Bioidentical Hormone Replacement Therapy (BHRT)

Bioidentical Hormone Replacement Therapy rebalances your body's natural chemistry for improved vitality, mood, and well-being.

Renew Your Wellness With Bioidentical Hormone Replacement Therapy

Achieving a vibrant, healthy life extends beyond skincare or external appearance—it also involves nurturing your body's internal balance. Bioidentical Hormone Replacement Therapy (BHRT) addresses fluctuations in hormones that may lead to fatigue, mood swings, or changes in metabolism, helping you look better, feel better, and ultimately do better in your everyday routine. Unlike synthetic alternatives, BHRT uses hormones that closely mimic those produced by your body, enhancing safety and compatibility. By restoring equilibrium and revitalizing your core well-being, this personalized approach can open the door to a life of renewed energy and confidence. Contact pēkomd® today to schedule a personalized BHRT consultation and discover how restoring hormonal balance can empower you to thrive.

What Is Bioidentical Hormone Replacement Therapy?

Bioidentical Hormone Replacement Therapy involves supplementing or replacing hormones—such as estrogen, progesterone, or testosterone—with formulations that are nearly identical in molecular structure to those your body naturally produces. This precision allows for more predictable absorption and fewer side effects compared to traditional synthetic hormones. BHRT addresses a wide range of concerns, from menopause-related symptoms in women to age-related hormone declines in men, aiming to re-establish the harmony essential for day-to-day wellness. Because hormone levels can shift over time or due to stressors like pregnancy, aging, or lifestyle changes, BHRT offers a targeted solution to stabilize these fluctuations. Our board-certified providers at pēkomd® carefully measure your current hormone status, then tailor a plan that aligns with your life goals and unique physiology—ensuring gradual improvements that help you feel more like yourself again.

Reasons to Consider Bioidentical Hormone Replacement Therapy

Hormonal imbalances can arise from various factors, including natural aging, stress, and significant life events like pregnancy or menopause. Sometimes these changes are subtle—an onset of fatigue or irritability—while other times they're more pronounced, as in hot flashes or decreased libido. BHRT steps in where diet, exercise, and other interventions may not fully address your symptoms, providing a more direct method of restoring equilibrium. Many individuals also appreciate BHRT because it offers a level of customization that goes beyond one-size-fits-all solutions.

Rather than trying to force your body to adapt to synthetic hormones, BHRT relies on biologically identical compounds that fit smoothly into your system, often resulting in fewer side effects. Whether you're seeking relief from persistent menopause symptoms, boosting energy levels, or enhancing your overall well-being, BHRT is a significant tool in your wellness arsenal. At pēkomd®, we weave your personal health history, hormone levels, and lifestyle factors into a plan that's genuinely tailored, setting the stage for a future with more comfort and confidence.

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Benefits of Bioidentical Hormone Replacement Therapy

When administered with precision and personalized attention, BHRT can deliver multiple advantages that significantly improve your daily quality of life:

Stabilized mood and energy levels
Improved libido and sexual function
Reduced hot flashes and night sweats
Enhanced mental clarity and focus
More consistent sleep patterns
Better control over weight fluctuations
Fewer irritability and anxiety episodes
Increased sense of overall well-being

What to Expect During Your Bioidentical Hormone Replacement Therapy at pēkomd®

Your BHRT journey starts with a thorough consultation at one of our Ohio locations—Columbus, Dayton, or Toledo—where a board-certified provider will discuss your current symptoms, medical background, and health objectives. We'll conduct comprehensive lab work, measuring hormone levels and other markers to form a clear picture of your endocrine status. Based on these findings, we devise a custom BHRT plan that may include estrogen, progesterone, testosterone, or other hormones in dosages aligned with your unique physiology.

