Led by a Menopause Society Certified Practitioner
Menopause Care with
Bioidentical Hormones (BHRT)
Menopause is a natural transition, but you don't have to suffer through it. We offer personalized BHRT protocols to restore the hormonal balance your body needs to feel like yourself again.
- Lab work included (panel personalized to your intake)
- Focused hormone axis testing
- 60 min provider evaluation
- Fully personalized treatment plan
Recognizing Perimenopause and Menopause
Around 1.3 million women enter menopause each year in the United States. The average age of onset is 51, but perimenopause can begin in the mid-40s and last 4 to 8 years. About 85% of women experience at least one disruptive symptom.
These symptoms are the classic signs of low estrogen, progesterone, and testosterone — hormones that affect nearly every system in your body. The good news: they're treatable.
Sources: The Menopause Society (NAMS), SWAN Study, JAMA Internal Medicine 2015
Common Symptoms & How Often They Occur
Hot flashes last a median of 7.4 years. (SWAN Study, JAMA Internal Medicine)
Only about 25% of symptomatic women seek treatment. You don't have to be one of the 75% who suffer in silence.
Get Your Hormone EvaluationWhat Is Bioidentical Hormone Replacement Therapy?
Bioidentical hormones are structurally identical to the hormones your body naturally produces. Formulations like estradiol and micronized progesterone work with your body's existing receptor systems and are dosed to restore hormones to a healthy, optimized range.
The clinical evidence base continues to grow. The E3N French cohort study found no increased breast cancer risk with micronized progesterone. The KEEPS trial confirmed safety and cognitive benefits when therapy is started near menopause onset.
Per Menopause Society position statements, hormone therapy is associated with a roughly 75-95% reduction in hot flash frequency, along with improvements in sleep, mood, and vaginal health.
Personalized Menopause & Perimenopause Care Built Around You
Our practice is led by Dr. Ian Strand, a Menopause Society Certified Practitioner with additional board certifications in Anti-Aging and Regenerative Medicine. Whether you need perimenopause treatment or menopause treatment, every protocol is built around your lab results, symptoms, health history, and goals.
Focused Hormone Testing
Targeted female hormone panel personalized to your intake. Your clinician may pull from estradiol, total and free testosterone, LH, FSH, a thyroid panel (TSH, Free T3, Free T4, Reverse T3), HbA1c, and metabolic safety markers. If you also need progesterone evaluation, DHEA-S, or a deeper HPA-axis workup, the Complete Hormone Evaluation steps up to that.
Personalized BHRT Protocols
Customized combinations of estrogen, progesterone, testosterone, and DHEA based on your unique biochemistry and symptom profile.
Nutritional & Lifestyle Guidance
Exercise, sleep optimization, stress management, and targeted supplementation strategies that support hormonal health long-term.
Ongoing Monitoring & Adjustment
Regular lab work and check-ins to optimize your dosage, track your response, and ensure safety at every stage.
Focused Hormone Evaluation
Your menopause care journey starts with a focused hormone evaluation to pinpoint exactly what's happening on the hormone axis driving your symptoms.
Purchase Your Evaluation
Select the Focused Hormone Evaluation. Includes a female hormone panel personalized to your intake, a 60 minute consultation with an Asymmetric Health clinician, and your personalized treatment plan.
Complete Lab Work
Walk into any Labcorp location with your requisition. Your clinician may pull from estradiol, total and free testosterone, LH, FSH, a thyroid panel (TSH, Free T3, Free T4, Reverse T3), HbA1c, and metabolic safety markers based on your intake. If progesterone, DHEA-S, or a deeper HPA-axis workup is indicated, we step you up to the Complete Hormone Evaluation.
Consult with One of Our Providers
Review your results together via telehealth or in-clinic. Your clinician explains what your numbers mean, how they relate to your symptoms, and what your personalized BHRT protocol will look like.
Begin Treatment
Start your membership for ongoing care. Receive your customized bioidentical hormone prescription, dosing guidance, and ongoing monitoring.
Choose Your BHRT Evaluation
Pick the eval that fits the depth of your goals. Both include advanced lab work and a personalized BHRT protocol.
For testosterone, menopause/BHRT, erectile dysfunction, or thyroid concerns.
- Lab work included (panel personalized to your intake)
- Focused hormone axis testing
- 60 min provider evaluation
- Fully personalized treatment plan
A broader endocrine and metabolic assessment for patients with multiple concerns or complex symptoms.
- Lab work included (multi-axis panel personalized to your intake)
- Multi-axis hormone testing (HPA, HPG, thyroid)
- Cardiometabolic and nutrient screening
- 90 min provider evaluation
What Patients Say About Bioidentical Hormone Replacement Therapy
Appreciate the clear path laid out to get to a more healthy me. I feel confident in reaching my goals.
