Hormone Replacement Therapy

Feel like yourself again—safely and thoughtfully.

Bioidentical hormone therapy personalized to your labs, symptoms, and goals—guided by the Valley Natural Health team in Fresno.

Energy + resilience Mood + focus Sleep + recovery Sexual health
Request an Appointment Read FAQs
Active adults riding bikes, representing vitality and healthy aging

What is hormone replacement therapy?

Hormone replacement therapy (HRT) helps relieve symptoms that can occur when hormone levels decline with age or shift due to underlying health factors. At Valley Natural Health, we use bioidentical hormones and customize your plan based on your symptoms, health history, and lab testing.

For many women, symptoms may appear during the transition to menopause. Men may experience symptoms related to lower testosterone levels as they age. Hormone changes can also be influenced by thyroid function and chronic stress.

Lab-informed dosing with follow-up monitoring
Whole-person plan: nutrition, sleep, stress, lifestyle
Options may include topical, oral, or other routes as appropriate
Clear education so you understand the “why” behind the plan

When to consider HRT

  • Persistent fatigue, low motivation, or sleep disruption
  • Hot flashes/night sweats (often in menopause transition)
  • Mood changes, irritability, anxiety, or low mood
  • Low libido or sexual health concerns

What your consult includes

  • Symptom + health history review
  • Lab testing (as clinically appropriate)
  • Personalized plan + follow-up schedule
  • Ongoing adjustments based on response

Educational sources used for this page include Mayo Clinic, ACOG, the FDA, and the Endocrine Society. (See the FAQ sources below.)

Frequently Asked Questions

Clear, evidence-informed answers with links to trusted medical organizations.

Hormone therapy is individualized. Safety depends on factors like your age, symptoms, medical history, and the type/route of hormones used. Your clinician will review risks and benefits and monitor your response over time. Sources: Mayo Clinic, ACOG.
“Bioidentical” generally refers to hormones with a chemical structure that matches hormones naturally produced by the body. Some bioidentical hormone products are FDA-approved; others may be compounded. Your provider can help you understand which options fit your needs. Sources: FDA, ACOG.
Depending on the person, HRT may help with symptoms related to menopause transition or hormone deficiency—such as hot flashes, night sweats, sleep disruption, and quality-of-life concerns. Your clinician will confirm whether symptoms are hormone-related and discuss options. Sources: Mayo Clinic, ACOG.
Some men may be evaluated for low testosterone (hypogonadism) when symptoms and lab testing support it. Treatment decisions are personalized and should follow evidence-based evaluation and monitoring. Source: Endocrine Society.
FDA-approved products are reviewed for quality, safety, and effectiveness. Compounded hormone preparations are made by a compounding pharmacy for specific needs, but the FDA notes they are not evaluated the same way as approved drugs. Your provider can explain when compounding is considered and what it means. Source: FDA.

Request an appointment

We’ll review your goals, symptoms, and history and recommend appropriate lab testing and next steps. If you prefer, you can also book online.

Book / Request Online Contact

If you’re experiencing severe symptoms, chest pain, difficulty breathing, or thoughts of self-harm, call 911 or go to the nearest emergency room.

Send a message

Connect this form in the backend later.

This form is for non-urgent requests only.