Bioidentical hormone replacement therapy (BHRT) uses hormones structurally identical to the ones your body produces, typically testosterone, estrogen, or progesterone, to treat symptoms tied to hormonal decline. For men, that usually means low testosterone: fatigue, low libido, muscle loss, brain fog. For women, it often covers perimenopause and menopause symptoms like hot flashes, mood swings, sleep trouble, and vaginal dryness. Miami has 14 clinics offering this kind of care, ranging from dedicated men's TRT centers to wellness clinics that treat both sexes with a broader hormone panel.
What actually happens in treatment
A real BHRT program starts with bloodwork, not a sales pitch. That means checking total and free testosterone, estradiol, SHBG, thyroid markers, and for women, often FSH and progesterone. From there, treatment might involve injections, pellets, creams, or patches. Dosing should be adjusted based on follow-up labs, usually every 3 to 6 months, not left on autopilot.
What to look for in a provider
Look for a clinic that requires lab work before prescribing anything, has a physician or nurse practitioner actually reviewing results, and explains the tradeoffs of each delivery method instead of pushing one option. Be wary of any place that guarantees results before seeing your labs or skips follow-up testing entirely.
How we rank these clinics
Our scoring weighs things like diagnostic thoroughness, provider credentials, transparency around pricing, and patient follow-up practices. See the full ranked list at the best testosterone replacement therapy clinics in Miami, and read how we evaluate providers on the methodology page.