Once your treatment plan is established, BHRT can be administered via different methods, such as creams, gels, injections, or pellets—depending on your preference and what we determine will fit best into your lifestyle. Throughout your therapy, we'll schedule follow-up visits to track your progress, fine-tune dosages, and ensure that the plan remains both effective and comfortable. Because the effects of BHRT unfold gradually, you can expect subtle improvements in energy, mood, or libido at first, with more pronounced benefits typically surfacing after a few months of consistent treatment.

Testimonials

Dr Koltz and his team are fantastic. I was always made to feel so comfortable and welcomed.

The team that he has assembled are just phenomenal women who truly brighten your day. They have offered me endless support and I will forever be grateful for them. I have received excellent care from everyone at pēkomd and would very highly recommend them. 10 out of 10!

Jennifer N.

Dr. Markov is one of the best microsurgeons in Southwest Ohio

I have had surgery is some of the top hospitals in Ohio and beyond. Dr. Markov is one of the best microsurgeons in Southwest Ohio, and the surrounding areas.His education, military background, and work experience speaks for itself. I have found him to be professional, highly-skilled, and he has excellent bedside manner. Dr. Markov treated me with respect, educated me about my options, and empowered me to decide what breast reconstruction option best for me. He approached my reconstruction surgery like Michelangelo to a painting. He was detailed oriented and cared about my final outcomes. I couldn't be happier with his performance. I highly recommend Dr. Markov for any cancer related or cosmetics surgery.

Candy

Mr. Dr. Fourman has been the best doctor hands down

Mr. Dr. Fourman has been the best doctor hands down so far that I have ever experienced in my life so far and I only have had my first office visit. He is so polite, listens and exsplained in full detail. He made me feel heard and he actually listened to me as his patient and did not belittle or make me feel like i was uneducated or wrong for my reasons to be vivisting his office. Thank you to Dr. Fourman and his wonderful staff members!

Heather

Dr. Straka is very personable, professional, and earned my trust right away!

My daughter first had some work done a few years ago with Dr. Straka. Of course she was/is a beautiful girl in every way, but this definitely enhanced things for her. I inherited the worst bags you could ever imagine. Getting older I thought let me do something for me! I scheduled a consult and I am truly sad that I had not gone sooner.

Dr. Straka is very personable, professional, and earned my trust right away! I am only 10 days post op and I love my new look already! Cristina has been very attentive from day one. I am still being checked on today. Dr. Straka is doing great things at pekomd! I highly recommend him to anyone!!!!!!! He gets a 100 stars

Youlanda J.

Thank You for saving my life!!

Dr. Fourman and his whole team have always made me feel not judged and welcomed. They are helpful, knowledgeable, informative and take time to discuss my health. There are few physicians that don’t make patients feel comfortable and Dr. Fourman is not one. So thankful I chose him as my bariatric doctor!! Thank You for saving my life!!

Amanda L

Make you feel like your best self.

Every experience I’ve had at pēkomd® has been amazing. The staff and providers truly take the time to make you feel like your best self. Dr. Koltz takes the time to get to know his patients and listens to their needs, concerns and dreams. I would absolutely recommend giving them a call and taking the steps to feeling the best version of yourself!

Megan M.

I would say Dr. Markov is a bit of a perfectionist.

After learning I had breast cancer a second time in 2023 I opted to have a bilateral mastectomy with a DIEP flap reconstruction. I looked into 3 different doctors and while I am sure they are all very capable, I chose Dr. Markov. He was straight forward and to the point and he was local. I really liked his approach and he made me feel very comfortable. Today I had my 4 week post op appointment from the final phase of the reconstruction and I am thrilled with the results. I feel and look like myself again. Honestly they look better than they did before my mastectomy. I would say Dr. Markov is a bit of a perfectionist. The only thing left, if I opt to do this, is the tattooing. I am not sure if I am going to do that just yet, because they already look so good. Anyhow, I would 100 % recommend Dr. Markov.

Susan T.

Wish I had done this 10 years sooner.

