Bio Identical Hormone Replacement Therapy


What Are Bio-Identical Hormones?

Bioidentical hormones are identical to the hormones your body produces. They mimic your own hormones and function in your body the exact same way your hormones do. These hormones are plant-based, but because of the similarity with natural hormones, your body perceives them the same way.


This allows for a natural integration into your body’s physiology. Bioidentical hormones are available commercially as well as from compounding pharmacies. These hormones are used to replace what your body no longer makes as you go through menopause or andropause.

The most popular method of administration of these hormones is by use of a cream, gel, or patch on the skin transdermally, or orally. Although estrogen is the main component of Hormone Replacement Therapy and relieves most symptoms, natural progesterone is also added to alleviate anxiety and promote better sleep. Besides Estrogen and Progesterone, women may need other hormones like DHEA and Testosterone.

Is Hormone Replacement Safe?

Depending on your body, we may use a combination of estrogen, progesterone, and testosterone. In young postmenopausal women, Hormone replacement therapy (HRT) is a safe and an effective tool to alleviate moderate to severe menopausal symptoms and to prevent long-term degenerative diseases such as osteoporotic fractures, cardiovascular disease, diabetes mellitus and, possibly cognitive impairment.

Dr. Pagador is very conscious of common patient concerns, such as the increased possibility of breast cancer linked with Hormone Replacement therapy as well as controversies regarding compounded hormones. All of your concerns regarding these issues can be addressed at your appointment.

How Does the Hormone Replacement Program Work?

  • Initial visit: Orientation, explanation of the overall process, education about hormones, review of medical history, and advanced hormone lab testing.

  • Follow-up visit: Every 7-8 weeks. We will review lab results, symptoms, and treatment plans.

  • Lab work: Done on initial visit, then every 6 weeks until you reach optimal levels, then every 6 months thereafter. It can take anywhere from 3-12 months to reach optimal levels.

  • Medications: We use Anazao Pharmacy, a compounding pharmacy based in Tampa, Florida. We chose this company because of their purity, potency, and reasonable pricing.

  • We fax your prescriptions (2 months supply) to Anazao Pharmacy, and they mail your medications directly to your door. It takes at least 5 days for processing and shipping, which is why we prefer our patients to have follow-ups every 7 weeks to avoid running out of medications too early.

No Contracts - Stop at Any Time.

Our hormone replacement program is contract free. You can stop at any time, no questions asked. We base our methods on honesty and trust, and never try to lock in our patients in something they do not choose.

If you need to stop the program for any reason and have already received your medications, the monthly recurring fee will continue for 2 months to pay for 2 months worth of medication already shipped. The pharmacy cannot take back anything that have been shipped out already (federal regulation). So if you need to stop the program, just make sure to do so before the next round of medication ships.

Our Location:

130 Business Park Dr. 

Virginia Beach, VA 23462

Contact us:


Office Hours:

Monday - Friday: 9 AM - 6 PM

Saturday: 9 AM - 2 PM

130 Business Park Dr. Virginia Beach, VA 23462

Tel: 757-313-5420

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