BIOIDENTICAL HORMONE THERAPY (BHRT)

A Structured, Medically Supervised Program for Men & Women

At Velvet Couture MedSpa, Bioidentical Hormone Replacement Therapy (BHRT) is offered through a structured medical program designed to evaluate, optimize, and manage hormone imbalances under licensed provider supervision.

Hormone therapy is a medical service that requires appropriate patient selection, laboratory testing, ongoing monitoring, and clinical oversight. For this reason, BHRT is not offered as a casual, short-term, or open-ended treatment.

All BHRT services are provided in accordance with established medical standards and under the guidance of our Medical Director, a board-certified breast surgical oncologist, with patient safety as the highest priority.

WHAT IS BHRT?

Bioidentical Hormone Replacement Therapy (BHRT) uses hormones that are structurally identical to those naturally produced by the human body. When medically appropriate, BHRT may support hormone balance and symptom management related to aging, perimenopause, menopause, and andropause.

Treatment decisions are based on:

  • Medical history

  • Reported symptoms

  • Physical assessment

  • Objective laboratory data

BHRT is individualized and medically guided. Results vary by patient, and no outcomes are guaranteed.

MEDICAL PHILOSOPHY & SCOPE OF CARE

BHRT at Velvet Couture MedSpa is practiced as a medical service, not a cosmetic or lifestyle add-on.

Our approach is:
• Evidence-based
• Lab-driven
• Individually tailored
• Closely monitored
• Conservative with safety as the priority

We do not offer pellet hormone therapy at this time.

Accepted hormone delivery methods may include:

  • Oral formulations

  • Topical creams or gels

  • Injectable hormone therapy

  • Vaginal hormone therapy

REQUIRED LABORATORY TESTING

Laboratory testing is mandatory for all BHRT patients.

Labs are required:

  • Prior to initiation of therapy

  • During active treatment

  • At regular intervals for safety and monitoring

Typical labs may include:

  • Complete Blood Count (CBC)

  • Comprehensive Metabolic Panel (CMP)

  • Lipid Panel

  • Thyroid Panel (TSH, Free T4)

  • Estradiol

  • Progesterone

  • Total & Free Testosterone

  • Sex Hormone Binding Globulin (SHBG)

  • Hemoglobin A1c

  • Additional labs as clinically indicated

Laboratory testing is completed through Quest Diagnostics or an approved laboratory partner.

Failure to complete required labs may result in delay or discontinuation of treatment.

IMPORTANT MEDICAL EXCLUSIONS

For patient safety and in strict alignment with our Medical Director’s standards, BHRT is NOT offered to individuals with:

  • A personal history of any cancer

  • Known BRCA1 or BRCA2 genetic mutation

  • Hormone-sensitive malignancies (past or present)

  • Active or untreated cancer

  • Any condition deemed unsafe for hormone therapy by the provider

These exclusions are strict, non-negotiable, and enforced without exception.

Patients with these conditions must continue hormone management under the care of their oncologist or primary physician.

VELVET BHRT PROGRAM STRUCTURE & PRICING

BHRT – FAQ