. Everyone here was very polite and very welcoming.

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Dr. Charles

Great location! Exceptional staff! I truly feel taken care of here! 10/10 recommend.

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