Hormone optimization for women
Hormone replacement therapy (HRT) restores the hormones that fall or drift out of balance with age, stress or a health condition, most often estrogen, progesterone and testosterone, and brings them back into a healthy range. At Radiance East Bay Aesthetics in Pleasanton, Zayda Yeoh, NP, a Women's Health Nurse Practitioner, prescribes it from a full hormone panel and adjusts it at regular follow-ups until the numbers and the way you feel agree. The first step is a consultation and a blood draw.
HRT is for the symptoms that arrive when estrogen, progesterone or testosterone drop: hot flashes and night sweats, sleep that breaks at 3 a.m., a libido that has gone quiet, fatigue, weight that climbs around the middle, and the mood swings, irritability or brain fog that follow.
In perimenopause, cycles turn irregular and sleep and mood shift as estrogen and progesterone start to swing. In menopause, hot flashes, night sweats, weight change and low libido follow the fuller decline. HRT is written for both stages, with a different dose and mix.
The full symptom list, the panel and the programme around the prescription are on the hub.
Estrogen relieves menopausal symptoms and protects bone. Progesterone is its counterpart: it protects the uterus when estrogen is prescribed. Testosterone, in a carefully prescribed low dose, is added for some women when estrogen and progesterone alone do not lift libido, energy or mood.
That is why the panel comes before the prescription. It tells Zayda which of the three you need, and in what proportion, instead of starting every woman on the same combination.
For men, the conversation is about testosterone, and it has its own page.
Bioidentical hormones have the same structure as the hormones your body makes on its own. Synthetic hormones are similar, not identical. Zayda generally favors bioidentical formulations at the lowest effective dose, and explains the reasoning behind whichever option she recommends for your health profile.
Whether bioidentical is safer, and the rest of the risk questions, have their own page.
Hormones can be delivered as pellets, injections, creams, patches or oral formulations. Each carries a different risk profile, so the method is chosen to match your body, your goals and your history. Sessions are typically quick and comfortable, and there is little to no downtime with most HRT treatments.
The appointment
Zayda goes through your symptoms, your lifestyle and what you want back, then orders a comprehensive hormone panel, thyroid included.
Once the results are in, you go through them together and she writes the plan: which hormones, which form, and the lowest dose likely to work.
Pellets, injections, creams, patches or an oral prescription, depending on what suits you. Sessions are typically quick and comfortable.
Most women notice a change within four to six weeks, usually in energy, sleep or mood, with the clearer results around the three-month mark. Individual results vary.
Monthly visits at first, with repeat labs, while the dose is dialled in. Once you are on a maintenance dose, every three months.
Candidacy
You are likely a good candidate if you are:
Some histories change the conversation, and some rule HRT out. Both are covered on the concerns page.
Cost
The cost depends on which hormones your plan includes, the delivery method, the follow-up labs and how often you are seen early on. Zayda tells you the cost at the consultation, before anything is prescribed.
Insurance is not billed at Radiance East Bay Aesthetics, though some medications can be run through your plan at the pharmacy. Payment plans are available. If aesthetic treatments are part of your plan, the membership discounts those.
Your provider
Women's Health Nurse Practitioner
Zayda leads hormone optimization, medical weight loss and aesthetic care at Radiance East Bay Aesthetics in Pleasanton, and she orders the panel, reads it with you and adjusts every dose herself, at the monthly visits and after.
Meet ZaydaClient reviews
Patients rate Radiance East Bay Aesthetics 4.9 out of 5 across more than 93 Google reviews.
Questions
Still unsure? The skin consultation is complimentary, and Zayda will answer anything this page does not.
The cost at Radiance East Bay Aesthetics depends on which hormones your plan includes, how they are delivered, the follow-up labs and how often you are seen early on. Zayda quotes the full cost at the consultation. Insurance is not billed. Payment plans are available.
As long as treatment continues. When you stop HRT, hormone levels decline again over time and the symptoms that brought you in can return. With ongoing care and monitoring, the improvements in energy, mood and metabolism hold.
Bioidentical hormones are structurally identical to the ones your body produces, which may help them integrate more smoothly. Synthetic hormones are similar but not identical. Zayda generally favors bioidentical options and discusses which fits your health profile at the consultation.
Usually the opposite. Balanced hormones tend to improve metabolism and make weight easier to manage, and every HRT plan at Radiance East Bay Aesthetics is paired with nutrition and lifestyle guidance. If weight is your main concern, the medical weight loss programme runs alongside.
Some do. Testosterone may be recommended when estrogen and progesterone alone do not fully relieve symptoms, most often a drop in sexual desire during menopause. In carefully prescribed low doses it can also support energy and mood. Your labs decide whether it belongs in your plan.
When it is prescribed from lab work and monitored by a medical professional, yes. The cancer, blood clot and side effect questions deserve full answers, and they have their own page.
Keep exploring
Explore Hormone optimization for women
Performed at the studio in Pleasanton, for clients across Pleasanton, Danville, Dublin, Fremont, Hayward, Livermore, San Leandro, San Lorenzo and San Ramon.
Your next step
Bring your symptoms and your history. Zayda will order the panel, show you what it says, and tell you which hormones, if any, would help and in what form, before you commit to anything.
It takes less than a minute.
