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BHRT for Women
Individualized care designed to help you feel better.



Women's Health Overview


Bioidentical Hormone Replacement Therapy (BHRT)

Many women experience hormone imbalances. These imbalances can occur due to aging in peri-menopausal or menopausal women – and they can also occur in young women for several reasons, including medical conditions and taking certain medications. A deficiency in one or multiple hormones can lead to symptoms like hot flashes, night sweats, sexual health issues like low sex drive and vaginal dryness or discomfort, anxiety and depression, and more. 

If this sounds like you, Bioidentical Hormone Replacement Therapy (BHRT) may be able to help. BHRT can restore hormones to optimal levels, which can reduce negative symptoms associated with hormone imbalance. Comprehensive blood testing and an in-depth consultation help our providers understand your symptoms, hormone levels, and individual needs as a patient. A hormone restoration program will then be designed around your specific goals, responses to treatment, and feedback. 

Our BHRT program provides continued support through telemedicine, along with high quality and affordable medication conveniently delivered to your doorstep. Your patient care team will also be available to answer questions and provide instruction throughout your care.

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Types of Hormone Therapies We Offer
Bioidentical Hormone Replacement Therapy (BHRT)

Bioidentical Hormone Replacement Therapy (BHRT) helps to bring hormone levels up to optimal ranges for symptom relief and improved quality of life. Patients who experience a hormonal imbalance can benefit from BHRT, which uses biologically identical hormones to replace the ones that the body has slowed in or completely stopped producing. Estradiol and progesterone are available in a variety of dosage forms including capsule, cream, suppository, sublingual tablet, and subcutaneous pellet.

Read more about BHRT options we offer.

Testosterone Replacement Therapy (TRT)

While it's often considered a "male" hormone, women's bodies produce Testosterone, as well. Testosterone deficiencies in women are often undiagnosed but can cause life-interrupting symptoms like sexual dysfunction, anxiety, weight gain and difficulty losing weight, and more. We offer several Testosterone delivery systems to help you find the one that works for you. These include topical application through creams and gels, implantable pellets, injections, and more. 

Read more about Testosterone Replacement Therapy for women. 


Hormones Replacement to Treat Sexual Dysfunction.

Hormone deficiencies can cause sexual health issues that affect the quality of your intimacy. We can treat these female sexual health symptoms with safe, effective delivery systems for hormones like estradiol, estriol, and DHEA. These hormones are available as intravaginal hormone suppositories and in a cream base with an applicator. We also offer supplemental sexual health medication like Oxytocin, libido creams, Bremelanotide, and more to help provide symptom relief. 

Learn more about Women's Sexual Health. 

Thyroid Hormone Replacement Therapy

An estimated 10% of women have some type of thyroid deficiency, and unfortunately this issue is underdiagnosed. Symptoms of thyroid hormone deficiency include fatigue and weakness, weight gain, depression and other mood issues, memory loss, decreased libido, coarse hair or hair loss and more. We use comprehensive testing to identify whether your have a potential thyroid deficiency. Then we can prescribe Thyroid Hormone Replacement Therapy as appropriate. We typically treat hypothyroidism with compounded or commercial medications including:

  • Desiccated thyroid
  • Levothyroxine
  • liothyronine sodium
  • Combination therapies

Read more about Thyroid care.

Growth Hormone Replacement Therapy (GHRT)

Somatropin, also known as Human Growth Hormone (HGH), is an important hormone in the body, and production of it decreases naturally as we age. This can lead to symptoms like poor body composition, fatigue, insomnia, reduced muscle mass, slow recovery and healing times, and more. GHRT can help replenish HGH levels to improve and potentially reverse these symptoms. We often call this type of therapy Peptide Therapy. 

Read more about Peptide Therapy.

Combination Therapies

Depending on your goals and test results, you may require more than one treatment to achieve symptom relief and an increased quality of life. We will work with you to develop an individualized plan that may include a combination of of the above treatments. This holistic approach helps us treat the whole patient, and not just one or two disconnected symptoms. 


How to Get Started With Defy Medical

All new patients begin with a comprehensive evaluation that includes blood tests, a consultation, and an individualized treatment plan built for your needs. Our initial consultation allows for up to an hour with the medical provider who will discuss all test results, conditions, and goals. 

Speak to a Patient Advocate
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Connect to a Defy Medical Patient Advocate. The first step is to contact our Patient Advocate team to discuss your unique situation, goals, and needs for hormone restoration. They will help you access your comprehensive labs and collect all the necessary documentation to become a patient. Contact a Patient Advocate Now. 

