Menopause symptoms like hot flashes, night sweats, or brain fog are often linked to shifts in estrogen, progesterone, adrenal, and thyroid balance. In functional medicine, we look at the whole system — nutrition, stress, sleep quality, gut health, and hormone levels. Lifestyle changes, targeted supplements, and sometimes bioidentical hormone therapy (BHRT) can bring lasting relief.

Balancing hormones means more than just replacing estrogen. We test for thyroid function, cortisol rhythm, insulin sensitivity, and nutrient status. Then we create a personalized plan — this may include BHRT, adaptogenic herbs, peptides, nutritional support, and stress-reduction strategies that restore balance across all systems, not just one.

The most reliable sign is 12 months without a menstrual cycle. But perimenopause can bring similar symptoms years before that point. Functional lab testing — checking estrogen, progesterone, FSH, LH, thyroid, and adrenal markers — helps confirm exactly where you are in the transition and guides treatment.

For many women, the safest and most effective option is bioidentical hormone replacement therapy (BHRT) — hormones chemically identical to what your body naturally produces. When prescribed at the lowest effective dose, monitored with regular labs, and paired with lifestyle medicine, BHRT is considered a safe, functional approach to easing symptoms.

Improvements can often be felt within a few weeks, but full results may take 2–3 months as hormones reach steady levels and your body adjusts. During this time, your care team tracks your progress and fine-tunes the treatment for the best results.

At RegenRX, the process is simple:

1. Complete a comprehensive lab panel.

2. Meet virtually with a board-certified provider to review your results.

3. Receive a personalized treatment plan.

4. Medications, supplements, or BHRT are shipped directly to your home.