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 212 Reviews
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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

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Jasmine
January 9, 2026

Rachel is amazing and the absolute best. She has great recommendations, awesome bedside manner. She only recommends what will be the best for the client and I always trust her opinion and feel safe in her hands. The only improvement I wish- the waiting room is SO BRIGHT now 😩 I liked it before. The new super light pink paint and super bright LED’s kill the vibe.

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Saroj Jakhu
January 9, 2026

Hi Team, writing a review on my last week experience with you. Team is amazing especially Mya. She was super nice, gentle with my skin. She listened to all my concerns. She did dermoplaning and diamond facial on me. Appreciate all the work you do. Thank you Mya. You are an amazing 👏 person. Cant wait to see you next time and get the facial done from you. Thanks & Regards Saroj

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Amber Henley
January 8, 2026

This clinic is truly wonderful. I’ve had the pleasure of working with Mya, Jenna, Lyndsey, Julia, and Dr. Cote, and they take the time to understand your goals, walk you through every option, and make sure you feel confident in your decisions. Their execution is so seamless and precise it almost feels unreal. Jessica and Michell are equally amazing—always greeting you with genuine warmth and making sure you feel supported every step of the way. The entire team is not only highly professional, but also makes you feel like you’re among friends. I couldn’t recommend them more!

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Deana Cook
January 5, 2026

I had a wonderful experience doing coolsculpting with Jenna.

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Sahmie Riggs
December 19, 2025

The Diamond Glow facial with Jenna was amazing! She is very friendly, knowledgeable, and tailored the treatment to my skin type. I love the results - cleaner and healthier skin - and highly recommend this!

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Misty Noster
December 4, 2025

I just received the diamond glow facial from MD cote. It was my first facial. I loved the experience. I felt pampered as soon as I walked in the office. Everyone is so warm and professional. My esthetician listened to my skin concerns and recommended that we start with hydration and work our way up to microdermabrasion and different serums in the future because it was my first. I appreciated the questionnaire that asked about my skin tone and sun sensitivity. Jenna was warm, friendly and had a natural flow of conversation. I felt very comfortable with her. My skin looked amazing afterwards and my pores were so clear! (she even showed me all the gunk that came out at the end haha) highly recommend getting your facials here.

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Katherine Landers
November 23, 2025

I had a Diamond Glow Facial & added on dermaplaning with Mya & it was amazing! My face is still glowing days later. Highly recommend!

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Todd
November 22, 2025

Dr Cote and her staff are very professional and great to do business with. They make you feel comfortable and ensure you will have a great experience. I would recommend them to anyone.

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Cameron Grady
November 22, 2025

Awesome women dr Cote very funny and professional. Knowledgeable and great staff along side her.

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Robyn Armani
November 21, 2025

I've been coming here for a few years now. Started with Botox then other services like facials and fillers. The entire team is always professional, patient and courteous. They all work together like a well oiled machine. I've been pleased with EVERYTHING. The establishment is top-notch. It's not the highest but not the lowest but reasonable. Scheduling is easy.Happy customer so far. The main thing i have been pleased with over the years is... 1. They dont do hard up sells. 2. Dr. Vote and the staff listen. I had photos of what I like and dont like and it was 100% what i wanted. Its your face. Its important to be heard. I would highly recommend this place. You won't be disappointed.

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Karen Baker
November 19, 2025

I am extremely happy with the services I received. I was listened to and given all the information on each procedure I was interested in. I like how Dr. Cote' asked me what I wanted improved, she didn't tell me what I needed. Lyndsey is also great. She explained what real results I could see and what to expect. They also let you know the cost of each procedure ahead of time. All the staff members are professional and welcoming.

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Breeona Buxton
November 19, 2025

Mya is continuously amazing, welcoming and thorough. My skin always feel and looks 10x healthier after a facial.

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ED PARKER
November 14, 2025

I’ve been going to Md cote for almost 3 years for tattoo removal. I couldn’t be happier. I never thought I would ever see my tattoo free hands again. Would definitely recommend . Super friendly staff.

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Brandy King
November 1, 2025

I purchased a BBL package while it was on sale in December 2023. I used one treatment shortly after, then my second in October 2024. When I went to schedule my final appointment, I was told my package had expired six months after purchase — based on an agreement I supposedly signed five years ago. Not once during my visits was I ever informed that there was an expiration, nor was this policy clearly explained when I purchased the package. These treatments are not cheap, and I would have never spent that kind of money had I known the sessions would expire so quickly. It’s extremely disappointing that they won’t honor what was clearly a communication mistake on their end. I’m out the money, and the company isn’t taking responsibility — very unprofessional and not what I expected from a business in this industry.

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.