Replacement Therapy (HRT)


Bio-identical hormone balancing for women

Synthetic vs. Bio-identical hormones: Conventional hormone replacement uses estrogens derived from the urine of pregnant horses and conventional progestin is a synthetic hormone. Since the chemical composition of these conventional hormones is different from the hormones produced naturally, they remain structurally foreign to the human body. This is the major cause of several undesirable side effects. These are also the hormones referred to in the large Women’s Health Initiative Study.

Bio-identical hormone replacement therapy (BHRT), or natural hormone therapy utilizes medications that have the same chemical formula as those made naturally in the body. They are referred to as “bio-identical” hormones and are chemically identical to human hormones.

Dr. Dersam is a current fellow in Metabolic and Nutritional Medicine at the American Academy of Anti-aging Medicine  founded by world renowned expert in Bio-identical hormone replacement therapy, Pamela W. Smith, M.D. This training allows her to provide the most comprehensive and responsible hormone treatment recommendations for her patients. The fellowship consists of an in-depth analysis of human endocrine functions, interactions between all hormones and current research in bioidentical hormone replacement therapy.

Because an imbalance in one area will affect the levels of hormones in other areas, Dr. Dersam will address other endocrine organs such as the thyroid and adrenal glands. She will design treatment recommendations with these other organs in mind so that you feel your absolute best.

Dr. Dersam’s goal is to balance hormones and tailor dosing to your specific needs. This is done through initial lab testing to determine your baseline hormone levels and rule out possible risk factors such as blood clotting disorders and tumor markers. Based on your lab results, she will customize a compound of appropriate bio-identical hormones. Since every body’s needs are different, Dr. Dersam will recheck your hormone levels through saliva and/or urine testing to optimize your treatment, monitor breakdown products and ensure the lowest possible dose to relieve your symptoms.

Call today to schedule an appointment with Dr. Dersam for hormone balancing 480-766-3586.

Package Pricing – $800.00/year

  • Initial Consultation
  • Follow up at 2-4 weeks 
    • Review of blood hormone levels plus initiation of therapy
      • Labs to also include thyroid panel, lipid panel, metabolic panel, blood count, inherited markers for disease, blood clotting disorders and tumor markers as needed based on family and/or personal history.
  • Follow up at 3 months 
    • Review of salivary hormone lab results and alteration of therapy
  • Follow up at 6 months
    • Review of salivary hormone lab results and alteration of therapy


If needed at additional cost:

  • Follow up at 9 months = $150.00
    • Review of salivary hormone lab results and alteration of therapy


Renewal at $500 per year  – to include up to 3 visits to review labs and prescribing of hormones

Costs of lab testing are not included in package pricing

  • Blood lab tests are usually covered by patient’s medical insurance
  • Coverage of salivary testing may or may not be covered depending on patient’s medical insurance


Transdermal hormone medications will be prescribed by Dr. Dersam and sent to a local compounding pharmacy.

Cost of medications is not included in package pricing.

Prices subject to change

Effective 2018