notepad reading hormones next to a stethoscope

Feel Like Yourself Again

Bioidentical Hormone Replacement Therapy

One of the most common culprits behind the symptoms of aging is hormone imbalance. Hormones control thousands of functions in the body and act as the chemical messengers that keep everything in rhythm — our sense of well-being, mental clarity and focus, sexual desire, and much of what drives our energy, vitality, and health.

Signs of Hormone Deficiency

Fatigue
Insomnia
Anxiety
Hot flashes
Night sweats
Brain fog
Depression
Low sex drive
Erectile dysfunction
Mood swings
Weight gain

Small Changes, Big Benefits

Restoring Balance, Naturally

The goals of BHRT go beyond simply alleviating unpleasant symptoms — they focus on restoring hormonal balance naturally and replenishing essential hormones that may have declined due to age, stress, or other factors. BHRT uses hormones that are chemically identical to the ones your body produces, for a more natural and precise approach to hormone replacement.

Beyond easing symptoms, BHRT provides protective health benefits similar to those your own hormones would offer, such as enhanced cardiovascular health, stronger bones, and improved cognitive function. By restoring your body's natural hormonal rhythms, BHRT can also support metabolism, maintain skin elasticity, and balance mood.

Rather than just masking symptoms, BHRT works to promote long-term health and vitality by addressing the root causes of hormonal imbalance — helping you feel more energized, youthful, and balanced. Whether it's physical energy, mental clarity, or emotional stability you're after, BHRT offers a holistic, individualized approach to optimal health at any age.

Restoring Deficient Hormones

Weight gain is one of the most common symptoms of hormonal imbalance, and many women gain weight during menopause. How much weight gain and where it's distributed depends on which hormones are declining and out of balance — weight gain in the middle of the body often points to disproportionate estrogen decline, cortisol facilitates fat storage around the waist, and weight gain around the hips can signal low progesterone relative to estrogen.

A Convenient Option

BHRT Pellets

BHRT pellets are a form of hormone replacement therapy that uses small, biodegradable pellets implanted under the skin. These pellets release bioidentical hormones — identical in chemical structure to the hormones your body naturally produces.

Consistent hormone levels — a steady release into the bloodstream, unlike oral or topical medications that can fluctuate
Reduced side effects — many patients report fewer hot flashes, night sweats, and mood swings than with other forms of HRT
Convenient — less frequent administration than other therapies, typically lasting 3-6 months

BHRT For Women
BHRT can ease the symptoms of menopause, perimenopause, and andropause. It's been shown to reduce the risk of dementia and heart disease, lower osteoporosis risk, slow the aging process, and improve muscle tone, skin, and sleep quality, while enhancing energy.
BHRT For Men
Low testosterone can lead to weight gain, particularly around the abdomen — and excess belly fat contributes to increased estrogen production, which can further promote fat accumulation. BHRT helps restore hormonal balance naturally when a deficiency is diagnosed. Common symptoms of low testosterone include fatigue, weight gain, muscle loss, brain fog, low libido, decreased motivation, and sleep apnea.

A Common Question

Bioidentical vs. Synthetic Hormones

BHRT offers many positive health benefits with no dangerous side effects when administered and monitored by a doctor who specializes in bioidentical hormones. Bioidentical hormones are identical in chemical structure to the body's natural hormones — produced in a lab from plant matter rich in phyto-hormones that can be readily converted into bioidentical form. Synthetic hormones, by contrast, differ in molecular structure from human hormones and can carry a higher risk of side effects.

These hormones include estrogens (estrone, estradiol, estriol), progesterone, testosterone, melatonin, pregnenolone, and thyroid and adrenal hormones such as DHEA and cortisol.

Atoms and cells illustrating molecular structure

Doctor reviewing patient results on a clipboard

Next Steps

Getting Started With BHRT

Consulting with a doctor who specializes in BHRT is the first step. Baseline hormonal testing ensures a safe and precise approach, and hormone levels should be tested every three months until a proper balance is established, then annually after that. Very few physicians are trained in bioidentical hormones and BHRT, and patients get the best results by following the guidance of a doctor experienced in this specific field.

Here at Idaho Primary Care and Wellness, we're experienced and knowledgeable in interpreting hormone testing and prescribing a BHRT program customized to you.

