Winter Park Office
Lakewood Office

Winter Park
970-760-7884

Lakewood
303-747-5051

Hormone Replacement Therapy For Women And Men

Restore balance. Reclaim well-being.

Hormones Impact Your Overall Wellbeing And Mental Health

Are you struggling with fatigue, weight gain, low libido, sleep problems, mood swings, brain fog or other signs of hormonal changes? Have you felt like these symptoms are just something you have to accept? At Wellness Psychiatry, we believe you deserve to feel your best—and we’re here to help you get there.

Both men and women experience fluctuations in hormone levels throughout their lives, and these changes can significantly affect your health. Hormones are essential for maintaining muscle mass, bone density, metabolism, fertility, and a healthy body composition. They also influence mood, energy, sex drive, and in women, regulate the menstrual cycle.

At Wellness Psychiatry we offer bio-identical hormone replacement therapy (BHRT) to help restore balance and improve vitality when necessary. Our holistic approach includes not just treating symptoms, but finding the underlying cause of hormonal imbalances.

Common Signs And Symptoms Of Hormone Imbalances

  • Sexual problems (change in sexual desire, sexual activity, orgasm and/or satisfaction)
  • Sleep problems (difficulty falling asleep, staying asleep, or waking up too early)
  • Depressive mood (feeling down, sad, on the verge of tears, lack of drive)
  • Irritability (mood swings, feeling aggressive, angers easily)
  • Anxiety (inner restlessness, feeling panicky, feeling nervous, inner tension)
  • Sweating or hot flashes (night sweats or increased episodes of sweating)
  • Difficulties with memory and concentration
  • Hair loss, thinning or change in texture of hair
  • Feeling cold all the time or have cold hands or feet
  • Weight gain or difficulty losing weight despite diet and exercise
  • Dry skin
portrait of an elderly couple carrying their backpacks for a hike
portrait of a smiling woman undergoing hormone replacement therapy

Hormone Replacement Therapy For Women

As women approach menopause, hormone levels—particularly estrogen and progesterone—begin to decline. These changes can lead to a variety of uncomfortable symptoms that impact quality of life. Hormone Replacement Therapy (HRT) is a personalized treatment designed to restore hormonal balance and help you feel like yourself again.

What We Offer

Our HRT services are tailored to your unique needs, goals, and medical history. After a thorough consultation and hormone testing, we’ll develop a custom treatment plan using the most effective delivery method for your lifestyle. Options may include:

  • Oral medications
  • Skin patches
  • Topical creams or gels
  • Vaginal therapies
  • Pellet therapy (long-lasting, steady hormone release)

Common Symptoms We Address

If you’re experiencing any of the following, HRT may offer relief:

  • Hot flashes and night sweats
  • Mood swings, anxiety, or depression
  • Sleep disturbances
  • Vaginal dryness or discomfort during intimacy
  • Decreased libido or reduced interest in sexual activity
  • Brain fog or trouble concentrating
  • Low energy and fatigue
  • Bone loss or increased fracture risk

Testosterone Hormone Treatment For Men

Men experience a hormonal shift known as andropause, which occurs as testosterone levels gradually decline with age. This transition is often compared to menopause in women, though it tends to happen more gradually and with less predictability. The drop in testosterone can lead to a range of physical, emotional, and cognitive changes.

Common symptoms of andropause may include:

  • Decreased libido or reduced interest in sexual activity
  • Erectile dysfunction or difficulty maintaining an erection
  • Fatigue or persistent low energy levels
  • Mood changes, such as irritability, depression, or anxiety
  • Reduced muscle mass and strength
  • Increased body fat, especially around the abdomen
  • Difficulty concentrating or memory issues
  • Sleep disturbances, including insomnia or poor-quality sleep
  • Loss of motivation or feelings of apathy
  • Decreased bone density, increasing the risk of osteoporosis
man running outdoors

Types of Hormone
Replacement Therapy We Offer

Personalized options to support your unique hormonal needs

At our clinic, we understand that no two individuals experience hormonal changes in the same way. That’s why we offer a variety of hormone treatment options designed to suit your body, lifestyle, and wellness goals. Whether you’re navigating menopause, perimenopause, andopause, or other hormone-related concerns, we’ll help you find the right solution.

Bioidentical Hormone Therapy (BHRT)

Bioidentical hormones are chemically identical to the hormones your body naturally produces. They are derived from plant sources and can be tailored to your exact hormonal levels through compounded prescriptions. BHRT is a popular choice for those seeking a more natural, individualized approach to hormone balance.

