What is Hormone Replacement Therapy?

If you are over the age of 35 and experiencing hormone-related concerns that you suspect are signs of perimenopause, or if you’re in the transition of menopause or beyond, our HRT Program is designed to help you. Hormonal changes can bring about a variety of uncomfortable symptoms, and these shifts can persist for years — in some cases, even decades.

Our HRT Program addresses these changes with a personalized, science-driven approach that combines Personalized Anti-aging Treatments, and Hormone Health. Our goal is to help you regain control of your health and well-being by addressing your hormone-related concerns, such as:

  • Weight Gain: Difficulty managing your weight due to hormonal shifts.

  • Sleep Disturbances: Struggling with falling asleep or staying asleep.

  • Irritability and Low Mood: Mood swings, anxiety, or feeling overwhelmed.

  • Low Libido or Painful Intercourse: A decrease in sexual desire or discomfort during intimacy.

  • Skin and Hair Changes: Thinning hair, dry skin, and other changes in appearance.

  • Hot Flashes: Sudden waves of heat that can cause discomfort or embarrassment.

  • Anxiety: Hormone fluctuations can lead to increased anxiety and stress.

Our HRT Program offers a holistic solution to help you manage these symptoms and restore balance in your life. Through targeted treatments, we address the root causes of your concerns, empowering you to feel your best as you navigate this stage of life.

Summary of Some Key Benefits of HRT

Menopause and Perimenopause Relief

Weight Management

Enhanced Energy and Vitality

Improved appearance for skin, hair and nails

Improved Bone Health

Decrease in age - related chronic illnesses

Mood and Mental Clarity

Improved Sleep

Enhanced Libido and Sexual Health

Heart Health Support

Want to know if HRT is right for you?

Book a free 15-minute appointment to discuss your eligibility and get all your questions answered about our BHRT program. Take the first step toward balanced health today!

HRT Explained: Your Guide to Hormone Health

Infographic depicting estrogen levels and deficiency by age, showing silhouettes from ages 20 to 80, with labels indicating menopause and hormonal changes.

HRT is primarily aimed at supplementing essential hormones—estrogen, progesterone, and sometimes testosterone—when the body begins to produce less as ovarian function declines. This often starts in the perimenopausal stage, where hormone levels fall unevenly, causing symptoms like hot flashes, mood swings, night sweats, and sleep disruptions.

Bioidentical Hormone Therapy (BHRT) specifically uses hormones that are molecularly identical to the ones naturally made by the body. This approach is favored for its compatibility with the body, making it easier to restore hormonal balance in a more physiological, or natural, range.

Unlike synthetic hormone therapies, HRT aims to bring hormone levels back to a pre-menopausal range rather than introducing high doses. These are the levels generally found in a woman's 20s and 30s, helping to restore well-being without the intensity of synthetic hormone effects seen in products like contraceptives.

Types of Estrogen and Delivery Methods in HRT

Medical skin patches and sprays on a white surface

Understanding estrogen types is essential for effective treatment. HRT often uses 17-beta estradiol, which is the primary estrogen produced by the ovaries. This bioidentical form of estrogen mimics natural estrogen closely, which enhances its effectiveness and safety.

HRT offers flexible delivery methods to suit individual preferences and needs. Transdermal methods, such as patches, gels, and sprays, are commonly used because they allow estrogen to be absorbed through the skin, bypassing the liver and reducing risks associated with oral forms. This delivery method ensures a steady absorption rate and minimizes side effects.

Selecting the right type and form of estrogen allows for more precise hormone balancing, which contributes to more stable and sustained symptom relief.


Hormonal Fluctuations and Symptom Patterns Throughout Women’s Lives

Women experience significant hormonal fluctuations at various life stages, from puberty through menopause. In puberty, fluctuating hormones regulate cycles but also bring symptoms like mood swings and acne. During the menstrual years, hormone levels vary within each cycle, affecting mood, energy, and physical symptoms.

This cyclical fluctuation continues monthly. For example, estrogen peaks at ovulation, while progesterone rises in the second half of the cycle. This can result in premenstrual syndrome (PMS) or, in more severe cases, premenstrual dysphoric disorder (PMDD), which affects about 5% of women. Symptoms of PMDD may include severe mood swings, low energy, and even depressive thoughts, impacting daily life.

By supplementing declining hormone levels, HRT can help alleviate these symptoms. For women who experience extreme symptoms, restoring a more stable hormone balance with BHRT can improve their quality of life and reduce the impact of these hormonal fluctuations.

The HRT Process During Perimenopause and Menopause

The perimenopausal stage, when the ovaries produce hormones at a reduced but still fluctuating rate, is an ideal time to consider HRT. In early perimenopause, the ovarian function may still be at 80%, causing minor symptoms; BHRT can act as a top-up. As ovarian function declines further, dose adjustments are essential to keep up with the body’s changing needs.

HRT needs are highly individualized since the rate of hormonal decline differs from one woman to another. For some, this decline may take a few years, while others might experience a faster transition. With regular dose reviews, BHRT can continue to meet the body’s shifting requirements, maintaining a stable and healthy hormone range.

Regular monitoring and consultation with healthcare professionals can help prevent the “cliff effect,” where symptoms re-emerge as hormone levels drop again. A tailored BHRT approach that adapts as ovarian function declines is key to consistent relief.