Hormones affect a multitude of pathways in the body. Women may experience fluctuations in their hormone levels throughout the lifespan. Imbalances can occur due lifestyle and environmental factors, as well as expected changes, such as onset of menses, pregnancy, childbirth, perimenopause, menopause, and post-menopause. Imbalances of hormones, including estrogen, progesterone and testosterone can lead to many uncomfortable experiences, like night sweats, hot flashes, mood swings, depression, and anxiety. The most common decline seen in menopausal and post-menopausal women is estrogen. When estrogen levels become unbalanced, women may experience symptoms such as low libido and bone loss. The bone loss that women experience due to declining estrogen levels can lead to osteoporosis and increase the likelihood of bone fractures. Adjustments to a woman’s hormone levels through bioidentical hormone therapy and lifestyle changes can reduce or eliminate these discomforts and improve overall health and well-being.