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Get your comprehensive lab testing. This labwork help us understand your hormone levels and overall health. Depending on your symptoms, your Patient Advocate may recommend other tests for you, including additional thyroid testing and others as appropriate. Comprehensive testing is key to making sure your protocol meets your needs and delivers effective results. 

  • Comprehensive Metabolic Panel
  • CBC
  • Lipid Panel
  • Testosterone Free and Total
  • Estradiol
  • DHEA-S
  • TSH
  • FSH
  • Progesterone
  • IGF-1
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Send us a Physical Examination (PE). In order to become a patient, we will need to receive a PE that is recent (within the last 90 days). 

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Consult with a knowledgeable and compassionate Defy Medical provider. This consultation will last up to an hour and will give you an opportunity to talk in-depth about your symptoms and lab results, plus ask any questions about hormone restoration and other treatments as appropriate. Your provider is here to listen to you and help create an individualized plan designed just for your needs as a patient. 

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Order your medications through our convenient online Patient Portal. You can order any prescribed medications easily online and have them shipped directly to your door — no face-to-face contact needed. Have questions while placing your order? Our Patient Support team will be available via phone, email, or chat to help you. 

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Follow-up labs and consultations. We check in with you regularly to make sure your hormone restoration is working and you're feeling better, and to make any adjustments as needed. 

Comprehensive Care you Can Count On

Frustrated with providers who don’t listen to you or strive to meet your needs? Feeling a decline in your overall health and zest for life and struggling to find solutions? Learn about Dr. Justin Saya's approach to BHRT and HRT in women to see how we can help you. Dr. Saya is Defy Medical's Lead Practicing Physician and Medical Director. 

More Video Resources for Women

Intro to BHRT/HRT for Women Webinar

Optimizing Sexual Health for Women

A Discussion on Metabolism with Dr. Calkins

Why Choose Defy Medical

Defy Medical is a concierge clinic specializing in hormone restoration and wellness. We have offered convenient telemedicine care for almost a decade and pride ourselves on listening to our patients and responding to their individual needs. We have helped more than 15,000 patients reach their wellness goals and live happier, healthier lives — and we're excited to do the same for you. 

At Defy Medical, we offer: 


A team of expert physicians skilled in the latest protocols


Access to care not typically covered by insurance


Convenient telemedicine consultations


An online Patient Portal to help you easily manage your care and order your medications


Medications and supplies delivered to your door


Outstanding customer service and support

Expanding Patient Access
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Physician-Guided Patient Care

  • You have access to a dedicated care team to provide guidance and assist with any issues.
  • Our experienced practitioners use clinical evidence to determine the appropriate dose and strength, along with proprietary bases that are optimal for patient comfort.
  • Patients receiving HRT are monitored by their practitioners to ensure balanced levels.
  • Our convenient telemedicine provides patients with access to full-service care anywhere in the US.
  • Patients can schedule appointments, refill medications, and order lab tests easily through our patient portal.
  • Custom software allows all practitioners on the care team to collaborate over individual patients and view important data that can be used to guide treatment.

Blood Testing

Defy Medical partners with accredited laboratory services to deliver a full catalog of high-quality, discounted testing to patients located anywhere in the US. Labs can be completed a service center near your home or work. Home lab draws can also be arranged for special circumstances. Tampa area patients can also visit the Defy Medical Tampa clinic to have lab work completed.

We require comprehensive lab testing to help your medical provider understand your levels over time and monitor how you’re responding to treatment. This allows the physician to make adjustments to your regimen, so you can find the right balance and maintain it over time.  Follow-up blood work is typically required three months after you begin therapy, and then every 6 months after that once stabilized. 


Defy Medical provides access to FDA-registered 503b and USP 503a compounding pharmacies to deliver a full catalog of women’s health products including custom hormone formulations. Hormones are available in a variety of delivery systems, strengths, and combinations. Compounding allows us to customize the medication with pharmacy guidance. Medications are shipped from the pharmacy directly to the patient’s location, anywhere in the US. 


Are You An International Patient?
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Options for patients who reside outside of the U.S.

If you live in the United Kingdom, Canada, or another country outside of the U.S. and you're looking for guidance on Women's Health and Bioidentical Hormone Replacement Therapy – Defy Medical can help you. Our International Consultations allow you to talk with an expert to receive informed recommendations on care

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