Hormone Replacement Therapy

    Bioidentical hormones, compounded to order.

    We prepare bioidentical hormone therapy to the specifications on your prescription at our PCAB-accredited pharmacy, and ship it to all 50 states and the District of Columbia.

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    Already have a provider? Schedule a consultation with a ProCompounding pharmacist that will review your symptoms and make a treatment recommendation to your provider of choice.

    Note: Compounded medications are not reviewed or approved by the FDA for safety or efficacy. All prescriptions are based on individual provider judgment.

    Shipping: Available only in licensed states. Consultation fees may apply.

    Provider services: Offered independently of the pharmacy.

    Jessica and Beth bring years of compounding experience to the hormone preparations we make, and they are glad to talk through the options with you and your prescriber.

    About Hormone Replacement Therapy

    What Hormone Therapy Is

    Hormone replacement therapy (HRT) replaces hormones the body makes less of in the years around menopause. Whether it is right for you, and which hormones, forms and strengths to use, are decisions for you and your prescriber.

    Jessica Patrone, a pharmacist specializing in hormone replacement therapy, discusses the potential negative effects of hormone treatments, particularly the risk of breast cancer. She explains how hormones can affect cell growth and the importance of regular screenings like mammograms. Jessica also highlights the role of genetic testing in assessing cancer risks.

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    Understanding Bioidentical Hormones

    Structurally Identical to What Your Body Produces

    Bioidentical hormones are derived from plant sources and are molecularly identical to the hormones your body produces, so they bind to the same receptors as your own hormones.

    Because every woman's hormonal profile is unique, compounded BHRT allows your pharmacist and provider to fine-tune the specific hormones, dosages, and delivery methods to match your individual lab results and symptoms. If you are still comparing pharmacies, our guide on how to choose a compounding pharmacy for hormones walks through the criteria and the questions worth asking.

    Commonly Compounded BHRT Ingredients

    What Goes Into Your Personalized Formulation

    Estradiol (E2)

    The main estrogen the ovaries make before menopause. Prepared as a hypoallergenic cream, an olive oil base topical or a vaginal preparation, at the strength your prescriber writes.

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    Estriol (E3)

    A weaker estrogen, often combined with estradiol as Bi-Est. Estriol is not available as a commercially manufactured product in the United States. Prepared as a hypoallergenic cream, an olive oil base topical or a vaginal cream.

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    Progesterone

    A hormone the ovaries make in the second half of the menstrual cycle. Prepared as oral capsules, including extended-release capsules, at the strength your prescriber writes.

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    Testosterone

    Women make testosterone too, and levels decline with age. Testosterone for women is prescribed off-label, and that decision rests with your prescriber. Prepared as a hypoallergenic cream or an olive oil base topical.

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    DHEA (Dehydroepiandrosterone)

    A precursor hormone made by the adrenal glands, which the body converts into estrogen and testosterone. Prepared as oral capsules, and as a vaginal cream combined with estriol.

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    Delivery Methods

    Multiple Options Tailored to Your Lifestyle

    One of the key advantages of compounded BHRT is the ability to choose the delivery method that works best for your body and routine. Each method has unique advantages, and our pharmacists can guide you toward the best option based on your symptoms, hormone levels, and preferences. If you are having trouble filling a commercially manufactured estradiol patch, our guide to estradiol patch alternatives explains what we can prepare.

    Hypoallergenic Creams

    Applied to the skin for steady absorption in a hypoallergenic base. Allows easy dose adjustments and avoids first-pass liver metabolism.

    Olive Oil Base Topical

    A topical preparation in an olive oil base, applied to the skin for steady absorption.

    Oral Capsules

    Oral capsules for progesterone and DHEA, made to order for each patient.

    Vaginal Preparations

    Localized delivery for vaginal dryness, atrophy, and urinary symptoms with minimal systemic absorption. Learn more about compounded vaginal estrogen.

    The Role of Hormone Testing

    Data-Driven Treatment Decisions

    Hormone therapy decisions often start with understanding your current hormone levels. Comprehensive lab testing—including blood, saliva, or urine panels—provides a baseline that helps your provider and pharmacist design an optimal BHRT regimen. Regular follow-up testing ensures your dosages stay aligned with your changing needs. For a list of labs to discuss with your prescriber, see our suggested labs page.

    Blood Testing

    The standard for measuring serum hormone levels including estradiol, progesterone, testosterone, thyroid panel, and DHEA-S.

    Saliva Testing

    Measures "free" (unbound) hormone levels, which may more closely reflect the hormones available to your tissues.

    Learn more about saliva testing

    Dried Urine Testing

    Evaluates hormone metabolites over a full day, providing insight into how your body processes and eliminates hormones.

    Why ProCompounding?

    Personalized Care for Your Unique Journey Through Menopause

    At ProCompounding, every hormone preparation is made to order for the woman it is prescribed for. Our pharmacists, led by Jessica Patrone, review each formulation before it is made, and we compound under USP 795 and USP 800 standards at our PCAB-accredited pharmacy.

    • Customized to your unique health profile
    • Continuous support and follow-up care
    • Pharmacists who specialize in hormone compounding
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    Frequently Asked Questions

    Empowering You with Knowledge

    Request a Consultation

    Fill out this form and our pharmacist team will review your information and reach out to discuss your personalized hormone therapy plan.

    Contact Information
    Prescriber Information
    Medical History
    Symptom Profile

    Rate each symptom based on how you have been feeling for the past few months.

    NoneMildModerateSevere
    Hot Flashes
    Night Sweats
    Light-headed feelings / dizziness
    Headaches
    Sleep disorders / sleeplessness
    Unusual tiredness / fatigue
    Irritability
    Depression
    Anxiety / tension / nervousness
    Mood swings / mood changes
    Confusion / difficulty concentrating
    Angry outbursts / arguments / violent tendencies
    Crying easily
    Backache
    Joint pains
    Muscle pains
    Muscle cramps / spasms
    Problems with wound healing time
    Acne / pimples / skin flushing
    Dry skin / dry hair
    Crawling feeling under skin
    Frequent Urinary Tract Infection (UTI)
    Urinary frequency
    Vaginal dryness
    Abnormal bleeding
    Pelvic pain, pressure, fullness, or bloating
    Uncomfortable intercourse
    Loss of sexual feeling / desire
    Loss of arousability and capacity for orgasm
    Loss of sexual sensitivity
    Loss of vitality
    Nipple sensitivity
    Discharge or leaking from nipples
    Breast tenderness
    Loss of pubic hair
    Swelling of hands, ankles, or breasts
    Heart palpitations
    Shortness of breath
    Food / sweets / salt cravings
    Increased appetite / weight gain

    0 = None (not present) · 1 = Mild (present but not distressing) · 2 = Moderate (distressing, not interfering with daily life) · 3 = Severe (very distressing, interferes with daily life)

    Talk With Our Team

    Questions About Hormone Therapy?

    Our team is glad to answer your questions about the hormone preparations we compound and how to get a prescription filled.

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