  • Customized to your lab results
  • Available in creams, capsules, or pellets
  • Designed to closely mimic your body’s own hormones

Pellet Therapy

Pellet therapy involves placing small, rice-sized hormone pellets just beneath the skin (typically in the hip area). These pellets release a steady, consistent dose of hormones over several months.

  • Long-lasting relief with no daily dosing
  • Ideal for busy lifestyles
  • Often used for estrogen and/or testosterone therapy

Topical Creams and Gels

Applied directly to the skin, hormone creams and gels offer a convenient, non-invasive way to absorb hormones into the bloodstream.

  • Easy at-home use
  • Allows for gradual hormone absorption
  • Customizable strength and dosing

Oral Medications

Hormones in pill form are one of the most common and familiar methods of HRT. They’re typically taken daily and are suitable for many women.

  • Convenient and familiar option
  • Often includes estrogen or a combination of estrogen and progesterone
  • May be best for those without certain risk factors (e.g., clotting disorders)

Transdermal Patches

Patches are applied to the skin and release hormones continuously over several days. They offer consistent hormone delivery and may have fewer systemic side effects than oral options.

  • Steady hormone levels with fewer hormone spikes
  • Easy to use and replace weekly or bi-weekly
  • Good alternative for those sensitive to oral estrogen

Choosing the Right Hormone Treatment Option

During your consultation, we’ll evaluate your hormone levels, medical history, symptoms, and preferences to determine the best treatment method for you. Our goal is to provide safe, effective, and personalized hormone therapy that supports your long-term health and vitality.

Hormone Replacement Therapy Treatment

Our providers will collaborate with you to review your medical and mental health history, helping us understand your symptoms and health goals. We will then conduct hormone level testing to identify the most appropriate hormone replacement therapy (HRT) and dosage to support your physical and mental well-being. Since hormone levels can fluctuate over time, your provider will schedule regular follow-up appointments and testing to ensure you’re maintaining optimal therapeutic levels.

Hormone replacement therapy may involve testosterone, estrogen, progesterone, and/or thyroid hormones, depending on your individual needs.

Who can benefit from Hormone Replacement Therapy (HRT)?

Both men and women undergo fluctuations in hormone levels, including estrogen deficiency in women and testosterone decline in men, which can significantly impact overall health, mood, and bone strength. Hormone replacement therapy (HRT) is not just for treating menopause symptoms. It can also help individuals facing hormonal imbalances caused by intense physical activity, health conditions, or natural life stages like puberty, menstruation, pregnancy, lactation, menopause, and andropause. Whether you are looking to treat menopausal symptoms, address low testosterone levels, or support overall hormonal health, HRT programs can be customized to meet the unique needs of both women and men.

Can HRT help with mental health issues?

Yes, TRT (Testosterone Replacement Therapy) has shown to help with symptoms of sadness, anxiety, and irritability in both men and women. In addition, treating hypothyroidism with thyroid hormone can treat symptoms of depression, fatigue, difficulty thinking and focusing.

How is the dosage determined for HRT?

The appropriate HRT dosage is determined by considering several factors, including weight, age, medical history, blood test results, and current symptoms. This comprehensive approach ensures that each patient receives a dosage tailored to their unique needs. Regular monitoring allows for adjustments to be made as necessary, ensuring the most effective and safe treatment.

Before starting hormone therapy, it’s important to understand both the potential benefits and possible risks. Having the right information can help you make the best decision for your health. Here’s what you should know.

A smiling woman sitting at the open back of an SUV

Safe and Personalized Hormone Therapy at Wellness Psychiatry

Your health and safety are our top priorities. Our approach follows guidelines from trusted sources like the North American Menopause Society and the National Cancer Institute.

We consider factors such as:

  • Your personal and family medical history (including breast cancer, ovarian cancer, colorectal cancer, liver disease, and heart disease)
  • Your current hormone levels and symptoms (including vasomotor symptoms like severe hot flashes)
  • Whether you would benefit from low-dose systemic therapy, cyclic therapy, or continuous combined HRT
  • Whether a transdermal estrogen patch, vaginal ring, or estrogen-only therapy is right for you

We work closely with you to monitor your treatment with regular follow-up visits and hormone testing. If you ever experience symptoms like breast tenderness, vaginal bleeding, or new health concerns, we adjust your plan right away.

Whether you are looking for systemic hormone therapy, testosterone supplementation, or local estrogen therapy, we are here to guide you every step of the way with compassion and expertise.

Hormone Replacement Therapy
Frequently Asked Questions

What is hormone replacement therapy (HRT)?

