Hormone decline is a natural part of aging, occurring slowly over decades, impacting your health, how you feel, and how your body functions. Symptoms can range from mild to debilitating and affect all aspects of your life.
You don’t have to accept this. We can restore your estrogen, progesterone, and testosterone in a safe and sustainable way using bioidentical hormones. The result? Feeling like your younger self again!
Read more about hormone replacement on our estrogen and progesterone page, and our testosterone for women page.
Treat worsening PMS, irregular periods, hot flashes, night sweats, and midsection weight gain. Feel like yourself again!
Treat the psychological changes that occur with hormone depletion, including irritability, brain fog, anxiety, depression, cognitive change, and lack of confidence. SSRIs? No thank you!
Get your energy back, feel energy that persists through the day, and increase motivation to get things done. Sleep better and wake feeling more rested.
Replace testosterone to increase sexual desire and drive, sensitivity, and ease and strength of orgasm. Replace estrogen to prevent or reverse vaginal dryness and atrophy.
Combat age-related changes that occur throughout the body, including to the brain, skin, hair, nails, musculoskeletal system, and genitourinary system.
When started within 10 years of menopause, benefits for most women significantly outweigh the risks. HRT prolongs life and reduces the risk of heart disease, osteoporosis and fractures, and dementia.
Meet with a board-certified clinician in our Orange County Brea office. Your provider will take the time to listen to your symptoms and concerns and determine if bioidentical hormone replacement is right for you.
Get a personalized plan based on your specific needs. Get your first dose of medication in the office the same day. Then get FDA approved generic medications at your local pharmacy, or compounded medications shipped free to your door.
We are committed to supporting you for the long haul. Get ongoing follow-up, monitoring, and adjustment of your treatment plan as needed for safe, effective, sustainable results.
We’ll tailor a personalized plan for you using bioidentical FDA approved or compounded hormones to treat your symptoms and improve your health and quality of life. Every woman’s needs are different. You may require 1 or more hormones depending on your symptoms.
We’ll schedule you for regular follow-up appointments with our board certified Orange County clinicians so we can monitor your progress and fine tune your treatment plan to achieve safe, effective and sustainable results.
$189/month
$149/month
The first step is a free consult with a board certified hormone and wellness expert in our Brea office to learn about hormone replacement and whether it is right for you.
Real Patients, Real Results"I suffered for over 4.5 years with debilitating…"
View full testimonial
Bioidentical hormones are exactly the same as the hormones your body naturally makes. This means they function in exactly the same way as your natural hormones. Synthetic hormones that are patented and sold by the pharmaceutical companies, and often favored by our healthcare system, function differently than your natural hormones, and are associated with more side effects and risks.
Consider bioidentical hormone replacement to treat symptoms of perimenopause and menopause (hot flashes, genitourinary symptoms like vaginal dryness and atrophy, brain fog, irritability, low libido, etc.), decrease the risk for chronic disease (heart disease, osteoporosis, dementia), and combat aging. Studies show that if hormone replacement is started within 10 years of menopause, women stay healthier and live longer! Unfortunately, our healthcare system overlooks natural bioidentical hormones, which can’t be patented, and instead focuses on pharmaceutical interventions like synthetic hormones (which can be patented) and other patent-able drugs. Not us. We address hormone loss with natural bioidentical hormone replacement.
Yes! Bioidentical hormones are the same as what your body normally makes, and therefore function exactly the same as your normal hormones. Pharmaceutical companies make altered version of hormones (so they can patent them), but they don’t work in the same way as your body’s normal hormones. Mother Nature has provided us with the ideal hormones, and pharmaceutical companies have not been able to improve upon them with their synthetic hormones.
Our healthcare system focuses on the diagnosis and treatment of disease, and perimenopause and menopause aren’t considered diseases. 80% of gynecologists say they are untrained in menopause. Managing perimenopause and menopause is not considered important in medical education and training. Furthermore, many doctors wrongly believe that the risks of HRT outweigh the benefits for most women, because of old studies utilizing synthetic hormones, not bioidentical hormones. The fact is, if HRT is begun within 10 years of menopause, the benefits far outweigh the risks in most women, including a decrease in mortality, heart disease, osteoporosis, and dementia.
If HRT is started within 10 years of menopause, the benefits far outweigh the risks for most women. Benefits include a lower risk of all cause mortality, heart disease, osteoporosis, and dementia. If HRT is started more than 10 years after menopause, the risk reward ratio is not as clearcut. Oral estrogen (which we don’t use) does increase the risk for blood clots, and synthetic progesterone (which we don’t use) does increase the risk for breast cancer.
