Hormone Therapy For Women

Hormone therapy for women focuses on restoring balance when estrogen, progesterone, or testosterone levels begin to change. Many women experience symptoms during perimenopause and menopause, but hormone shifts can occur much earlier and may affect energy, sleep, weight, mood, and cognitive function. 

Understanding Hormonal Changes in Women

Hormonal changes occur gradually for most women. These shifts affect how the body regulates temperature, metabolism, sleep, mood, and reproductive function. Many women begin noticing these changes long before menstrual cycles fully stop, which is why clear evaluation and testing are important for understanding overall hormone health.

Perimenopause

During perimenopause, the ovaries begin to produce less estrogen and progesterone in an irregular pattern. This transitional phase can start in the mid-thirties or forties and may last several years. 

As estrogen levels fluctuate, the brain receives inconsistent temperature and sleep signals, leading to hot flashes, night sweats, and interrupted rest.

Lower progesterone can contribute to mood changes, heavier or irregular cycles, and difficulty relaxing or staying asleep. Testosterone levels also decline and may affect energy, libido, and muscle tone.

Menopause

Menopause occurs when menstrual cycles have stopped for twelve consecutive months. At this stage, estrogen and progesterone remain consistently low rather than fluctuating. These lower levels can influence temperature control, sleep quality, metabolism, and overall comfort.

Testing helps identify where you are in this transition and guides a personalized treatment plan that supports steady improvement.

Common Symptoms of Hormone Imbalance in Women

Women with low or fluctuating hormone levels may notice:

• Hot flashes or night sweats
• Irregular or changing menstrual cycles
• Sleep disturbances
• Mood swings or irritability
• Brain fog or difficulty concentrating
• Fatigue or lower daily energy
• Weight gain
• Lower libido
• Vaginal dryness
• Changes in hair or skin
• Increased anxiety or restlessness
• Decreased muscle tone

These symptoms can have multiple causes, which is why proper evaluation is important for creating an effective treatment plan.

Causes of Hormone Imbalance

Hormone changes can be influenced by:

• Perimenopause and menopause
• Thyroid dysfunction
• Polycystic ovarian syndrome
• Chronic stress
• Poor sleep
• Nutritional deficiencies
• Certain medications
• Long-term illness
• Metabolic changes

Your provider will review your health history, symptoms, and lifestyle factors along with your lab results to understand the full picture.

Bioidentical Hormone Replacement Therapy for Women

Bioidentical hormone replacement therapy is one of the most effective treatments for hormone imbalance, using hormones that are chemically identical to those the body produces naturally. Because the structure matches the body’s own hormones, bioidentical hormones are processed and recognized in a predictable way. 

BHRT supports the systems that depend on stable hormone levels, including temperature regulation, sleep, metabolism, mood, cognitive function, and reproductive health. 

Hormone Therapy Options We Offer

We provide several treatment options to support balanced hormone levels and steady improvement. Your provider will recommend the approach that aligns with your lab results and overall health.

EvexiPEL® Pellet Therapy

We offer EvexiPEL® pellet therapy, a form of bioidentical hormone replacement that delivers a consistent dose of hormone through small pellets placed just under the skin. Pellets release hormones steadily for several months, which helps maintain balance without daily application or frequent dosing.

Topical Hormone Therapy

Creams and gels can be applied daily and allow for adjustable dosing. This approach is helpful for patients who prefer a non-invasive option with flexibility.

Supportive Nutraceuticals

Targeted supplements may play a role in supporting hormone balance. Depending on your needs, your provider may recommend vitamins A, D, and K, iodine, or other nutrients that complement your treatment plan.

Comprehensive Wellness Guidance

Lifestyle choices influence hormone stability. Our team offers individualized recommendations for nutrition, sleep, activity, and stress management to support long-term hormonal health. When appropriate, we also discuss weight loss treatments, including medically supervised weight loss injections, to help address metabolic concerns that may be linked to hormonal changes.

Benefits of Hormone Therapy for Women

Many women report improvements in:

• Hot flashes and night sweats
• Sleep quality
• Daily energy
• Mental clarity
• Mood stability
• Libido and sexual comfort
• Weight management
• Skin and hair changes
• Muscle tone

Consistent monitoring and proper dosing help ensure safe and steady progress.

What to Expect During Treatment

Your treatment begins with a consultation and lab testing. Once results are reviewed, your provider will discuss what your hormone levels mean and outline the most appropriate treatment options. You will receive a personalized plan and a follow-up schedule to ensure you’re responding appropriately to hormones. 

Most women notice improvements within several weeks, with continued benefits as hormone levels stabilize.

Why Women Choose Madison Wellness and Aesthetic Center

Our team has more than 15 years of experience providing bioidentical hormone therapy and has performed over 16,000 pellet procedures. We focus on individualized care, thorough evaluation, and long-term monitoring.

Your care includes:

• One-on-one consultations
• Detailed lab testing
• A customized treatment plan
• Regular monitoring
• Clear guidance throughout treatment

You will work with experienced providers who specialize in hormone health. Chad Gilliam, PA-C, Dr. Dawn Mancuso, and Amanda Lucker, RN bring advanced training and extensive clinical experience to every patient visit.

What Our Patients Say

Areas We Serve

We provide hormone therapy for patients across Madison and the surrounding areas, including Decatur, Hampton Cove, Gurley, Owens Cross Roads, Athens, Big Cove, Huntsville, and Cullman.

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