Hormone Therapy

Customized Bioidentical Hormone Formulations

Bioidentical hormones are synthesized to have the exact molecular structure as the hormones naturally produced by the human body. Our compounding pharmacy custom-formulates BHRT in collaboration with endocrinologists, gynecologists, and functional medicine practitioners.

• Personalized combinations of Estrogen, Progesterone, Testosterone, DHEA, and Thyroid hormones.
• Customized dosage forms: Transdermal creams, sublingual troches, rapid-dissolve tablets, and vaginal suppositories.
• Hypoallergenic bases: Prepared without common allergens like gluten, dairy, dyes, or harsh chemical preservatives.

Collaborative BHRT Patient Care Cycle

Successful hormone optimization requires precise dosing, regular symptom reviews, and physician-supervised monitoring. We assist in every step of this journey.

• Working directly with your provider to analyze saliva or blood spot hormone panels.
• Adjusting dosing based on provider directions and ongoing laboratory wellness results.
• Assisting patients with precise dosing instruction, cream dispenser usage, and storage guides.

Restoring Hormonal Balance in Women

Hormone deficiencies can occur due to aging, illness, medications, or environmental factors. Our pharmacists work directly with your provider to compound individualized formulations designed around your specific hormone panel and symptoms.

• Estrogen: Commonly prescribed to help address menopausal symptoms such as hot flashes, night sweats, and vaginal dryness.
• Progesterone: Often combined with estrogen and may help support healthy sleep and cycle regularity.
• Androgens (DHEA & Testosterone): May support vitality, libido, and skin, bone, and muscle health when levels are low.
• Bi-est & Tri-est formulas: Combination estradiol (E2) and estriol (E3) preparations compounded to your provider's exact ratio.

Restoring Hormonal Balance in Men

Starting around age 40, men may experience a gradual decline in testosterone, sometimes called andropause. Our compounding pharmacists help translate your provider's prescription into a formulation that fits your lifestyle.

• Testosterone Replacement Therapy (TRT): May help manage symptoms such as low energy, reduced muscle mass, and low libido.
• Compounded into topical creams, gels, or sublingual troches based on your provider's prescription and your personal preference.
• Regular monitoring with your provider helps ensure dosing stays aligned with your lab results and symptoms.
• Injectable & adjunct options: Testosterone cypionate injections and HCG compounded preparations are also available as part of a broader optimization protocol.

Menopause & Perimenopause Support

Perimenopause and menopause bring a wide range of symptoms that often respond well to an individualized, compounded approach rather than a single commercial product.

• Vaginal estrogen and estriol gels for localized relief.
• Progesterone sleep formulations for nighttime symptom support.
• Hot flash relief troches compounded to your provider's specifications.
• Libido and mood support blends as directed by your provider.

Comprehensive Dosage Form Options

Beyond standard creams and troches, we compound BHRT into a wide range of delivery methods to match your provider's prescription and your personal preference.

• Transdermal creams & gels for precise, site-specific absorption.
• Vaginal suppositories and creams for localized estrogen/estriol delivery.
• Injectable preparations, including testosterone and HCG.
• Dye-free, filler-free, and allergen-free bases available on request.

Complementary Therapies We Coordinate

Many hormone optimization protocols also involve thyroid, adrenal, or peptide-based support. We compound these alongside your BHRT plan and coordinate closely with your provider.

• Thyroid & adrenal support — see our Adrenal & Thyroid Support page.
• Peptide therapies, including Sermorelin, Ipamorelin, BPC-157, TB-500, and oxytocin — see our Peptides & Longevity page.
• Low dose naltrexone (LDN) — see our Low Dose Naltrexone page.

Why Providers Choose Franwin for BHRT

We work as an extension of your care team, giving prescribers the flexibility to treat beyond what commercial products allow.

• Precise dosing matched to each patient's labs and symptoms, with commercially unavailable hormone ratios and strengths.
• Combination formulas that simplify multi-hormone regimens for patients on several agents.
• Rapid turnaround and direct provider communication, with easy prescription submission by fax, portal, or phone.

Women's Pelvic Health & Comfort

Beyond systemic hormone balancing, our pharmacists compound targeted formulations for pelvic floor discomfort, postpartum needs, and localized vaginal health as directed by your OB-GYN or pelvic health specialist.

• Pelvic floor & vulvodynia pain relief: Compounded vaginal creams combining agents such as amitriptyline, baclofen, and gabapentin to target localized pelvic floor muscle and nerve pain.
• Vaginal diazepam suppositories: Prescribed by some pelvic health specialists to help relax pelvic floor muscle spasm.
• Vaginal pH & comfort support: Compounded boric acid vaginal suppositories and antifungal vaginal creams as an alternative option when standard products aren't appropriate.
• Postpartum & nursing support: All Purpose Nipple Ointment (APNO) compounded for breastfeeding mothers experiencing nipple pain or irritation.

PCOS & Metabolic Hormone Support

Polycystic ovary syndrome (PCOS) often involves both hormonal imbalance and insulin resistance. We compound targeted nutritional and hormone-support formulations alongside your provider's broader PCOS treatment plan.

• Myo-Inositol & D-Chiro-Inositol (40:1): A combination capsule formulated to match the ratio naturally maintained by healthy ovarian tissue, used to support insulin sensitivity and cycle regularity.
• Compounded alongside androgen-modulating and cycle-regulating hormone therapy as directed by your provider.
• See the downloadable patient handout below for more on how Myo-Inositol/D-Chiro-Inositol supports PCOS management.

Frequently Asked Questions

• Q: What is Bioidentical Hormone Replacement Therapy (BHRT)?: A: BHRT uses hormones structurally identical to those your body naturally produces, including estrogen, progesterone, and testosterone, to help address symptoms of hormonal imbalance.
• Q: What forms of BHRT are available?: A: Depending on your prescription, BHRT can be compounded as topical creams or gels, sublingual troches, rapid-dissolve tablets, or capsules.
• Q: How long before I notice results?: A: Response times vary by patient. Some notice changes within a few weeks, while others take longer. Your provider will monitor your progress and adjust your formulation as needed.
• Q: How do I get started?: A: Hormone optimization begins with your provider, who will evaluate your symptoms and lab work. Once you have a prescription, our compounding pharmacists handle the rest.