Bioidentical Hormone Replacement Therapy Specialist

Rosie Augustin-Wheeler, M.D. -  - Family Medicine

San Gabriel Family Medicine

Rosie Augustin-Wheeler, M.D.

Family Medicine located in Leander, TX

You’d like to rebalance your hormones to alleviate the symptoms of perimenopause or menopause, but you want to be sure that any medication you take works with — not against — your biology. Bioidentical hormone replacement therapy (BHRT) at San Gabriel Family Medicine in Leander, Texas, is custom-designed for you based on your unique hormonal profile. Rosie Augustin-Wheeler, MD, and her team use plant-based BHRT that mimics the chemical structure of human hormones. To find out more about BHRT, contact the friendly San Gabriel Family Medicine office by phone or book with the online form.

Bioidentical Hormone Replacement Therapy Q & A

What is bioidentical hormone replacement therapy?

Bioidentical hormone replacement therapy (BHRT) is a customized treatment that mimics the chemical structure of women’s hormones to alleviate the symptoms of perimenopause and menopause. 


Unlike traditional HRT, which is made from animal hormones, BHRT is synthesized from plant sources, such as yams and soy. Your BHRT may replace or boost essential hormones, such as:


  • Estrogen
  • Progesterone
  • Testosterone


Your doctor prescribes the hormones based on your unique hormonal profile. The goal of BHRT is to restore your hormones to more youthful levels. San Gabriel Family Medicine is one of the few providers in the area to offer BHRT.

Why do I need BHRT?

Your hormones don’t just control your fertility and your menstrual cycle. They affect every aspect of your body, including the rate at which your skin and hair renew themselves. When you enter perimenopause and menopause, the drop in the amount of hormones you produce can cause symptoms and conditions such as:


  • Night sweats and hot flashes
  • Dry and saggy skin
  • Hair loss
  • Fatigue
  • Trouble concentrating
  • Anxiety and depression
  • Dry or itchy vagina and vulva
  • Uncomfortable or painful sex
  • Low libido
  • Insomnia
  • Osteoporosis


Although perimenopause and menopause are a natural part of aging, you don’t have to suffer through symptoms that impair your quality of life.

How do I get BHRT?

If you’re troubled by the symptoms of perimenopause and menopause, your doctor takes a blood test to determine your levels of essential hormones. The test is evaluated on-site at the San Gabriel Family Medicine laboratory. Once your doctor knows what hormones need to be adjusted, they prescribe the right type of BHRT for you.

How do I take BHRT?

Your doctor may recommend a BHRT pellet that they place in your hip through a small incision. The pellet releases hormones gradually, in a manner that’s similar to your body’s natural cycle. You replace the pellet every three months. You can also opt for topical treatments, including creams and gels.

What are the benefits of BHRT?

Your body takes about 10 days to adjust to BHRT. After that, you notice a gradual resolution and even reversal of symptoms. Benefits include:


  • Healthier, tighter skin
  • More hair
  • Stronger bones
  • Increased vaginal lubrication
  • Higher libido
  • Better orgasms
  • Better concentration
  • Improved mood
  • Better sleep


Making sex pleasurable again with BHRT could also improve your intimate relationship.


To schedule a BHRT evaluation, contact the San Gabriel Family Medicine team today. Book using the online form or call the friendly and knowledgeable office staff.