Hormone Balance & BHRT
- Bioidentical hormone replacement therapy (BHRT)
- Hot flash and night sweat relief
- Mood stabilization and mental clarity
- Libido and sexual health restoration
PHYSICIAN-LED • ROOT-CAUSE • HORMONE-BALANCED
Women's Health,
Reimagined.
Comprehensive women's health care combining hormone optimization, thyroid balance, fertility support, and aesthetic wellness — available in-clinic in San Antonio and via secure telehealth nationwide.
"True women's wellness means honoring every phase of life — from hormones to heart health — with personalized, root-cause care." — Dr. Shiv Goel, MD
Hormone Balancing & BHRT
Bioidentical hormone therapy personalized to restore energy, mood, libido, and overall vitality.
Schedule Consultation →
Thyroid & Metabolic Health
Advanced thyroid optimization including T3/T4 balancing, adrenal support, and metabolic reset.
Start Your Plan →
Telehealth Nationwide
Secure virtual visits for follow-ups, refills, lab reviews, and new consultations from anywhere.
Start Telehealth Visit →
IN ONE GLANCE
Women's Health at Prime Vitality Care
Women's Health at Prime Vitality Care is a comprehensive program for women navigating hormone imbalances, thyroid dysfunction, metabolic challenges, and reproductive health needs — combining functional medicine with evidence-based treatments.
Our physician-led approach blends advanced diagnostics with personalized protocols — including BHRT, thyroid optimization, weight management, and aesthetic services — so you can enhance vitality, longevity, and confidence with medical oversight.
Start Your Journey →♀
Hormone Optimization
BHRT, estrogen, progesterone, testosterone balancing for all life stages
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Thyroid Health
Advanced T3/T4 optimization, Hashimoto's management, adrenal support
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Reproductive & Sexual Health
PCOS, menstrual health, libido, sexual wellness treatments
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Aesthetic & Longevity
Anti-aging peptides, skin rejuvenation, body composition optimization
Who is this for?
Women's Health at Prime Vitality Care is an ideal program for women experiencing hormone imbalances, thyroid dysfunction, PCOS, perimenopause, or menopause — as well as those seeking proactive longevity and aesthetic care.
Care is led by Dr. Shiv Goel, MD, in San Antonio with hybrid in-clinic and telehealth support, so you can access personalized women's healthcare wherever you are.
Who our Women's Health program is for
Designed for women who want to balance hormones, restore energy, improve sexual wellness, and embrace aging with vitality and confidence.
Hormone imbalances
Women with low estrogen, progesterone, or testosterone experiencing fatigue, mood swings, hot flashes, or low libido.
Thyroid dysfunction
Women with hypothyroidism, Hashimoto's, or suboptimal thyroid labs still experiencing symptoms despite standard treatment.
Reproductive health concerns
Women managing PCOS, irregular cycles, perimenopause, menopause, or fertility optimization.
What We Help Women With
Flip each card to see how we address hormones, thyroid, weight, sexual health, aesthetics, and longevity in one integrated Women's Health program.
Thyroid & Adrenal Health
- Advanced T3/T4 optimization beyond TSH
- Hashimoto's and autoimmune management
- Cortisol and adrenal fatigue protocols
- Energy, weight, and hair restoration
PCOS & Reproductive Health
- PCOS diagnosis and insulin resistance management
- Cycle regulation and fertility optimization
- Ovarian health and hormonal acne
- Weight management with PCOS
Weight & Metabolic Health
- GLP-1 agonists (semaglutide, tirzepatide)
- Hormonal weight loss strategies
- Insulin resistance reversal
- Body composition optimization
Sexual Wellness
- PT-141 and hormone-based libido restoration
- Vaginal dryness and comfort treatments
- O-Shot and regenerative treatments
- Perimenopause sexual health support
Aesthetic & Longevity
- Anti-aging peptide protocols (GHK-Cu, BPC-157)
- Skin rejuvenation and collagen support
- Body sculpting and contouring
- Longevity and cellular health optimization
Dr. Shiv Goel, MD
Triple Board-Certified • Internal, Functional & Aesthetic Medicine
★ Physician-Led Women's Health
Why Prime Vitality?
