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

  • A $175 consultation fee is required at the time of booking. If you choose to move forward with a hormone optimization program following your visit, this fee may be credited toward your treatment plan.

  • (For New or Undecided Patients)

    This phase is designed for patients who are new to hormone therapy or want a guided introduction before committing to long-term optimization.

    During this 8-week phase, we focus on:

    • Comprehensive medical intake and symptom review

    • Review of labs and hormone levels

    • Education on bioidentical hormone therapy

    • Establishing baseline dosing when appropriate

    • Understanding how your body responds to treatment

    • Creating a personalized long-term hormone plan

    This phase allows you to:

    • Learn how hormone therapy works

    • Experience how your body responds

    • Build a relationship with your provider

    • Decide if you’d like to continue into full optimization

    💡 This phase is ideal for patients who want education, clarity, and a safe introduction to hormone therapy.

    Important:
    Continuation of hormone therapy requires enrollment in the 12-month Hormone Optimization Program. BHRT is not continued without structured follow-up.

    Investment:

    $895 one-time

    Financing Examples (Illustrative Only):

    • ~$75/month for 12 months with Cherry or CareCredit

    • Promotional 0% APR options may be available for qualified patients

  • This is the foundation of the Velvet Hormone Replacement Therapy model and is required for all patients pursuing long-term hormone optimization.

    The Hormone Optimization Program is designed to establish hormonal balance, optimize symptoms, and create long-term stability through structured monitoring and ongoing medical oversight.

    This program follows a phased, clinical approach that allows your body to adjust safely while ensuring precise dosing and long-term success.

    What This Program Includes

    ✔ Personalized Hormone Treatment Plan
    Your plan is created based on lab results, symptoms, medical history, and individual goals.

    ✔ Prescription Management
    Medications are prescribed and adjusted based on your response and lab values throughout the year.

    ✔ Quarterly Follow-Up Visits (Every 3 Months)
    Follow-ups may be completed via telemedicine or in person and are used to:

    • Review symptoms and progress

    • Adjust dosing as needed

    • Monitor tolerance and effectiveness

    • Ensure optimal hormone balance

    ✔ Laboratory Monitoring

    • Baseline labs prior to or at initiation

    • Follow-up labs at least every 6 months

    • Additional labs as clinically indicated

    ✔ Dose Optimization & Adjustments
    Hormone therapy is not “one-size-fits-all.” Doses are adjusted gradually to achieve symptom relief while maintaining safety and stability.

    ✔ Continuous Provider Oversight
    You will remain under medical supervision throughout the entire 12-month period to ensure safe, effective, and evidence-based care.

    How the 12-Month Optimization Phase Works

    Months 0–3: Initial Optimization Phase
    This is when therapy begins and your body starts adjusting to treatment.
    Dose titration and symptom monitoring are key during this phase.

    Months 4–6: Stabilization Phase
    Hormone levels begin to stabilize. Adjustments are made based on labs, symptoms, and how your body responds.

    Months 7–12: Optimization & Refinement Phase
    This phase focuses on fine-tuning, symptom resolution, and establishing long-term balance in preparation for maintenance care.

    Important Program Notes

    • This program is required prior to entering maintenance care
    • Designed for long-term success, not short-term fixes
    • Ensures safe dosing, proper monitoring, and optimal outcomes
    • Provides continuity of care with consistent provider oversight

    After Completion

    Once the 12-month optimization phase is completed and hormone levels are stable, patients may transition into the Maintenance & Longevity Program, which offers lower-frequency visits and continued long-term care.

    Investment:

    $3,000 annually

    Financing Examples (Illustrative Only):

    • ~$250/month for 12 months

    • ~$125/month for 24 months

    • Promotional 0% APR options may be available for qualified patients

    Example Display:
    $3,000 → as low as ~$125/month with financing*

  • (Available After Completion of Year 1)

    Once hormone levels are stabilized, patients may transition to maintenance care focused on long-term monitoring and wellness.

    Monthly Maintenance Membership:

    $249/month

    Includes:

    • Ongoing prescription management

    • Periodic laboratory monitoring

    • Provider follow-ups as indicated

    • Continued symptom evaluation

    PAYMENT & FINANCING OPTIONS

    We offer flexible payment options for qualified patients:

    Credit / Debit
    Cherry (payment plans and financing)
    CareCredit (healthcare credit card; approval required)

    Insurance is not accepted for BHRT services.

    *Financing terms are subject to approval. Monthly payments and promotional APR offers are determined by the financing provider and may vary.

    MEDICAL & LEGAL DISCLOSURES

    Hormone therapy is an elective medical service and may not be appropriate for every individual. Participation requires adherence to monitoring, follow-up, and laboratory testing requirements.

    By pursuing BHRT services, patients acknowledge:

    • Hormone therapy carries potential risks and benefits

    • Results vary between individuals

    • Ongoing monitoring is required for safety

    • Treatment may be modified or discontinued if medically indicated

    • No outcomes or results are guaranteed

    All patients must complete required intake forms, laboratory testing, informed consent, and telemedicine consent (if applicable) prior to treatment.

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BHRT – FAQ

  • Patients may schedule an in-person or telemedicine consultation online. Required intake forms, labs, and consent must be completed before treatment begins.

  • BHRT is a medically guided treatment that uses hormones identical to those naturally produced by the body to address hormone imbalances based on laboratory testing and clinical evaluation.

  • Candidates are men or women experiencing symptoms related to hormone imbalance. Eligibility is determined through medical history, required labs, and provider assessment.

  • Yes. Laboratory testing is mandatory before starting BHRT and is required to guide safe and appropriate treatment.

  • At minimum, labs are required at baseline and every 6 months during the 12-month Optimization Phase, or more frequently if clinically indicated.

  • Follow-up visits are required every 3 months (quarterly) during the Optimization Phase to review symptoms, labs, and dosing.

  • No. BHRT is not offered on an open-ended or month-to-month basis due to the need for structured medical monitoring.

  • New patients may begin with an 8-week Medical Evaluation & Initiation Phase. Continued hormone therapy requires enrollment in the 12-month program.

  • We offer non-invasive hormone therapy only, including oral prescriptions, topical creams or gels, and vaginal hormone therapy.

  • Yes. BHRT is not offered to individuals with a personal history of cancer, known BRCA1 or BRCA2 mutation, hormone-sensitive malignancies, or other contraindications.

  • Hormone therapy has potential risks and benefits. Safety depends on proper patient selection, dosing, and ongoing monitoring. Results vary by individual.

  • Yes. Financing may be available through Cherry and CareCredit for qualified patients. Terms and approvals are determined by the financing provider.

  • After completing the 12-month Optimization Phase, eligible patients may transition into a Hormone Maintenance Program with ongoing monitoring.