Hormone therapy for women in Fresno, guided by your labs.
Hot flashes, poor sleep, low energy, a sex drive that disappeared. Perimenopause and menopause are real, and you don’t have to white-knuckle them. Labs, a provider who listens, and a plan you understand.

Symptoms worth a conversation.
- Hot flashes and night sweats
- Trouble sleeping
- Low sex drive or vaginal dryness
- Mood swings, irritability or brain fog
- Low energy that sleep doesn’t fix
These overlap with thyroid problems, low iron, poor sleep and stress, so we don’t assume it’s hormones. We start with your history and labs, then talk options.

Options your provider may discuss
Estrogen and progesterone
How it works: prescribed in the form and dose that fit your history. Women who still have a uterus generally need progesterone with estrogen.
Who it’s for: women with moderate to severe hot flashes, night sweats or other menopause symptoms.
Testosterone for women
How it works: a low dose for specific symptoms like low sex drive, when labs and history support it.
Who it’s for: women whose main complaint is low desire, after other causes are checked.
Hormone pellets
How it works: small pellets placed under the skin in a quick in-office visit that release hormones over a few months.
Who it’s for: women who prefer fewer doses and understand the trade-offs below.
The straight talk on “bioidentical”
“Bioidentical” means the hormone has the same structure as the one your body makes. Several FDA-approved products are bioidentical. Custom-compounded hormones, including pellets for women, are not FDA-approved, and major medical groups recommend FDA-approved hormone therapy first when it fits.
For healthy women under 60, or within about 10 years of menopause, the benefits of hormone therapy for hot flashes usually outweigh the risks. Past that, or with certain health histories, the math changes. That is exactly what your provider goes over with you.
Men looking for hormone care: see TRT in north Fresno.
Labs first. Then a plan.
Consult and labs
Go over symptoms, cycle and health history with the provider, and get your blood drawn here.
Results and a plan
Results come back from the lab in a few days. If hormones are part of the picture, you get a plan you understand: what, how much and why.
Follow-up
Check-ins and repeat labs so the dose fits you, not a template.
Hormone therapy questions
What does the first visit cost?
The hormone consult is $100, and that $100 is applied to your treatment if you start.
Do I need labs?
Usually, yes. We draw them in the suite and send them to an outside lab, or you can bring recent results from your own doctor.
Are bioidentical hormones safer than regular hormones?
Not automatically. “Bioidentical” describes the molecule, not the safety. Several FDA-approved hormone products are bioidentical. Compounded versions, including pellets for women, aren’t FDA-approved, so your provider will walk you through the trade-offs.
Who shouldn’t take hormone therapy?
Women with a history of breast cancer, blood clots, stroke, heart disease or unexplained vaginal bleeding usually aren’t candidates. Your provider reviews your full history first.
Do you treat men too?
Yes. See our TRT page for testosterone therapy for men.
Is it private?
Yes. Private suite, discreet staff, and your health information is protected under medical privacy law.
What it’s like, in their words.
“As a nurse, I’m always looking for the highest standards and I Vie was beyond any expectation I had!”Katie K.· Google review
“Outstanding service, a relaxing environment, and a seamless process from setup to finish.”cobra20g· Google review
“She educated us throughout the experience and was very professional. Prices were reasonable compared to other places.”Maiyia V.· Google review
“Felt so amazing coming here before a big wedding weekend! So comfortable while I was there.”Julia R.· Google review
“The staff was professional and kind throughout the whole process. Highly recommend!”Hediat Y.· Google review
“They are very discreet, professional, and attentive to every detail. If you value privacy and quality care, this is the place to go.”cobra20g· Google review
Real reviews from our Google listing, shortened for length. Experiences are individual and results vary.




Feel like yourself again.
(559) 338-5503$100 consult, applied to treatment. Call or text us anytime.