Don't put it off any longer!
If you have thought about weight-loss surgery, Dr. Fourman is the Dr. you need to see! He's very personable, understands and is caring.I followed all the pre op instructions, did out patient, in the morning, and was up and moving around very well by that evening. He's staff is wonderful too. There are no scary front desk reception. Everyone there knows what your going through. Wish I had done this 10 years sooner. Like I said...Don't put it off for another year!

Patricia M

I couldn't be more pleased with my experience with Dr. Straka

I couldn't be more pleased with my experience with Dr. Straka and Kaleigh! Dr. Straka took the time to thoroughly explain my condition, answer all my questions, and walk me through the entire procedure. The follow-up care has been excellent as well, and I am so happy with my results. I highly recommend!!

Hannah

It’s like meeting with a friend at every consult.

Dr Koltz is one in a million. He sits down and listens to every concern. It’s like meeting with a friend at every consult. He has worked miracles for me on correcting another local surgeon mistake. He is very skilled and knowledgeable in profession. Dr Koltz and his staff treat you like family. I love them and you will too! For me there is no other choice!

Jen. H.

Feel beautiful from the inside out

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Are You an Ideal Candidate for Bioidentical Hormone Replacement Therapy?

BHRT is particularly beneficial if you experience recurring symptoms that hint at hormone imbalances—like persistent fatigue, low sex drive, or mood swings—that haven't improved through diet, exercise, or conventional treatments. Both women and men can benefit, whether you're navigating menopausal changes, dealing with age-related testosterone decline, or simply seeking to optimize your long-term health. During your consultation at pēkomd®, our board-certified providers will evaluate your lab results, discuss any relevant medical conditions, and weigh any lifestyle considerations to decide if BHRT suits your goals. This personalized, patient-first approach ensures we only recommend treatments that genuinely enhance your everyday comfort and sense of well-being.

woman running on a bridge wearing a purple top and black jogging pants

Why Choose pēkomd® for Bioidentical Hormone Replacement Therapy?

Our philosophy at pēkomd® centers on integrity, expertise, and a warm, individualized approach—values that shape every wellness service we offer. Our board-certified providers possess in-depth knowledge of hormone health, ensuring that your BHRT plan is calibrated for maximum safety and efficacy. Beyond hormone therapy alone, we can also suggest complementary treatments or lifestyle modifications to enhance your overall vitality. Whether you visit us in Columbus, Dayton, or Toledo, you'll find a caring environment committed to helping you look better, feel better, and navigate life's chapters with renewed energy. By choosing pēkomd®, you're selecting a dedicated partner who aligns each aspect of your therapy with your personal aims and experiences.

Bioidentical Hormone Replacement Therapy Frequently Asked Questions

Ready to reclaim your well-being and address hormone imbalances head-on? Contact pēkomd® now to schedule your personalized BHRT consultation and discover how our advanced, empathetic approach can help you look better, feel better, and thrive daily.

How soon will I feel improvements after starting BHRT?

Many individuals begin noticing mild changes—like boosted energy or improved mood—within a few weeks. More substantial benefits, such as enhanced libido or weight management, often emerge over a few months as your body adapts.

Is BHRT safe for long-term use?

When prescribed and monitored by qualified providers, BHRT can be a safe, sustainable option. Regular check-ups are critical, allowing us to adjust hormone dosages as needed and monitor your overall health markers.

Are there side effects?

Because bioidentical hormones closely mirror your body's natural chemicals, many patients report fewer side effects than with synthetic versions. However, each person's response can vary, making follow-up visits essential.

Can men benefit from BHRT as well?

Absolutely. Testosterone imbalances can lead to fatigue, diminished muscle mass, and lowered libido in men. BHRT often helps address these issues, improving everyday vitality and mental sharpness.

Can BHRT be combined with other wellness treatments?

Yes. Many patients integrate BHRT with nutritional guidance, exercise plans, or complementary therapies to create a more holistic approach to wellness.