Bioidentical Hormone Replacement Therapy Columbus, GA

Hot Flashes

Palpitations

Insomnia

Reduced Libido and/or painful intercourse (from vaginal dryness)

Fatigue / Low Energy

Depression / Irritability / Reduced Mental Focus (Brain Fog)

Dry Skin

Weight Gain, Muscle Loss 

Difficulty Losing weight

Bone Loss

Understanding Hormonal Imbalance in Women

If you’ve experienced any of the symptoms listed above, you may be suffering from a hormonal imbalance or deficiency. Starting a Bioidentical Hormone Replacement Therapy (BHRT) regimen may help restore balance and significantly improve your quality of life.

Perimenopausal Women

Many women begin to experience symptoms of hormonal imbalance as early as their late 30s to early 40s. The most common issues during perimenopause include:

Low progesterone

Suboptimal testosterone

Estrogen dominance

These imbalances can cause a range of disruptive symptoms, such as:

Palpitations

Insomnia

Fatigue

Depression

Brain fog

Irritability

Weight gain or difficulty losing weight

Postmenopausal Women

After menopause, women typically become deficient in all major hormones, including estrogen, progesterone, and testosterone. This widespread deficiency can lead to a constellation of symptoms that affect not only comfort and mood but also long-term health and vitality.

Bioidentical hormones are compounds derived from plants that are chemically identical to the hormones naturally produced by the human body. It has been theorized that these hormones may offer a safer alternative to synthetic hormones commonly prescribed in conventional hormone replacement therapy. Some studies suggest that bioidentical hormones do not carry the same increased risks—such as blood clots, breast cancer, or cardiovascular disease—that have been associated with synthetic hormone use.

Here at Fountain Wellness and Aesthetics we offer individual plans to treat the symptoms of menopause and perimenopause.

Schedule Your Initial Consultation (See Booking Link Below)

Contact our office to schedule your initial consultation or conveniently book online. Once your appointment is confirmed, we’ll email you intake paperwork. Please complete the paperwork before your first visit. There is a one time, initial $100 consultation fee during your first intake visit. We will order a comprehensive hormone lab panel during your first visit.

We will do a quick follow up once your completed labs have been reviewed and begin a treatment plan tailored to your specific needs.

We do not accept insurance for visits or treatments. However, your insurance may cover laboratory testing.

Please Note: We do not accept insurance.
All services are offered on a self-pay basis. There is a one time initial consultation fee of $100 to ensure personalized, flexible care.

Bioidentical Hormone Replacement Therapy (BHRT) is customized to support women's hormonal balance throughout perimenopause, menopause, and beyond. Depending on your symptoms, lab results, and goals, a combination of oral, topical, injectable, and pellet-based options may be recommended.

Treatment plans may include:

• Bioidentical Estrogen
• Bioidentical Progesterone
• Testosterone (micro-dosed)
• DHEA
• Optional thyroid optimization (additional fee)
   

$120 – $250 per month
Includes:

• Monthly B12 injections at no additional cost
• Optional thyroid hormone optimization, if needed (additional fee applies)
• All plans are purchased as 3-month packages
   

Plan 1 - $110        

Oral Estrogen, Oral Progesterone   

Plan 2 - $140                         

Topical Estrogen, Oral Progesterone

Plan 3 - $185                            

Oral Estrogen, Oral Progesterone, SQ Testosterone

Plan 4 - $220      

Topical Estrogen, Oral Progesterone, SQ Testosterone

Plan 5 - $250                            

Topical Estrogen, Topical Progesterone, SQ Testosterone    

• $370 per insertion (Testosterone and/or Estrogen)
• Effects typically last 3–4 months
   

• Oral Progesterone or Estrogen Only: $60/month
• Topical Estrogen Only:  $80/month
• Topical Progesterone Only: $80/month
• Injectable Testosterone Only:
  • $100/month (In-clinic)
  • $280 (3-month supply for at-home administration)
     

$100 – $200 per month

Topical hormone therapy may reduce the risk of certain side effects and is evaluated on a case-by-case basis.

Topical Plan 1 - $80                          

Estrogen Only

Topical Plan 2 - $80                 

Progesterone Only

Topical Plan 3 - $150                      

Estrogen + Progesterone

Topical Plan 4 - $200                     

Estrogen + Progesterone + Testosterone 

Lab Work & Monitoring

Following the initiation of treatment or any changes in dosing, blood work will be completed every 6 to 8 weeks to monitor progress and guide further adjustments. On average, it takes about six months to fully optimize treatment and stabilize symptom improvement. Once stability is achieved, lab work will only be required every six months for continued monitoring.

Lab Options & Insurance

Lab orders will be provided by our clinic, and patients may choose to have their blood drawn at the lab of their choice. We recommend LabCorp or Quest Diagnostics based on which one is in network with your insurance.

While most insurance plans typically cover the majority of lab costs, any lab fees not covered by insurance are the patient’s responsibility.

If you’ve had recent lab work completed, feel free to bring your results to your appointment. We will review them and only order additional labs if necessary.

Our premium medicated topical creams are expertly formulated to enhance sexual health, boost libido, and improve overall intimacy and satisfaction.

• Available in 30 gram tubes
• Prices range from $120–$165, depending on formulation
   

These creams may help:

• Increase sexual arousal and excitement
• Heighten sensitivity and pleasure
• Support improved sexual confidence and wellness
   

Each formulation is tailored to address specific needs and goals and can be discussed in more detail during your personalized consultation.

