Bioidentical hormones are plant-derived compounds that are chemically identical to those your body naturally produces. They’re compounded to match your body’s estrogen, progesterone, and testosterone structure, allowing for optimal absorption and utilization [1].

Axiva Wellness uses only bioidentical options in both pellet and non-pellet therapies. This supports natural energy, mood balance, and sexual wellness while maintaining your body’s rhythm.

You may benefit from hormone optimization if you’re experiencing symptoms such as decreased energy, mood changes, hot flashes, night sweats, reduced libido, sleep disturbances, brain fog, or weight changes that feel difficult to manage.

Research shows hormone therapy during perimenopause can significantly improve psychological, emotional, and social well-being [2].

The Axiva team focuses on proactive optimization, not just treating deficiencies, so you can feel your best. Testing and consultation help us determine the right plan for your unique goals.What are bioidentical hormones, and how do they enhance female wellness?

Our pricing is transparent and includes two components:

Comprehensive Testing: A one-time female testing panel (CBC, metabolic panel, thyroid panel, vitamin D, sex hormones, and more) is required before starting therapy to establish your baseline and ensure safety.

Monthly Membership: Covers all hormone medications, ongoing lab work, consultations, dosage adjustments, and continuous support.

We do not accept insurance, which allows us to provide more personalized, optimization-focused care. Full details are reviewed during your consultation.

Safety comes first. All treatments are overseen by licensed providers with specialized training in female hormone therapy. Every patient begins with a comprehensive female-specific lab panel to establish baseline hormone levels. From there, your provider works with you to define goals and create a personalized optimization plan.

Ongoing monitoring occurs every 6-8 weeks for non-pellet therapy and pellet therapy, with adjustments as needed. This structured, wellness-focused approach ensures your plan remains safe, effective, and aligned with your long-term health.

We’ve also redefined the treatment experience to be supportive and personal. Each visit is a one-on-one session in a professional office setting, where you have the time and space to ask questions, review progress, and adjust your plan. The goal is to make every appointment as comfortable, clear, and collaborative as it is clinical.

Hot flash reduction and sleep improvements often occur first, typically within the first 2-3 weeks, with many women reporting better sleep quality and reduced night sweats.

Mood and energy improvements usually begin within 3-4 weeks of treatment, with research showing that hormone therapy during perimenopause significantly improves psychological, affective, and social well-being [2].

Sexual health and libido enhancement typically begin within 4-6 weeks of treatment, with continued improvement over several months as hormone levels stabilize. Studies demonstrate that hormone replacement therapy shows particular benefits for sexual dysfunction and overall well-being in hormone-deficient states [3].

Cognitive improvements such as reduced brain fog and improved mental clarity often become noticeable within 4-8 weeks of consistent treatment. Physical changes such as improved body composition and reduced menopausal weight gain typically become apparent within 2-3 months of treatment.

Full hormone optimization usually occurs over 3-6 months, with ongoing adjustments based on regular monitoring results and individual response patterns. Research has confirmed significant improvements in mood, energy, sleep quality, and sexual function throughout the treatment period [4].

Both pellet and non-pellet delivery methods follow similar timelines for results, with identical monitoring and optimization protocols.

However, not every woman follows this exact timeline. Some respond more quickly, while others require more gradual adjustments. Our team is here to provide hands-on support, tailoring your plan and pacing to your body’s unique needs so you feel guided and cared for every step of the way.

The length of therapy depends on your goals and health. Some women use hormone therapy short-term to manage symptoms, while many choose long-term optimization to maintain vitality as hormone levels naturally decline with age.

Your plan is reevaluated regularly to ensure it continues to meet your needs.

Yes. You can transition between pellet and non-pellet therapy at any point. Because both methods follow the same testing and monitoring standards, switching is straightforward and fully supported by your provider.

Every patient undergoes a complete hormone panel and wellness assessment before beginning therapy.

Treatments are delivered under licensed medical supervision, with ongoing monitoring at set intervals. Both pellet and non-pellet patients receive identical safety protocols, including hormone tracking, wellness assessments, and adjustments to keep therapy safe and effective.

Our medical team is highly trained in safety and complication management, ensuring every treatment is delivered with expert oversight.

Potential side effects may include, but are not limited to, mild breast tenderness during initial optimization, temporary mood fluctuations as your body adjusts, minor changes in menstrual patterns (if still menstruating), or slight shifts in energy as your body adapts to new hormone levels.

These effects are usually temporary and resolve as balance is restored. During your visits, our clinicians review potential risks in detail, adjust dosing in real time, and provide additional support if needed – all to maximize both your comfort and safety.

Progress is tracked through regular hormone panels, wellness evaluations, and vitality assessments. Non-pellet and pellet therapy are reviewed every 6-8 weeks.

Based on results, we adjust dosage, timing, or add supportive wellness strategies. This continuous feedback loop ensures your plan evolves with you, so you maintain peak vitality over time.

Our comprehensive membership includes everything needed for successful hormone optimization, regardless of delivery method: