At Kiaora, we specialize in personalized Bioidentical Hormone Therapy to restore your vitality and promote hormonal optimization. Backed by expert care and science, we’re here to help you feel like yourself again.
At Kiaora, we’re redefining hormone therapy with an approach that’s as unique as you are.
Our Bioidentical Hormone Therapy is crafted to optimize your hormone levels and continually adjusts based on your body’s responses, ensuring a tailored solution that evolves with you.
Guided by expert care and cutting-edge science, our therapies are designed to help you rediscover the energy and vitality you thought was lost—or achieve new heights of well-being.
Thousands of women trust Kiaora for our confidential service, professional care, and transformational results. Let us empower you to take control of your health and thrive.
We begin by assessing your symptoms, health history, and hormonal needs. Each treatment is tailored specifically to you.
Based on your needs, we develop a plan using bioidentical estrogen, progesterone, testosterone, and DHEA.
Your care plan is refined continuously, guided by your unique response to therapy.
At Kiaora, our mission is to ignite a profound revolution in hormone therapy by transforming lives… one woman at a time. By addressing the unique needs of each woman with customized bioidentical hormone replacement therapy, we can empower them to flourish, thus reinforcing marriages and families, which lay the foundation of a healthy society. Our commitment goes beyond treatment; it’s about normalizing hormone therapy and ensuring that as many women as possible experience the benefits of greater health and well-being. Together with dedicated practitioners, we are not just changing lives—we are building a future where every woman has the opportunity to thrive!
Bioidentical refers to the structure of hormones; bioidentical hormones have exactly the same molecular structures as the hormones in your body. Our therapies utilize bioidentical hormones that are derived from a natural source (yams) and offer a holistic approach to hormone therapy.
BHRT enables much smoother sailing through perimenopause and menopause. By optimizing your hormone levels, you can bid farewell to hot flashes, flat mood, rapidly aging skin, dry vagina, along with many other unwelcome symptoms of menopause.
BHRT isn't just about controlling symptoms, though. It defends your body against the three most significant threats to your healthy future: the loss of brain, heart, and bone protection. Women who embrace skillful hormone replacement therapy protect themselves against the decline in these areas, and they often experience remarkable improvements in vitality, cognitive clarity, libido, muscular strength, metabolic function, and overall energy levels. It's like hitting the refresh button on your body's operating system so you can better handle whatever life throws your way.
Unlike traditional hormone replacement therapy, Kiaora utilizes plant-based bioidentical hormones. These hormones are considered safer and more natural compared to synthetic options, as their molecular structure matches the hormones produced naturally by your body. Our partner pharmacy compounds several different formulations to suit your individual needs, offering a customized solution to hormone therapy.
When it comes to sex hormone replacement therapy, we're talking primarily about your big three—estrogen, testosterone, and progesterone! These powerhouse hormones are like the dream team of your body's biochemical ballet, keeping everything in sync and in harmony.
This is a little-known fact, but our female bodies have more circulating testosterone than estrogen! Testosterone is measured in nanograms per deciliter, whereas estrogen is measured in picograms per milliliter. When it comes to hormone replacement therapy, testosterone isn't just for men – it's very much needed for women. Testosterone is all about energy and vitality! It also helps with libido and arousal, so that’s a nice bonus. It can produce swifter thinking and decision-making, better muscle tone, and less sagging of skin.
If you qualify for all components of the cream based on your medical questionnaire, they will be included in your first prescription. Testosterone is a key component of our therapy, and we’re passionate about its transformative benefits for women’s health—it’s one of the things that sets us apart! To learn more, check out this podcast,
“Everything You Never Knew About Testosterone and Women with Hormone Specialist Dr. Kay Chandler,”
and explore this informative article on the powerful benefits of testosterone:
The Benefits of Testosterone in Women’s Health
At your renewal, you’ll complete a follow-up questionnaire to assess how each component of the cream has worked for you. If you feel that testosterone therapy isn’t the right fit, you can indicate this in your questionnaire, and we can adjust or remove it from your renewed prescription.
DHEA (dehydroepiandrosterone) is a hormone produced by the adrenal glands that has multiple benefits in the body, including boosting energy levels and improving mood and cognitive function. When used vaginally, DHEA has been shown to increase lubrication to help with vaginal dryness and potentially improve sexual health.
You will apply your daily hormone cream to the inner labia from day one (the morning after you receive it). It’s very important that you understand where and how to apply it.
The inner labia is the skin on the inner side of the hair-bearing outer labia. It is the most absorbent area of a woman’s body, which is why our creams are so effective.
Our hormonal creams are designed for the mucosal skin of the inner labia (the most absorbent area of a woman’s body). Applying a minute amount of BHRT cream at this site allows restorative hormonal levels to be achieved. Not only is inner labial application remarkably effective, but this eliminates the potential of transference to children and pets.
It’s generally recommended to wait at least 30 minutes after applying the cream.
Hormone levels fluctuate wildly during perimenopause so a lab level is not indicative of what is happening on a day to day basis. After menopause, hormones are in full decline and there are no surprises. They may be normal for your menopausal age but not for your optimal health. Instead of relying on levels, your hormone practitioner will guide your therapy based upon how you feel and the symptoms you report. According to the American College of Obstetricians and Gynecologists (ACOG) and the North American Menopause Society (NAMS), hormone levels don’t need to be measured for effective symptom management. Kiaora is in keeping with this guideline but has also taken the proactive step of testing all our creams (through the 18-month long Kiaora Alpha Trials) to ensure they enable levels that protect bone, brain and heart. Kiaora creams target regenerative health unlike most low-dose hormone therapy approaches which deal with symptoms only and typically do not reach levels that fully support brain and bone protection.