Patient Reviews

What Our Patients Are Saying

Dr Ashley is an exceptional family doctor who cares about her patients. Our family has been seeing her for over 5 years and have always had excellent care.
Mary W
I absolutely love this doctors office. They truly care about each patient and your needs. From the time you walk in with the receptionist, who is ready to check you in to the medical assistants who are so kind and always willing to help. Dr. Ashley, Sam, now Corinne who are three of the best physician you can find in the Spokane area. Also when you need an appointment, you get scheduled way sooner than anywhere else. You're not waiting 6 months to see the doctor. If you're looking for a primary care doctor, this is the place for you.
Mike Jackson
My wife and I found Dr. Ashley four years ago and instantly knew we had discovered the best! Dr. Ashley listens and evaluates the data and the whole patient before discussing a holistic approach to correcting the issue, and does not just address the symptoms. She is personable and uses a direct approach to address the problem. We had to move over three hours away for two years and still chose to make the drive and be seen by Dr. Ashley instead of by a local physician. If you truly desire to address the problem, Dr. Ashley and Family Medicine Liberty Lake should be your first choice.
Kevin & Kalli H
Dr Ashley has been my doctor, as well as my late husband's, forever. She has taken good care of me and she really shows compassion!! I give her 5 stars!! She is an excellent Physician!!
Madaline Bodeau
I have very difficult schedule due to my work AND I have multiple chronic diseases that have multiple specialist that Dr. Ashley has to manage YET she ALWAYS does with wisdom, grace and compassion. I've known her for years prior to becoming her patient and when my former PCP moved, I was nervous but I took the chance to move to her! I'm very pleased with my care. She's found stuff other specialist hasn't. She is also open to natural medicines / healing. I can honestly say she is a diamond in the rough! It's a very rough field - Primary Care Providers- BUT she outshines them all! Thank you Dr Ashley & staff for being patient and compassionate with my care. You ALL are amazing!
Francie
Love Dr Ashley, Sara at Healthy Living and all the office staff. We drive from Walla Walla because we love it here so much! Used to be difficult to get through on the phone but that now is corrected. I highly recommend her office AND healthy living. Showed up one time with migraine to get my pellets and Sara hooked me up with an infusion and it nearly resolved my headache so I could drive home. They are ALWAYS very flexible with our schedule and arrange for us to have labs and/or imaging closer to our home. Telemetry is handy when we just need a face to face. Worth the 2 hour and 40 min drive!!!! Never feel rushed in the process. I have to disagree with negative reviews as that has not been our experience. Can't recommend enough.
Vanessa Shultz
Ethic Compassion Care GOOD TEAM!!! prices are reasonable one of the things that I love about Dr. Ashley she actually takes her time on every appointment to go through you and listen to you She actually find the problem. I have the best experience ever time I go there. Dr. Susan Ashley I really thank you for all this 4 years of health.
Blanca Vincent
My first to Family Medical with Dr Susan Ashley was great! Dr. Ashley is a great listener and responded to my many questions with clarity and understanding. My experience was very positive and look forward to continued relationship regarding health concerns.
Judy Kettner
Dr Ashley is very good at what she does! She is very thorough and attentive, and never in a hurry. She is very caring and so kind. Hard to find those qualities in doctors these days. I have been a patient of hers for many years!
Melissa Quaintance
A friendly staff to welcome as you come through the doors for your appointment. Waiting is minimal and Dr. Ashley is prompt in getting to the exam room. She is attentive and answers my questions, making recommendations for whatever my concerns are. Appointments go quickly! Positive all around.
Denese Fischer
I am very happy to have Susan Ashley as my primary care provider. My first appointment went well and was scheduled in a prompt manner. Dr. Ashley listened to my concerns and is addressing them. The office is conveniently located and the service is excellent.
Eileen Arendt
My whole family comes here and my kids love her. We have 2 kids with autism and Dr Ashley recommended a strict gluten free dairy free diet, and a bunch of supplements. They are high functioning and now able to be in a normal classroom, and the behavior problems are gone. My wife and I are so grateful. Dr Ashley is a wonderful doctor, we've been going there for 7 years, and anyone who wants a different approach for autism should see her.
Bob Jones
Dr. Ashley is a wonderful Dr.. Very thorough and professional. Her staff is pleasant and professional also. She is very knowledgeable and explains her reasoning for her medical advice. She is strong, kind and caring in her care for her patients. Amazing is the word that describes her.
Cheryl Ammons
I've been a patient of Dr Ashley's for 10+ years. I've referred several people to her practice simply because she's knowledgeable, honest, and doesn't push pharmaceuticals. If you are looking for a physician that treats you like a person vs a number, you should give Dr Ashley a visit.
Edie Stotts

Feel Balanced Again

Ready to Restore Your Hormones?

From baseline testing to a fully customized BHRT program, our Post Falls team is ready to help you feel energized, balanced, and like yourself again.

Book a Hormone Consultation