Not a cookie-cutter clinic. Not a revolving door of providers. Prime Vitality is physician-led, root-cause medicine built for women who want to feel like themselves again — from the inside out.
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Root-Cause, Not Quick Fixes
Comprehensive labs and functional diagnostics to uncover why your hormones, energy, or weight have shifted — not just treat the surface.
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Wellness + Aesthetics Under One Roof
Hormones, weight loss, Morpheus8, PDO threads, fillers, Botox, and skincare — one physician who sees your full picture.
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Menopause & Hormone Expertise
Specialized in perimenopause, menopause, and hormone harmony — helping women regain energy, mood stability, and confidence.
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Telehealth Nationwide
Convenient virtual visits from home. No waiting rooms, no rushed appointments. Your health, your schedule.
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5.0 Stars — Women Love the Care
88+ Google reviews, perfect scores on Yelp, RealSelf, WebMD, and more. Women consistently say "he actually listens."
Board-Certified Internal Medicine
Functional Medicine
Aesthetic Medicine
How Our Women's Health Program Works
You're guided by a physician who understands internal medicine, functional medicine, and hormonal health — so every step is personalized to your body, biology, and goals.
1
Comprehensive Lab & Hormone Assessment
We evaluate your hormones, thyroid, metabolic markers, and nutrient levels with advanced diagnostics to see the full picture of your health.
2
Personalized Women's Wellness Plan
Together we design a plan that may include BHRT, thyroid optimization, GLP-1 therapy, peptides, sexual wellness treatments, and aesthetic services.
3
Ongoing Support & Telehealth Access
Regular in-clinic or telehealth visits, lab reviews, and protocol adjustments keep you progressing while we refine your plan for long-term vitality and wellbeing.
What Most Women Notice Over Time
As we balance hormones, thyroid, and metabolism, most women experience a predictable progression in energy, mood, and vitality.
Weeks 2–4: Early relief
Better sleep quality, reduced brain fog, less fatigue, and improved mood as hormones and thyroid begin to stabilize.
Weeks 6–12: Hormone shift
Stronger libido, better body composition, reduced hot flashes, improved cycle regularity, and enhanced skin and hair health.
3–12 months: Lasting vitality
More stable hormones, durable metabolic health, improved body confidence, and deeper wellbeing that compounds with continued care.
What's included in a Women's Health plan
You're not buying a single visit — you're enrolling in a comprehensive, medically supervised wellness journey.
✓ Comprehensive hormone panel (estrogen, progesterone, testosterone, DHEA, cortisol)
✓ Advanced thyroid panel (TSH, Free T3, Free T4, reverse T3, TPO antibodies)
✓ Metabolic, cardiovascular, and micronutrient workup
✓ BHRT consultation and personalized hormone prescription
✓ Sexual wellness treatments (PT-141, O-Shot, vaginal health protocols)
✓ Aesthetic options: Botox, fillers, skin rejuvenation, body contouring
✓ GLP-1 weight loss program where appropriate
✓ Peptide therapy for anti-aging, energy, and recovery
✓ Hybrid in-clinic and telehealth follow-up visits
✓ Ongoing lab monitoring and protocol adjustments
✓ Coordination with IV therapy and functional medicine programs
✓ Mental health and stress/adrenal support integration
Ready to Feel Like Yourself Again?
Share your top concerns, and we'll help you decide whether in-office care, telehealth, or a hybrid plan fits best.
★ Real Patient Reviews
What Women Say About Dr. Goel
5-star ratings across every major platform. Here's what our female patients say about their experience.
Google • Yelp
★★★★★
"For the first time, I truly understood what was going on with my health. I started hormone replacement therapy, a customized skincare regimen, and a weight loss program. It's been less than a month and I already feel so much better — more energized, balanced, and confident. The Morpheus8 results have been incredible. My skin looks firmer and more radiant. I feel better from the inside out — and that's priceless."
Google
★★★★★
"Being in my 50's, post menopause has been a challenge with weight and mood changes. Dr. Goel was able to balance my hormones and helped me reach my weight loss goal. I wouldn't be where I am now without his guidance!"
