BioIdentical Hormone Replacement Therapy

If you’ve been feeling tired, moody, foggy, or “not quite like yourself,” bioidentical hormone replacement therapy can help restore balance from the inside out. BHRT is designed for women and men experiencing symptoms of hormone decline — things like low energy, poor sleep, stubborn weight changes, hot flashes, low libido, irritability, or loss of mental clarity. By gently replenishing the hormones your body is missing, BHRT helps you feel more vibrant, stable, and confident so you can get back to living life fully and feeling like you again.

WHY BHRT AT MD COTE

At MD Cote, hormone health is more than a service — it is a passion. As a highly experienced family practice physician, Dr. Cote has spent years caring for perimenopausal and postmenopausal women and seeing firsthand how many struggle with fatigue, irritability, low libido, brain fog, hot flashes, and even issues like frozen shoulder without getting the support they need from the traditional healthcare system. When we began offering bioidentical hormone replacement therapy, the response was overwhelming because patients finally felt heard, validated, and offered a real solution. Our customized BHRT programs are designed to restore balance, boost energy, improve mood, and help women feel great from the inside out. We are deeply committed to helping women reclaim their confidence and quality of life, and optimizing hormones is a key part of that journey.

Reconnect With Your Best Self

Hormonal changes can leave you feeling unlike yourself, affecting everything from your energy to your mood to your daily comfort. BHRT helps restore balance so you can feel clearer, calmer, and more vibrant again. If you’ve been noticing any of the symptoms below, you may be a great candidate for bioidentical hormone replacement therapy. Common Symptoms BHRT Can Help With:

  • Fatigue
  • Low libido
  • Brain fog
  • Hot flashes
  • Mood swings
  • Night sweats
  • Irritability
  • Weight changes
  • Sleep disturbances
  • Joint pain

HOW BHRT WORKS

At MD Cote Medical Aesthetics, we use a combination of Pellecome insertable pellets along with oral and topical bioidentical hormones to restore balance safely and effectively. These plant-derived hormones are designed to match the hormones your body naturally produces, allowing for steady, consistent support. Dr. Cote is deeply committed to true symptom relief, which means she never takes a one-size-fits-all approach. Instead, she evaluates each patient’s symptoms, medical history, and lab values to create a fully customized BHRT plan. This tailored approach helps regulate energy, mood, sleep, cognition, metabolism, and sexual wellness so you can feel like yourself again. Each treatment plan is designed to replenish what your body is missing and bring your hormones back into an optimal, healthy range for long-term well-being.

REAL STORIES, UNREAL RESULTS

Join our community of satisfied clients and see why we proudly maintain a 5-star rating on Google!

4.8
Based on 224 Reviews
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Khumar Ibrar
March 14, 2026

I was a loyal client for years, and bought a package laser treatment in 2023 and due to health issues advised by my doctor hold off on any treatments like these which I had provided the dr letter to the spa, they did not inform me about expiration policy the staff and the esthetician even not aware of the policy. Now they are saying I can’t use my package because it had expired.My attempts to resolve the issue were ignored. This is extremely unprofessional and disappointing. I would strongly caution others about paying upfront here. Please avoid this spa at any cost. Multiple unhappy clients and their reviews so stay away. I am now pursuing formal complaint.

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Jennifer Jepson
March 12, 2026

I have had the pleasure of spending time with Jenna over this past year as I have received a few coolsculpting treatments. Jenna is just a beautiful person inside and out. She is so gentle, kind and easy to connect with. By the time I am ready to leave, not only have I had the best Coolsculpting session (their equipment and expertise using it is top of the line), I feel like I’ve had a little therapy session as well😊 Thank You Jenna!!

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Ramsha
March 9, 2026

The change in management has been disappointing to say the least. After years of coming here, I can no longer support a business that profits from shady policies and doesn’t honor their long-standing clients. There are far better options for med spas than this place. I highly recommend going elsewhere with higher standards, updated practices and customer loyalty.

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RANGE
March 6, 2026

I just had my very first facial ever, and I can honestly say it was an incredible experience from start to finish! I wasn’t sure what to expect, but the entire treatment was relaxing, professional, and surprisingly rejuvenating. Mya explained each step and the process. I will definitely be back soon! Thanks Mya!

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Michelle Connors
February 27, 2026

Mya did a great job!!!

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Shannon Trichak
February 26, 2026

Mya does an amazing job with the dermaplaning and the diamond glow facial. I leave the office feeling so much more confident with my glowy, smooth skin. I can't wait for my next appointment!

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Dee Marcyes
February 22, 2026

Mia is very personable and is extremely knowledgeable. I always feel comfortable, relaxed, and in good hands.

