Physician-Led Hormone Evaluation and Treatment Planning
Mooi offers individualized hormone consultations led by Dr. Tracey Botha, a board-certified OB-GYN. During your consultation, Dr. Botha will review your medical history, current medications, prior hormone therapy, current concerns, relevant risk factors, and personal wellness goals.
Laboratory testing may be reviewed or ordered when clinically appropriate. This information helps Dr. Botha determine whether hormone therapy should be considered and which available option may be appropriate for your individual needs.
No hormone medication or treatment approach is recommended before completing an appropriate medical evaluation and patient screening.
What Is Bioidentical Hormone Therapy?
The term “bioidentical” is commonly used to describe hormones that have the same chemical and molecular structure as hormones produced by the human body.
Bioidentical hormones may be available in FDA-approved medications or as medications prepared by a compounding pharmacy. Hormone therapy can also be provided in different forms, including creams and other prescription options.
If hormone therapy is clinically appropriate, Dr. Botha will discuss the available formulations, relevant risks, limitations, monitoring requirements, and FDA-approved alternatives where applicable.
Is Hormone Cream Appropriate for Everyone?
No. Hormone cream is one of several options that may be considered following an individualized evaluation. Clinical appropriateness may depend on factors such as:
Medical and surgical history
Current medications and supplements
Previous hormone use
Relevant laboratory findings
Personal and family health history
Potential contraindications or risk factors
Individual preferences and treatment goals
Not every patient is a candidate for hormone therapy, and hormone cream may not be the most appropriate option for every patient.
Your appointment begins with an in-depth consultation with Dr. Botha. She will review your medical history, current concerns, medications, previous treatment experiences, and goals.
When clinically appropriate, laboratory testing may be ordered or reviewed as part of the evaluation. Laboratory findings are considered together with your medical history and clinical assessment rather than used alone to determine treatment.
Dr. Botha will then discuss whether hormone therapy should be considered and explain the available options, relevant risks, potential side effects, alternatives, and monitoring requirements.
When hormone therapy is recommended, Dr. Botha will develop an individualized treatment plan based on her evaluation and clinical judgment.
Your treatment plan may include:
- A prescription option selected for your individual needs
- Instructions provided directly by the prescribing clinician
- Appropriate patient education
- Follow-up appointments
- Relevant laboratory monitoring
- Adjustments when medically appropriate
- Documentation of your response and any concerns
Medication selection, formulation and prescription changes are determined by Dr. Botha. No particular formulation or outcome can be guaranteed.
Ongoing follow-up is an important part of clinician-directed hormone care. During follow-up appointments, Dr. Botha may review your response, questions, concerns, possible side effects, adherence to the treatment plan, and any relevant laboratory findings.
The timing and type of monitoring depend on the medication prescribed, your medical history, and Dr. Botha’s clinical judgment. Treatment may be continued, modified or discontinued when medically appropriate.
Cost of Bioidentical HRT Cream
Price upon consultation
Frequently asked questions
Are all bioidentical hormones compounded?
No. Some FDA-approved hormone medications contain hormones that are chemically identical to hormones produced by the body. Other hormone medications are prepared by compounding pharmacies.
Dr. Botha will discuss available options and determine which, if any, may be clinically appropriate following your evaluation.
Are compounded hormone creams FDA-approved?
No. Compounded medications are not FDA-approved. The FDA does not review compounded medications for safety, effectiveness or quality before they are marketed.
FDA-approved alternatives may be available and will be discussed when relevant.
How does Dr. Botha determine whether hormone cream is appropriate?
Dr. Botha considers your medical history, current medications, previous treatment, relevant laboratory findings, potential risk factors, personal preferences, and overall clinical evaluation.
Laboratory results are only one part of the evaluation and do not independently determine whether hormone therapy is appropriate.
What happens if hormone therapy is prescribed?
Dr. Botha will explain the prescribed medication, instructions, relevant risks, possible side effects, alternatives, and follow-up requirements.
Medication use and prescription adjustments are directed by Dr. Botha and are not determined through a standard public protocol.
Is follow-up care required?
Follow-up care may be required to review your response, address concerns, evaluate possible side effects, review relevant testing, and determine whether changes are medically appropriate.
The follow-up schedule is established individually by Dr. Botha.
Dr. Botha is a Prodrome Elite Provider
As a Prodrome Elite Provider, Dr. Botha offers advanced wellness support that goes beyond standard treatment alone. This includes access to Prodrome testing and targeted protocols designed to help evaluate cellular health, lipid biology, and key biomarkers related to healthy aging, metabolic function, and overall optimization.
- Advanced cellular health testing, personalized protocols, and longevity-focused care
- Prodrome testing to evaluate cellular health and key biomarkers
- Personalized wellness protocols based on your unique results
- Targeted support for energy, cognition, metabolism, and healthy aging
- Science-informed care from one of the few Prodrome Elite Providers in Florida