Despite what you’ve heard, studies indicate that estrogen therapy does not cause breast cancer! In fact, data shows it helps lower your risk. We’re not being fringe or medically alternative by stating this. It is not a viewpoint that only holistically-minded people believe. The latest statement by The American Cancer Society is this: “Estrogen-only HRT is not linked to a higher risk of breast cancer.”
A recent UK study, which analyzed 43,183 breast cancer cases from 1995-2014, found that estrogen alone does not increase the risk of breast cancer. This research confirms earlier findings from the Women’s Health Initiative, showing that estrogen-only therapy, whether taken orally or transdermally, does not contribute to breast cancer risk. However, the study did reveal an increased risk for women using estrogen in combination with synthetic progestin. Importantly, no increased breast cancer risk was associated with the use of bioidentical progesterone, which is utilized in Kiaora’s BHRT program.
The time to feel optimized varies from person to person. Many women begin to notice symptom relief within the first month, but it can take several months or even years for full benefits to be realized. Checking in with your practitioner at renewal is important so that they can customize any necessary therapy adjustments to your specific needs.
Many might not realize that incontinence and bladder leaks can be linked to menopause, and urinary problems like urinary tract infections (UTIs), leaks, and painful urination are quite common during this time. Many women have experienced significant relief from these issues through BHRT, which has proven effective in dealing with these troublesome symptoms and reducing or even eliminating the recurrence of UTIs.
Although many women experience minor side effects when beginning BHRT, they are usually mild and temporary. This is as a result of a woman’s body “waking up” after having been deprived of hormones and they usually resolve on their own over a few weeks or months. They may include labial irritation, breast tenderness, spotting/bleeding, acne, headaches, drowsiness (often a welcome side effect for a good night’s sleep), and bloating or water retention, which might cause temporary weight gain.
The amount of each hormone in the cream is tailored to fit your specific needs and the dosage prescribed for you.
When our doctors prescribe estrogen, they also add progesterone to the mix. This is because, as estrogen levels drop during menopause, progesterone levels do the same. Progesterone plays a crucial role in keeping the uterus healthy. So, if you are on estrogen, incorporating progesterone is essential.
We are unable to accept insurance at this time. However, most (but not all) HSA cards are accepted.
Like any other prescription, our pharmacy can not take back medications. However, if you feel there was an error in the filling of your prescription, please contact us at support@joinkiaora.com.
The cost of your prescription products depends on the treatment prescribed.
Yes, you can cancel your prescription products at any time. However, you will receive 12-weeks worth of medication in your initial shipment. If you chose to make monthly payments, you must make all three payments, even if you decide not to renew your prescription.
It’s important to let us know if you’ve had an oophorectomy or hysterectomy, as these procedures may impact the therapy your doctor chooses for you. Hormone replacement therapy is often indicated for those in surgical menopause.
Absolutely. We only use bioidentical micronized progesterone derived from yams.
Yes, all of our products are vegan-friendly and all of our hormones are sourced from yams.
The video visit with your practitioner will be your opportunity to discuss your symptoms and therapy needs. Based on your medical history, your doctor will determine what prescriptions are the best fit for you. The doctor is happy to answer any of your questions and prescribe the appropriate treatment. In the event that you do not qualify for treatment, you will be issued a full refund.
Yes, just log into your patient portal to view your current prescription as well as your prescription history.
When it comes to BHRT, think of it as a long-term investment in your health and well-being. While many see improvements in symptom relief relatively quickly, the long-term benefits for overall health often happen with consistent, long-term use.
Staying on BHRT long-term can help maintain optimal hormone balance, support overall health, and even reduce the risk of certain age-related conditions. It's not just a quick fix – it's a recipe for sustained vitality and wellness!
Historically, it was thought that women should end hormone replacement therapy (HRT) by the age of 65, but this belief is not supported by current evidence. Recent findings and updated recommendations now emphasize that the decision on how long to use HRT should be made jointly by the individual and their healthcare provider. This means you and your practitioner can review your symptoms, medical history, and current condition to decide what's best for you.
BHRT can be discontinued at any time without adverse effects, although symptoms may return. Many patients choose to remain on BHRT for several years due to the benefits it offers.
To begin, please complete our intake questionnaire to initiate a prescription order with Kiaora. Upon submission, you will receive a recommended treatment plan based on your medical history and needs. During your scheduled video appointment, the doctor will review this plan with you. Once approved, the prescription will be sent to the pharmacy and shipped directly to your home.
If you are experiencing a medical emergency, please call 911 or head to your nearest emergency room. If this is not an emergency, we encourage you to log into your patient portal and share your symptoms with your practitioner.
The Big Three: Estrogen, Progesterone, and Testosterone Bioidentical Therapy That Really Works
Reduces hot flashes, night sweats, insulin resistance, inflammation and excessive cortisol. It helps maintain bone density, promotes brain health, cognitive function, skin elasticity, and heart protection.
Regulates mood by lowering anxiety, enhances sleep, and balances estrogen. It also plays a critical role in bone and brain health.
Improves energy, boosts libido, supports lean muscle mass, and enhances overall strength. It's vital for maintaining mental clarity and motivation.
Acts as a precursor to other important hormones, improving skin, energy levels, and immune function while promoting anti-aging benefits.
Check out the Kiaora Health Digest to get all of the facts about BHRT, menopause, and more.
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