Dr. Strand does a great job making sure your body is running strong for the long run.
Asymmetric Health is a top-tier practice in health and wellness. Dr. Strand is highly skilled, sharp, empathetic, and a thorough provider.
Dr Strand's straightforward, detailed explanation of the process, lab results and plan were phenomenal.
He explains things clearly and thoroughly, never rushing, and makes sure you understand both the "why" and the "what" behind your care.
I'm 75 years old and have dozens of doctors in my life. Dr Strand has been a life-line for me. I can not overstate this doctor's ability.
I've noticed significant improvements in my energy, mood, and overall well-being. I've referred multiple people to this clinic.
Four months later, I've dropped over 30 lbs and feel like I'm genuinely on the right trajectory.
Dr. Strand makes the process simple and easy to follow. He takes the time to walk you through every step.
Broke down and explained every piece of the process to make sure I had a good understanding and felt comfortable.
This is my fourth TRT provider and the first one where I feel I receive the necessary attention and the medical knowledge to optimize my results.
The detail he goes through with you on your lab work is awesome!
I don't think I have had a health care professional actually listen to me in at least the last 20 years.
Great experience with Asymmetric Health.
The doctor explained everything clearly, discussed my options and answered all my questions.
Doctor is knowledgeable and cares about my health.
Keep Exploring Menopause Care
Guides and articles on BHRT, perimenopause, and menopause.
Bioidentical hormone therapy explained: benefits, delivery, risks.
How bioidentical hormones ease hot flashes, sleep, and mood.
What is changing, why, and when to reach out.
What to expect from TRT, BHRT, GLP-1, and peptides — and how we monitor it.
Gauge your menopause and perimenopause symptoms.
Downloadable PDFs for hormones, peptides, GLP-1s, and more.
Get the free Menopause & BHRT Guide
What perimenopause and menopause do to the body, how hormone optimization is evaluated, and the questions to ask before starting care.
- What perimenopause and menopause do to the body
- How hormone optimization is evaluated, beyond a single lab
- What to expect from an evaluation and ongoing care
- Questions worth asking before you start
Enter your email and we'll send the guide straight to your inbox.
Frequently Asked Questions About BHRT
Is bioidentical hormone therapy safe?
When prescribed and monitored by a qualified physician, BHRT has a favorable safety profile. The KEEPS trial showed cognitive benefits and safety when started near menopause.
The E3N cohort study (80,000+ women) found no increased breast cancer risk with micronized progesterone, unlike synthetic progestins. The Asymmetric Health team monitors your levels regularly and adjusts your protocol to minimize risk.
How quickly will I notice results?
Many women notice improvements in sleep, mood, and hot flashes within 2-4 weeks. Full optimization typically takes 2-3 months as we dial in your dosage based on follow-up labs and symptom tracking.
What hormones are included in a BHRT protocol?
Depending on your lab results and symptoms, your protocol may include estradiol, progesterone, testosterone, and DHEA. Each is dosed individually based on your unique biochemistry.
Can you treat perimenopause, or only full menopause?
Yes. Perimenopause, the transitional period that can begin years before your last period, is when many of the most disruptive symptoms start. We treat both perimenopause and menopause with personalized protocols. Take our free menopause symptom quiz to assess your symptoms.
Do you offer telehealth for menopause care?
Yes. All consultations and follow-ups are available via telehealth for patients anywhere in Washington state. Many women find this more convenient for ongoing care.
BHRT vs HRT: what's the difference?
HRT (hormone replacement therapy) is the umbrella term for treating menopausal hormone decline. BHRT (bioidentical hormone replacement therapy) is HRT that uses hormones structurally identical to the ones your body makes - estradiol, progesterone, and testosterone - rather than synthetic analogs. We tailor the type, dose, and delivery method to your labs and symptoms.
How much does BHRT cost?
Care starts with a one-time evaluation, then a monthly membership, with hormones passed through at cost with zero markup. Because we are direct-pay, pricing is transparent with no surprise bills, and many patients use HSA/FSA funds.
Does insurance cover BHRT?
We are a direct-pay practice and do not bill insurance. Our evaluation and membership pricing is transparent and often comparable to traditional copays and deductibles.
Many patients find the quality of care and time spent with an Asymmetric Health clinician far exceeds what insurance-based practices offer.
Menopause Care Near You
In person from our Lacey clinic or via telehealth statewide.
Is BHRT right for you?
Answer a few quick questions about your symptoms and goals. asymmetrichealth will match you to the right evaluation.