Yelp
★★★★★
"I've had 3 visits in the last 5 months. Dr. Goel is very passionate about his work and only wants the best results for YOU. I went in for Sculptra & fillers, then Botox. Highly satisfied. They offer so much more — weight loss, HRT, IV therapy, facials, and more."
Google
★★★★★
"Absolutely amazing experience — I did PDO threads and two Morpheus8 treatments on my face and neck. The results are incredible. Dr. Goel is thorough, caring, and really knows what he's doing."
WebMD
★★★★★
"Dr. Goel took the time to explain the root causes of my symptoms with both medical insight and genuine compassion. I began hormone replacement therapy, a personalized skincare regimen, and a weight loss program. Within weeks, I felt more energized, balanced, and confident. I also received Morpheus8 — my skin looks firmer and more radiant. His care is thoughtful, thorough, and truly patient-centered."
Yelp
★★★★★
"I freaking love what you do. Thank you for the touch-up on my lips and the Botox lift. It all looks completely natural. You all have my business for life. Everyone is so sweet."
Yelp
★★★★★
"This place is beautiful! Dr. Goel, Madalyn & the staff are all so nice and professional. It's a great, relaxing environment. A one-stop shop — weight loss, peptides, IV hydration, fat reduction, skin tightening, and so much more!"
Yelp
★★★★★
"I had the best experience at Prime Vitality Med Spa. Dr. G is a wealth of information and you can see he really cares. I've been to facilities where they just see you as a dollar sign — but not here. They aim to please."
Yelp
★★★★★
"I went to Prime Vitality for help with my abdomen area. Dr. G provided a good plan to follow. My sessions were administered by Turner who is absolutely fabulous — always trying to make me comfortable and provide the best treatments."
Frequently Asked Questions
What does a Women's Health consultation include?
Your first visit includes a comprehensive health history review, a physical exam if in-clinic, and an advanced lab panel covering hormones (estrogen, progesterone, testosterone, DHEA, cortisol), thyroid (TSH, Free T3, Free T4, reverse T3), metabolic markers, and micronutrients. We use this data to build a personalized plan tailored to your specific goals and biology.
What is BHRT and is it safe for women?
Bioidentical hormone replacement therapy (BHRT) uses hormones molecularly identical to those your body naturally produces. It is used to relieve symptoms of perimenopause, menopause, hormone imbalances, and low libido. Under physician supervision with regular monitoring, BHRT has an excellent safety profile. Dr. Goel tailors every protocol to your individual hormone levels, symptoms, and health history.
Can you help with thyroid conditions like Hashimoto's?
Yes. We take a functional medicine approach to thyroid health, evaluating not just TSH but the full thyroid panel including Free T3, Free T4, reverse T3, and TPO antibodies. Many women with Hashimoto's or suboptimal thyroid function are told their labs are "normal" but still experience fatigue, brain fog, and weight gain. We investigate and treat the root cause.
Do you treat PCOS?
Yes. We provide comprehensive PCOS management including insulin resistance evaluation and treatment, cycle regulation support, hormonal balancing, and weight management strategies including GLP-1 therapy where appropriate. We help you address both the metabolic and reproductive aspects of PCOS with a personalized protocol.
Is telehealth available for Women's Health services?
Yes. Most consultations, follow-ups, lab reviews, prescription refills, and protocol adjustments can be conducted via our secure telehealth platform. We are currently available to patients in Texas. Initial consultations and certain procedures may require an in-clinic visit at our San Antonio office.
How soon can I expect to see results?
Many women notice early improvements in sleep, mood, and energy within 2–4 weeks of starting treatment. More significant changes in libido, body composition, cycle regularity, and overall vitality typically develop over 6–12 weeks. Optimal results depend on consistent follow-up, lab monitoring, and protocol refinement over 3–12 months.
Your Wellness Journey Starts Here
Ready to Feel Like Yourself Again?
Schedule a personalized consultation with Dr. Goel — in-clinic in San Antonio or via secure telehealth nationwide.
Book ConsultationNo referral needed • Most insurances accepted • Virtual visits available