Bioidentical Hormones: Estrogen & Progesterone
Bioidentical hormones are structurally identical to the body’s natural hormones. Our naturopathic doctors assess candidacy through detailed symptom review and advanced hormone testing. We use the DUTCH Complete and DUTCH Cycle Mapping to ensure hormone support is personalized, evidence-informed, and safely prescribed.
Bioidentical hormones may help with:
Determining Candidacy with DUTCH Testing
Hormone testing is central to ensuring safety and precision when using bioidentical hormones. Depending on your presentation, we may recommend one or both of the following:
- DUTCH Complete: Provides a comprehensive overview of estrogen, progesterone, testosterone, cortisol, and metabolites. It also shows how estrogen is metabolized and cleared through the liver—information that is critical for ensuring safety before prescribing bioidentical estrogen.
- DUTCH Cycle Mapping: Used for women who are still menstruating to visualize estrogen and progesterone changes across the entire cycle. This helps identify ovulatory patterns, luteal-phase deficiencies, or imbalances that may explain cycle-related symptoms.
These tests allow us to identify whether estrogen or progesterone are low, high, or poorly metabolized, guiding safe and individualized hormone support.
E2 Estrogen Support
Overview: Estrogen influences temperature regulation, mood, cognition, bone health, and vaginal comfort. When low, symptoms such as hot flashes, brain fog, or dryness may occur.
- Form and dosing are individualized based on testing and history.
- Safety is guided by estrogen metabolism data from the DUTCH Complete.
Monitoring & Safety:
- Initial and follow-up consultations required for safe prescription.
- Monitoring symptoms and retesting ensures proper hormone clearance and balance.
P4 Progesterone Support
Overview: Progesterone supports sleep, mood stability, and a balanced luteal phase. Deficiencies may present as insomnia, anxiety, or irregular cycles.
- Form and dose are customized to testing results and cycle mapping data.
- Non-hormonal supports may be layered for comprehensive care.
Monitoring & Safety:
- Follow-up consultations review changes and adjust treatment if needed.
- Long-term safety monitored through regular review and re-testing as indicated.
How to Get Started
- Initial Consultation: Full review of symptoms, history, and hormone-related concerns.
- Testing: DUTCH Complete and/or DUTCH Cycle Mapping ordered to assess hormone balance and metabolism.
- Follow-Up Consultation: Required to review findings and determine candidacy for bioidentical hormone therapy.
- Ongoing Care: Adjustments and monitoring for sustained balance and well-being.