Fatigue. Weight gain. Brain fog. Poor sleep. Mood swings.
These symptoms are often blamed on stress or aging - but they may be signs of hormone imbalance during perimenopause or menopause.

Many women spend years blaming their symptoms on stress, a busy schedule, poor sleep, or simply getting older. But for many women, the real cause is changing hormone levels.
Perimenopause can begin 10–15 years before menopause and often starts long before periods stop completely.
Bioidentical hormone pellets are tiny customized implants placed under the skin that provide a steady release of hormones over several months.
Unlike pills, creams, or patches, pellets deliver consistent hormone support without the daily hassle.

Meet with Dr. Pratumngern to discuss your symptoms and complete hormone testing.
We take the time to understand what’s really going on - not just treat symptoms.
Your results, symptoms and medical history are carefully reviewed to create a treatment plan tailored specifically to you.
No one-size-fits-all approach.
A quick in-office procedure places customized bioidentical hormone pellets under the skin.
The pellet placement procedure typically takes less than 15 minutes.
Then your body receives steady hormone support for the next several months.
“I honestly thought I was just burned out. I was exhausted all the time and couldn’t focus on anything. A few months later, I feel like myself again. I have energy for my students, my family, and actually enjoy my days again.”

“I was snapping at everyone. My husband, my kids, even people at work. I didn’t feel like myself anymore. The constant irritability is gone, and I finally feel calm and in control again.”

“The biggest change for me was sleep. I used to wake up every night around 3 AM and stare at the ceiling for hours. Now I sleep through the night and wake up feeling rested. I forgot what that felt like.”

“I didn’t realize how much menopause had affected my relationship. I had no energy, no interest in intimacy, and honestly just didn’t feel good in my own skin. I feel more like myself now than I have in years.”

“I was doing everything right - eating healthy, walking every day - and still gaining weight around my middle. Once my hormones were addressed, things finally started moving in the right direction. I feel stronger and more confident again.”

“Brain fog was the hardest part for me. I’d walk into a room and forget why I was there. I started questioning myself at work. My focus is so much better now, and I feel sharp again.”


For over 25 years, Dr. Pratumngern has helped patients improve their health through a personalized, whole-person approach to medicine.
She understands how frustrating it can be when symptoms are dismissed as “just aging” or “just stress.”
Her goal is to help women understand what’s happening in their bodies and create a treatment plan tailored to their individual needs.
As a Board-Certified Physician and Biote Certified Provider, Dr. Pratumngern helps women better understand their hormone health and determine whether hormone optimization may be an appropriate option.
Follow Dr. P on Instagram and Facebook for hormone health tips, seminar highlights, patient stories, and answers to common questions about perimenopause and menopause.