Hormone replacement therapy (HRT) is a treatment that helps restore hormone levels in the body, usually when they drop due to aging, menopause, or other health conditions. It’s commonly used to ease symptoms like hot flashes, fatigue, low sex drive, and mood swings.

What’s the difference between traditional HRT and bioidentical hormone therapy?

Traditional HRT often uses synthetic hormones or those derived from animals. Bioidentical hormone therapy uses plant-based hormones that are chemically identical to the ones your body makes. Many people prefer bioidentical options because they may be easier for the body to process, but both types can be effective when properly managed.

Is hormone replacement therapy safe for both men and women?

Yes, HRT can be safe for both men and women when prescribed and monitored by a qualified provider. Like any medical treatment, it comes with some risks, which is why regular check-ins and lab tests are important.

What are the symptoms of hormone imbalance in women?

Common signs include hot flashes, night sweats, irregular periods, low energy, mood changes, trouble sleeping, weight gain, and vaginal dryness. These symptoms can show up during perimenopause or menopause when estrogen and progesterone levels shift.

What are the signs of low testosterone in men?

Men with low testosterone might notice low sex drive, fatigue, reduced muscle mass, weight gain, trouble concentrating, or even depression. Some also experience erectile dysfunction or sleep problems.

How is hormone therapy personalized at your clinic?

We start with a detailed hormone level test, then look at your symptoms, age, lifestyle, and goals. From there, your provider creates a custom treatment plan tailored to your needs. We also schedule follow-ups and lab work to adjust dosing as needed.

Can hormone replacement therapy help with mental health issues?

Yes, in many cases it can. Hormone imbalances can affect mood, anxiety levels, and even memory. Restoring balance may help improve focus, reduce brain fog, and support emotional well-being. It’s often used alongside other treatments for the best results.

How long does it take to feel results from HRT?

Some people notice improvements in sleep, energy, or mood within a few weeks. Others may need a couple of months to feel the full effect. It depends on your body and how well your treatment plan fits your needs.

Are there risks associated with hormone replacement therapy?

There are potential risks, like blood clots, breast tenderness, or changes in mood. Long-term use has been linked to some health concerns in certain people. That’s why it’s important to work with a provider who monitors your progress and adjusts your plan if needed.

How often do I need follow-up hormone level testing?

We typically recommend follow-up testing every 8 to 12 weeks when starting HRT, then every 3 to 6 months once things are stable. Regular testing helps make sure your levels stay in a safe and healthy range.

Contact the Experts Today

At Wellness Psychiatry, we begin with a comprehensive consultation led by one of our experienced specialists. This includes blood tests and hormone panels to better understand your unique health needs. Based on your results, we’ll create a personalized treatment plan aimed at optimizing your overall well-being and providing effective symptom relief.

Call us today to schedule your consultation and take the first step toward a healthier, more balanced you.

Request More Information

what our clients say

I was extremely apprehensive on my first visit because I was in a very bad mental state. Amanda was very thorough, very friendly, and made me feel very comfortable from the very beginning. As I recovered I looked forward to our visits but in the end we mutually decided that it was time for me to leave the nest and fly away. If I ever need her I can always call on her. There was something about the layout of the office, the furnishings, and the calming energy that always put me at ease. My first encounter with psychiatric counseling was definitely a positive experience and something that I'll cherish.
Charles
This practice has not only helped my mental health, but I have been treated in a way that is caring and thoughtful. I feel like I'm more than just the 10:30 client - there's a vested interest in my well being. Amanda Farrell is who I've been working with for a few years now and I highly recommend her! I also feel confident that anyone in the practice is trustworthy and reliable. Again, highly recommended!
Melissa
Amanda is an absolute RARE find. My husband even agreed that she does….actually….. care about me and my health. I’m 50 and this might be the first time in my life that I’ve felt that my doctor/therapist really wants me to be happy and successful in life. Starting therapy when I was in my 20’s so there is a long list of docs/therapist that I’ve seen over the years. Highly recommend — especially if you’ve started feeling like you’re just another patient in the queue.
Susannah
This is the best psychiatry practice I have been to. Everyone I have worked with has been empathetic and understanding. The office feels very warm and I feel very taken care of. I always know when I call or email, Riley will be super responsive to my needs. Highly recommend!
Ellen
Amanda has been incredibly helpful. I'm much happier and more productive.
Bob
Wellness Psychiatry goes above and beyond. Everyone from admin to clinical staff. The team fosters warmth and are very attentive to your needs. Addressing mental health has felt overwhelming but this team makes it me feel comfortable and supported. Thanks!
Jodi
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