Account performance review, opportunities for growth, and strategic recommendations for the year ahead.
Key highlights from the Casad Health Google Ads account over the last 90 days (Dec 18 2025 to Mar 18 2026).
Last 90 days (December 18, 2025 to March 18, 2026)
Performance across Search and Performance Max campaigns over the last 90 days (Dec 18 2025 to Mar 18 2026).
| Campaign | Type | Daily Budget | Spend | Clicks | Conv | CPA | CTR |
|---|---|---|---|---|---|---|---|
| Search [BHRT] | Search | $60/day | $3,614 | 879 | 216 | $16.73 | 4.7% |
| PMax - Services | PMax | $9/day | $1,933 | 543 | 52 | $37.18 | 1.7% |
| Search [Other Services] | Search | $16/day | $1,413 | 328 | 27 | $52.34 | 4.5% |
| TOTAL | $6,960 | 1,750 | 295 | $23.59 |
How ad flagging shapes our strategy and why we approach things differently
Casad Health operates in a space where Google frequently flags ads for healthcare-related policy reviews. This fundamentally shapes our approach to ad copy, landing pages, and campaign structure.
All campaigns now use a single landing page. Here's how it compares to the previous multi-page setup over the last 90 days.
| Landing Page | Clicks | Conv | Conv Rate | Spend | CPA |
|---|---|---|---|---|---|
| Wellness Journey (Main) | 1,409 | 260 | 18.5% | $5,508 | $21.18 |
| Previous Pages (Combined) | 314 | 26 | 8.3% | $1,336 | $51.38 |
What people are actually searching for when they find Casad Health
The search terms driving the most conversions over the last 90 days. Broad match is capturing valuable symptom-based searches at extraordinary conversion rates.
| Search Term | Clicks | Conv | Conv Rate | Cost | CPA |
|---|---|---|---|---|---|
| perimenopause test | 37 | 16 | 43.2% | $163 | $10.17 |
| perimenopause symptoms | 26 | 6 | 23.1% | $98 | $16.27 |
| perimenopause | 18 | 6 | 33.3% | $73 | $12.17 |
| pcos symptoms | 10 | 4 | 40.0% | $42 | $10.45 |
| do i have pcos | 7 | 3 | 42.9% | $25 | $8.31 |
| hrt pellets | 7 | 3 | 42.9% | $31 | $10.38 |
| pellet hormone therapy near me | 3 | 2 | 66.7% | $22 | $10.81 |
| how to cure hormonal imbalance | 3 | 2 | 66.7% | $11 | $5.28 |
12-month performance history showing consistency and seasonal patterns
Account spend and conversion trends over the past year.
Where we see the most potential to increase lead volume and quality
The BHRT Search campaign delivers a $16.73 CPA, roughly half the account average. The current $60/day budget is likely limiting impression share. Testing a budget increase to $80-100/day could capture more of the high-converting symptom and condition-based searches without materially increasing CPA. This is the single biggest lever available.
Brand searches are converting at 37-50% with $8-10 CPAs. We've launched a dedicated brand campaign to capture this traffic with full coverage and higher ad rank, ensuring no competitors appear above Casad's organic listing on branded queries.
Unique case where AI Max could help boost traffic volume and keep ads serving consistently. Recommended specifically due to the policy restrictions in this space, where maintaining ad serving is critical. AI Max gives Google more flexibility to show ads across queries while staying compliant.
Symptom/self-diagnosis queries like "perimenopause test" (43% conv rate), "pcos symptoms" (40%), and "do i have pcos" (43%) represent significant volume converting at extraordinary rates. This traffic is currently captured by broad match in the BHRT campaign. A dedicated campaign with tailored ad copy would maximize this opportunity.
Ad groups like Thermiva, Semaglutide, and similar services are active to maintain coverage across the full service offering. However, focusing energy and budget on higher-performing areas like BHRT and symptom-based queries could amplify results in those areas. Worth reviewing whether full coverage is needed or if consolidating would drive stronger overall outcomes.
Optimistic projections based on the changes currently being implemented and planned.