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Darcey Peterson
February 17, 2026

Staff are always kind and professional. I feel listened to and cared for. Highly Recommend!

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Tracie Hammonds
February 13, 2026

I love this place! Their people are amazing, answering questions, making suggestions, making you feel comfortable and relaxed. They offer amazing products that work and their services are tops! They don’t try to sell you on services you don’t need. In fact, I had a consultation for a particular service and the technician explained why it was not necessary and would not give me the results I was looking for. Instead she suggested a product that could help. Wow! A place that doesn’t try to take you money. The other services I really enjoy and see results are the micro needling , peal, laser, and Botox. The micro needling vanished a dark spot on my face after one treatment. Obviously results will vary but for me it only took one but I had a second treatment done anyway 😊Amazing! The laser treatments take time obviously, but I noticed a difference in some areas after the first. Can’t wait to see the final results. The Botox really helps with my headaches and of course fine lines. 😉 They also offer discounts thru Alli and have promotions throughout the year. Another plus!

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Mary Kent
February 7, 2026

Always happy with the results

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Katrina Buck
February 7, 2026

I am writing to express my disappointment regarding a recent appointment I scheduled via email. Upon arriving at the clinic, I was informed that no appointment was on record and staff were unsure how this occurred. I had made arrangements and taken time off work specifically for this appointment, as I was very much looking forward to being seen. Given the inconvenience and lost time, I would appreciate discussing whether compensation for a portion of my time is possible. Thank you for your attention to this matter. I look forward to your response.

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Skip
February 2, 2026

Lyndsey is a master aesthetician! My skin has completely transformed since coming here. The BBL treatments for sun damage are incredible. I have been to other Aestheticians and did not get the results I am getting with Lyndsey 5 Stars!

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Trevor Lanktree
January 26, 2026

Coolsculpting for entire days at a time, seemed more like a spa or vacation day, than a procedure day. Jenna was the best and most professional provider I have ever worked with.

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Simarjeet Kaur
January 24, 2026

good experience nice and skilled professional staff.

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✨ 5 Stars for Rachel at MD Coté in Maple Valley! ✨ Rachel is truly the go-to expert for all things youth and beauty! Her knowledge, care, and personalized approach make every visit a relaxing, confidence-boosting experience. From skincare treatments to anti-aging solutions, she always knows exactly what my skin needs. I walk out feeling refreshed, glowing, and so well taken care of. If you’re looking for someone who genuinely cares about helping you look and feel your best—Rachel is your girl! 💆‍♀️💖 #GlowingSkin #YouthfulVibes #MapleValleyBeauty

common BHRT faqs


Explore our frequently asked questions to learn more about BHRT, its benefits, and what to expect during treatment.

BHRT uses plant-derived hormones that are structurally identical to the hormones your body naturally produces. This helps restore balance and relieve symptoms caused by perimenopause, menopause, and age-related hormone decline.

BHRT replenishes declining hormones such as estrogen, progesterone, and testosterone using customized doses tailored to your symptoms, lab values, and overall health. At MD Cote, we offer pellet therapy, oral medications, and topical options to create the right plan for each patient.

BHRT can improve fatigue, brain fog, irritability, mood swings, sleep problems, hot flashes, night sweats, low libido, weight changes, and joint pain.

Most patients begin feeling improvements within a few weeks, with optimal benefits building over two to three months as hormone levels stabilize.

Pellets are tiny, rice-sized implants placed just under the skin that slowly release hormones over several months. They provide steady, consistent levels without the daily ups and downs of creams or pills.

Side effects are usually mild and temporary as your body adjusts. These may include breast tenderness, bloating, or changes in mood. Your provider monitors your response closely and adjusts your dose as needed.

When prescribed and monitored by a trained medical provider, BHRT is considered safe for most patients. Dr. Cote reviews your medical history, labs, and risk factors to ensure the safest and most effective treatment plan.

Pellet insertions typically last 3 to 4 months for women and 4 to 6 months for men. Oral or topical hormones may be taken daily. Your exact schedule depends on your customized plan.

Yes. Dr. Cote utilizes both patient-reported symptoms as well as labs to thoroughly understand your hormone levels and needs. Our labs are drawn in-office from our licensed phlebotomist and processed through our preferred testing facility. After receiving your results, Dr. Cote develops your personalized treatment plan. Labs are also repeated as needed to monitor your progress.

Anyone experiencing symptoms of hormone imbalance or hormone decline may be a candidate. This includes women in perimenopause or menopause and men experiencing low testosterone or age-related changes.