Bioidentical Hormone Replacement Therapy for Women

Lawrence M. Cohen, M.D. specializes in Bioidentical Hormone Replacement Therapy, and offers several programs for women. Countless numbers of women are suffering from hormonal imbalances, whether from early menopause, perimenopause, hypothyroidism, or hyperthyroidism. By replenishing hormones in the body and bringing our systems into balance our staff at The Center for Complementary Medicine, can reverse and prevent a number hormone and age-related illnesses. Bioidentical hormone replacement is not just for menopause and perimenopause symptoms. Proper hormonal balance is the key to overall health and well-being.


During perimenopause, which can last from 4-6 years and usually ends after twelve months of amenorrhea (cessation of menstruation), a woman’s menstrual cycle becomes irregular and varied, and fertility becomes diminished.

Perimenopause is the time that precedes actual menopause, when many women begin noticing the following symptoms:

  • Weight Gain
  • Migraines
  • Irregular Periods
  • Acne
  • Infertility
  • Low Libido
  • Mood Swings
  • Lack of mental clarity

Women who come to Lawrence M. Cohen, M.D. for perimenopause treatment can experience better memory and mental acuity, weight loss, improved bone health, as well as cardio protection. The goal is not necessarily to return hormones to normal ranges; instead the clinic likes to go beyond and get women in the optimal range to help them feel their very best.


The signs and effects of the menopause transition can begin as early as age 35, although most women become aware of the transition in their mid to late 40s. Normally lasting for several years, its duration varies for every woman, and its course is impossible to predict. Unlike conventional doctors, Lawrence M. Cohen, M.D. in San Antonio only uses bioidentical hormones to treat the symptoms of menopause. Because bioidentical hormones are identical to the hormones produced in your body, there are none of the harsh side effects that typically result from treating these symptoms with synthetic hormones. Since the underlying cause of the symptoms of menopause is a decline in the natural hormones, the best menopause treatment begins with replenishing a woman’s body with bioidentical estrogen, progesterone, and testosterone to help restore her back to good health.

Some of the most common symptoms of menopause include:

  • Cravings for sweets or carbohydrates
  • Weight gain
  • Hot flashes and night sweats
  • Feeling depressed
  • Mood swings or irritability
  • Insomnia or restless sleep
  • Headaches
  • Loss of desire
  • Fuzzy thinking
  • Digestive issues
  • Stiffness or joint pain
  • Anxiety
  • Heart palpitations
  • Breast pain
  • Adult acne
  • Urinary dysfunction
  • Unwanted hair growth
  • Hair loss
  • Dry skin
  • Fibroids


Perimenopause and menopause are not the only conditions caused by hormonal imbalance. Lawrence M. Cohen, M.D. uses only natural bioidentical hormones are used to treat hypothyroid. Patients who undergo treatment can expect an increase in energy levels, clearer thinking, and relief from depression. Many patients have also reported weight loss as well as stronger and healthier hair, skin and nails.

Hypothyroid (underactive thyroid gland) is a common example, and generally includes the following symptoms:

  • Fatigue, exhaustion
  • Depression
  • Difficulty concentrating
  • Brain fog
  • Unexplained or excessive weight gain
  • Dry, coarse and/or thinning hair
  • Feeling cold, especially in the extremities


In traditional medicine, hyperthyroidism (overactive thyroid gland) is generally treated with synthetic T4, which can correct your T4 and TSH levels. However, many people cannot efficiently convert T4 to T3. This is a problem because T3 is the more active form of thyroid hormone. Even if your T4 and TSH levels are optimal, if your T3 levels are imbalanced, you may still experience symptoms. Only natural bioidentical hormone treatments are used so the body has a much easier time converting T4, which will help you feel better sooner.

Some of the symptoms of hyperthyroidism may include:

  • Nervousness
  • Irritability
  • Increased perspiration
  • Heart palpitations
  • Faster heart rate
  • Increased bowel movement
  • Thinning of your skin
  • Fine brittle hair
  • Muscular weakness especially involving the upper arms and thighs

Some benefits of balanced hormones include:

  • Improved weight loss
  • Improved sex drive
  • Improved look and feel of hair and skin and nails
  • Improved mental health
  • Improved memory
  • Improved mood and emotional balance
  • Lower cholesterol levels
  • Decreased risk of osteoporosis
  • Decreased risk of heart attack
  • Decreased risk of stroke