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To support your overall wellness and optimize treatment outcomes, we offer a range of high-quality, physician-recommended supplements. These may be customized based on your lab results, health goals, and lifestyle needs.

Pure Encapsulations Recommended Oral Supplements

#1. Women's Nutrients 40+ Supplement – $55 (2-month supply)

Based on the product pages, Women’s Nutrients 40+ is a comprehensive multivitamin/mineral complex designed for women in or past the age 40+ phase. Some of its claimed benefits/features are:

• Supports urinary tract health, breast cell health, eye integrity / macular & retinal health.
   
• Supports cardiovascular/blood vessel health.
   
• Includes “activated” (bioavailable) vitamins & mineral chelates, e.g., folate as Metafolin® (L-5-MTHF) instead of plain folic acid.
   
• Vegetarian and hypoallergenic formulation (no common allergens like wheat, soy, dairy, etc).
   
• Includes a blend of extra botanical/nutrient complexes: e.g., a “MacularSynergy” carotenoid blend (lutein, zeaxanthin), a “BreastHealth Plus” complex (green tea extract, HMRlignan™ from Norway spruce, turmeric) and a “StressCalm” blend (rhodiola, lemon balm) among others.
   

Here are some of the more noteworthy nutrients or complexes in the formula (based on the “FullScript” listing) and why they might matter:

• Folate (as L-5-MTHF, Metafolin®) – 667 µg DFE. This is the active form of folate and may be better absorbed/used by some individuals vs standard folic acid.
   
• Vitamin B12 (as methylcobalamin) – 250 µg. Active form of B12.
   
• Carotenoids & eye health complex: lutein 3 mg, zeaxanthin 0.5 mg.
   
• Botanical extracts: Green tea (50 mg), Turmeric (50 mg) in the “BreastHealth Plus” blend.
   
• Stress/Adaptogen blend: Rhodiola (50 mg), Lemon Balm (25 mg).
   
• Hypoallergenic / vegetarian capsule: “vegetarian capsule (cellulose, water) 

#2. Ashwagandha - $25 for 2-month supply. 

• Ashwagandha is best known for its adaptogenic properties, helping the body cope with physical and emotional stress.
• May help lower cortisol (the stress hormone), improve stress resilience and promote a sense of calm.
   

• May help improve symptoms of mild depression and boost overall mental well-being by balancing neurotransmitters like serotonin and GABA.
   

• Often used to support restful sleep and reduce insomnia by calming the nervous system.
   

• Helps increase endurance, reduce fatigue, and support energy production without stimulating the nervous system (unlike caffeine).
   

• May help support healthy thyroid function (particularly in cases of subclinical hypothyroidism).
• Commonly used to support adrenal gland recovery in cases of burnout.
   

• Contains antioxidants like withanolides which may boost immune defenses and reduce inflammation.
   

• May improve focus, memory, and cognitive performance by reducing stress and supporting brain health.
   

• Especially helpful for women during menopause, PMS, or perimenopause by supporting the endocrine system (e.g., balancing cortisol and sex hormones).
• May enhance libido in both men and women.
   

• May increase muscle mass, strength, and exercise recovery—often used in sports nutrition.
   

Ashwagandha pairs well with Bioidentical Hormone Replacement Therapy (BHRT) because:

• It naturally supports hormonal balance and stress resilience.
• It helps reduce the emotional and physical symptoms that can arise during hormonal shifts (e.g., anxiety, low energy, sleep issues).

#3. SP Ultimate – $50 for 1 month supply

SP Ultimate contains a synergistic blend of botanicals (including saw palmetto) that help support balanced DHT levels.
Helps reduce DHT-related symptoms such as thinning hair, hormonal acne, or increased shedding.

By supporting healthy androgen metabolism, SP Ultimate may help reduce breakage, shedding, and DHT-related hair thinning.
Ideal for women noticing postpartum hair shifts, perimenopausal changes, or stress-induced shedding.

DHT imbalance can contribute to adult hormonal acne.
SP Ultimate may help calm oil production, support clearer pores, and reduce inflammation associated with breakouts.

Botanical extracts and nutrients help support balanced androgen and estrogen pathways.
May assist with symptoms related to PMS, perimenopause, or hormonal fluctuations such as irritability and fatigue.

Traditional botanicals may help ease mild urinary frequency, pressure, or pelvic discomfort—common concerns as women age.
Promotes healthy urinary tract and pelvic tissue function.

Contains plant-based antioxidants that help reduce oxidative stress in the skin, hair follicles, and hormone pathways.
Supports overall cellular health and aging wellness.

Hormonal imbalances and chronic stress can affect energy and vitality.
SP Ultimate helps support steadier daily energy by promoting balanced hormones and reducing inflammation.

Designed to promote balanced testosterone conversion—helping maintain symptoms related to elevated DHT such as scalp thinning, oily skin, or cystic breakouts.
Helps women maintain a healthier hormonal profile as they age.

SP Ultimate pairs well with women’s Bioidentical Hormone Replacement Therapy because:

• It helps support healthy androgen metabolism, especially during perimenopause or menopause.
• It may reduce androgen-related side effects such as hair thinning or acne.
• It complements hormone therapy by supporting overall endocrine balance, inflammation control, and tissue health.