Yes, hormone replacement can improve quality of life and provide anti-aging benefits when started at an older age, but the maximal medical benefits (prolong life, decrease risk for heart disease, osteoporosis, and dementia) occur when hormone replacement is started within 10 years of menopause. Your individual medical situation, symptoms, and goals would have to be assessed to determine whether hormone replacement would be appropriate.
Studies suggest that bioidentical hormones do not increase the risk of breast cancer. It makes sense. Why would a hormone the body normally makes cause cancer? Medroxyprogesterone acetate, a synthetic progesterone, on the other hand, does slightly increase the risk for breast cancer, and is the reason for why hormone replacement fell out of favor in the early 2000s. Pharmaceutical companies can’t patent naturally occurring hormones, so their approach is to alter natural hormones so they can patent and “own” them. The risk with medroxyprogesterone acetate is for about 1 in 1000 women to get breast cancer who wouldn’t otherwise get it.
Testosterone is an important hormone for women also. Women actually make more testosterone in their bodies than estrogen. Symptoms of low testosterone in women include low libido, fatigue, loss of focus, anxiety, depression, muscle pain, mood swings, memory loss, migraines, weight gain, and belly fat. Testosterone decreases in women before estrogen, typically during their 30’s. Birth control pills also cause testosterone deficiency by suppressing the function of the ovaries, which make 95% of a woman’s testosterone.
Hormones can be prescribed in many different types of formulations, some of which are better than others. For estrogen, MDTW favors using skin and vaginal formulations instead of oral formulations. For progesterone, MDTW favors oral capsules. For testosterone in women, MDTW favors topical skin creams or in-office injections. Your provider will customize a plan that’s best for you based on your needs and preferences.
Often benefits will be felt within the first week, but it can take several weeks to months to feel the full effect of hormone replacement.
Yes, we accept blood tests done within 6 months of evaluation and treatment. Lab work previously obtained is not required for your initial consultation but may be helpful if it was conducted in the past 3-6 months. Labs may be requested prior to initiating hormone replacement therapy and are routinely obtained as part of ongoing monitoring and follow-up.
Compounding pharmacies buy pharmaceutical grade medications from drug manufacturers (same as pharmaceutical companies) and sell them in a wider variety of formulations (mixtures of medications, dosages, forms of delivery like topical, vaginal, sublingual) than what is available from pharmaceutical companies.
Compounding pharmacies offer a wider variety of bioidentical hormone formulations than pharmaceutical companies, which makes it easier to tailor medication plans for individual patients. There are FDA approved bioidentical hormone formulations (micronized progesterone, estradiol patches), but the formulations and dosages are limited. In general, pharmaceutical companies prioritize medications that they can patent, and they can’t patent naturally occurring compounds. We use both FDA approved and compounded bioidentical hormones.
No. FDA approved medications are specific drug formulations and dosages that have been demonstrated to be safe and effective for specific medical issues. Compounded drugs contain the same active drug ingredients as in the FDA approved medications, but are compounded into various formulations (e.g. creams, topical, combinations of medications, etc.), and dosages, that haven’t gone through the studies required for FDA approval.
FDA approved medications are medications, in specific formulations and dosages, that have been proven to be safe and effective for a specific medical problem. Compounded medications are made from the same active ingredients (e.g. estradiol, testosterone, semaglutide, etc.), but are compounded (mixed) with other ingredients, and available in a wider variety of dosages, to create a product suitable or more beneficial for individual patients. This makes compounded medications more customizable for individual patients.
We use only large, US-licensed compounding pharmacies that buy their pharmaceuticals from FDA registered manufacturing facilities, and provide certificates of analysis to prove the integrity of the pharmaceuticals they use.
Medication is shipped directly to your home at no cost to you and typically arrives in 7-14 days. We maintain an office supply of testosterone, semaglutide, and tirzepatide, and can administer and dispense these medications from the office.
We value in-person visits with our patients; however, we understand that it’s not always easy to come into the office for regular appointments. Telemedicine visits are offered for follow-up appointments and are conducted face-to-face using a secure audio/visual platform. We cannot provide Telehealth care to patients outside of California or Arizona.
No, MD Total Wellness does not accept insurance. We accept all major credit/debit cards as well as payments from HSA or FSA accounts. Our transparent pricing includes medication, follow-up appointments with board-certified clinicians, unlimited text messaging with clinicians, and in-office testosterone testing.
