HRT in Houston, with the workup it deserves.
Get back to sleeping through the night, thinking clearly, and feeling like yourself, with bioidentical estrogen, progesterone, and testosterone dosed to your labs and symptoms. Not a generic protocol.
Of US women experience hot flashes and night sweats during menopause
Typical duration of the perimenopausal transition
When many women first notice symptom relief on therapy
What is HRT
Replacing what the ovaries stop making, in the forms your body recognizes.
Hormone replacement therapy restores estrogen, progesterone, and, where appropriate, testosterone to physiologic levels during perimenopause and menopause. Bioidentical formulations match the molecular structure of the hormones your body produced before the transition, which is why what we prescribe is also BHRT: the standard of care today.
Current specialty-society guidance is clear: for most healthy women starting within ten years of menopause, HRT has a favorable benefit-risk profile. The question of "should I be on this" deserves a real conversation with a provider, not a 90 second screening.
And if you're still cycling: perimenopause is when many women feel the worst, and treating those symptoms doesn't require waiting for menopause to be complete. Three doctors saying "your labs are normal" is not the same as feeling like yourself.
Symptom map
The symptoms HRT can actually help with.
Perimenopause and menopause produce symptoms across multiple systems, and most women have been told some version of "it's just stress" for at least one of them. Here's what's typically driven by the hormonal shift.
Vasomotor
Hot flashes & night sweats
The most recognized symptom, and the one therapy is most clearly effective for. Most women see a major reduction in frequency and severity.
Sleep & cognition
Insomnia, brain fog, memory
Often the symptom women care about most but mention last. Fragmented sleep compounds with direct cognitive effects of the hormonal shift.
Mood
Anxiety, irritability, low mood
Perimenopause is one of the highest-risk windows for new mood symptoms in a woman's life. Hormone therapy often helps where other approaches alone haven't.
Genitourinary
Dryness, painful sex, UTIs
Highly treatable, including with localized options that are appropriate even for many women who can't take systemic therapy.
Metabolic
Weight and body composition
The transition shifts fat toward the middle and reduces lean mass. The picture is generally better on therapy, especially paired with strength training and protein.
Desire
Low libido & arousal
Multifactorial: tissue, lubrication, and desire respond to different levers, including low-dose testosterone for women where appropriate.
Realistic expectations
What it can, and can't, do.
Setting expectations honestly is part of the work. Here's the straight version.
What HRT does well
- Reduces hot flashes and night sweats substantially for most women
- Improves sleep quality, often within the first month
- Resolves genitourinary symptoms, including with localized options
- Often improves mood, anxiety, and cognitive symptoms through the transition
- Preserves bone density and reduces fracture risk
- Has a favorable profile when started within ten years of menopause
What it can't do
- Replace strength training, sleep, protein, or stress management
- Cause significant weight loss on its own
- Reverse changes long established before treatment
- Fit every history: certain cancers, clotting disorders, and unexplained bleeding change the answer
- Be prescribed responsibly without baseline labs and a real workup
- Continue indefinitely without periodic reassessment
How it works
From consultation to plan, in real medicine.
HRT prescribing follows the same pattern as any thoughtful medical decision: proper workup first, then a plan based on what your labs, history, and symptoms actually show.
Day 1 · 45 min
Consultation
In person at our Houston clinic. We map your symptoms across every category, review your history, and discuss what therapy can and can't do.
Days 2 to 4
Lab work
Comprehensive baseline panel drawn in our office, plus a body composition scan, read against optimal ranges rather than just population averages.
By day 5
Protocol design
Your provider designs your protocol: route, components, and starting doses calibrated to your labs and symptom severity, with the reasoning explained.
Days 7 to 10
First prescription
Filled through a licensed pharmacy. Administration guidance and honest timelines: many symptoms improve within weeks, others take longer.
Ongoing
Monitor & adjust
Structured check-ins at 6 weeks, 3 months, 6 months, then annually. Doses adjusted to your actual response.
Before you book
Questions everyone asks.
How much does HRT cost in Houston?
Isn't HRT supposed to be risky?
I'm in perimenopause but still cycling. Can I start now?
Is this bioidentical hormone therapy?
What about testosterone for women?
The next step
Feel like yourself again.
A 45 minute consultation at our Houston clinic. We'll review your symptoms and your story, and decide together whether HRT fits.
6909 Grand Blvd, Houston TX 77054 · Get directions →
Provider-led · Labs and body scan in-office · Licensed pharmacies only