Women's Hormone Replacement Therapy (HRT) in Fort Worth
Hot flashes keeping you up at night? Gaining weight despite eating right? Feeling like a stranger in your own body? You don't have to accept this as "just getting older." Our physician-led HRT program restores hormonal balance with bioidentical hormones tailored to your body, your symptoms, and your goals.
What is Bioidentical Hormone Replacement Therapy?
Bioidentical hormone replacement therapy uses hormones that are molecularly identical to those your body naturally produces. Unlike synthetic hormones, bioidentical estradiol, progesterone, and testosterone are recognized by your body as its own—which can mean better results with fewer side effects.
As women approach menopause, hormone production doesn't just drop—it becomes erratic. Estrogen, progesterone, and yes, testosterone all decline, causing the symptoms that make so many women feel like they've lost themselves: hot flashes, unexplained weight gain, mood swings, brain fog, low libido, and disrupted sleep.
At Highland Longevity, we don't just treat symptoms—we optimize your hormonal health. We run comprehensive panels that go beyond basic estrogen levels, looking at the full picture including thyroid function, metabolic health, and inflammatory markers. Then we create a personalized protocol designed for your body.
Signs of Hormonal Imbalance in Women
Hormone changes can start years before menopause and affect every aspect of your life. If you're experiencing several of these symptoms, it may be time to check your levels.
Hot Flashes & Night Sweats
Sudden waves of heat, flushing, and sweating that disrupt your day and destroy your sleep.
Sleep Disturbances
Difficulty falling asleep, staying asleep, or waking up exhausted despite being in bed for hours.
Weight Gain
Unexplained weight gain, especially around the midsection, that doesn't respond to diet or exercise.
Mood Changes
Anxiety, irritability, depression, or mood swings that feel out of character and hard to control.
Brain Fog
Difficulty concentrating, memory lapses, and mental sluggishness that affects work and daily life.
Low Libido
Decreased interest in intimacy and difficulty with arousal or orgasm. It's not "just stress."
Vaginal Dryness
Dryness, irritation, or painful intercourse caused by declining estrogen levels.
Fatigue
Persistent tiredness that isn't relieved by rest. The kind that makes everything harder.
HRT for Every Stage of Life
Hormonal changes don't wait for menopause. We help women navigate hormone optimization at every stage.
Perimenopause
The transition years when hormone fluctuations begin. Periods may become irregular, and symptoms can start years before menopause.
- Irregular or heavy periods
- PMS that's worse than before
- Early hot flashes
- Sleep changes
- Mood swings and anxiety
Menopause
When periods stop for 12 consecutive months. Estrogen and progesterone decline significantly, causing classic menopause symptoms.
- Hot flashes and night sweats
- Vaginal dryness
- Weight gain and metabolism changes
- Brain fog and memory issues
- Bone density concerns
Post-Menopause
Years after menopause, hormone levels remain low. HRT can still provide benefits for quality of life, bone health, and longevity.
- Ongoing vaginal and urinary symptoms
- Bone loss and osteoporosis risk
- Cardiovascular considerations
- Cognitive health support
- Continued quality of life
Comprehensive Hormone Testing
We don't guess—we test. Our panels evaluate the complete picture of your hormonal and metabolic health so we can create a truly personalized protocol.
🧪 Reproductive Hormones
- Estradiol (E2)
- Progesterone
- Total & Free Testosterone
- FSH
- LH
🦋 Thyroid Panel
- TSH
- Free T3
- Free T4
- Thyroid Antibodies
⚖️ Metabolic Markers
- Fasting Insulin
- HbA1c
- Lipid Panel
- hs-CRP
- Vitamin D
🩸 Blood Health
- Complete Blood Count (CBC)
- Comprehensive Metabolic Panel
- Ferritin
- B12
- ApoB
🔄 Follow-Up Testing
- 6-week symptom check
- 8-12 week labs
- Quarterly monitoring
- Annual comprehensive review
➕ Additional Testing
- DEXA bone density
- Body composition analysis
- Cardiovascular risk markers
- DUTCH testing (advanced)
Your HRT Journey at Highland Longevity
From first consultation to optimized protocol, here's what your hormone optimization journey looks like.
Free Discovery Call
A complimentary 15-minute phone or video consultation to discuss your symptoms, health history, and goals. We'll determine if HRT might be right for you and answer your initial questions.
Comprehensive Lab Work
We order a complete hormone panel plus thyroid, metabolic, and inflammation markers. Labs can be drawn at our office or a convenient local lab. We check everything—not just estrogen.
Results Review & Protocol Design
Meet with our physician to review your results in detail. We'll explain what we're seeing, discuss your options, and design a personalized HRT protocol based on your labs, symptoms, and preferences.
Start Treatment & Ongoing Care
Begin your HRT protocol with clear instructions and support. We check in at 6 weeks for symptoms and 8-12 weeks for follow-up labs. Monthly coaching and quarterly lab monitoring keep you optimized.
Benefits of Hormone Optimization
When your hormones are balanced, you feel it in every aspect of your life.
Better Sleep
Fall asleep easier, stay asleep longer, and wake up feeling actually rested. Progesterone is particularly helpful for sleep quality.
More Energy
Sustained energy throughout the day without the afternoon crashes. Feel like yourself again—not like you're running on empty.
Mental Clarity
Sharper thinking, better memory, and the ability to focus again. No more walking into rooms and forgetting why.
Hot Flash Relief
Significant reduction or elimination of hot flashes and night sweats. Sleep through the night without waking up drenched.
Body Composition
Easier to build muscle and lose fat. Exercise feels productive again instead of pointless.
Restored Intimacy
Improved libido, vaginal comfort, and sexual function. Reconnect with your partner and yourself.
Mood Stability
Less anxiety, irritability, and emotional volatility. Feel more like yourself and less like a hostage to your hormones.
Bone Protection
Estrogen helps maintain bone density. HRT can reduce osteoporosis risk when started around menopause.
Women's HRT Frequently Asked Questions
Common questions about bioidentical hormone replacement therapy at Highland Longevity.
What is bioidentical hormone replacement therapy?
Bioidentical hormones are molecularly identical to the hormones your body naturally produces. Unlike synthetic hormones used in older HRT formulations, bioidentical estradiol, progesterone, and testosterone are recognized by your body as its own. We use FDA-approved bioidentical hormones and pharmacy-compounded options based on your individual needs.
Is hormone replacement therapy safe?
Modern bioidentical HRT, when properly prescribed and monitored by a qualified physician, is considered safe for most women—especially when started within 10 years of menopause. The key is individualized care: the right hormones, in the right doses, delivered the right way, with regular monitoring. We evaluate your complete health history, assess risk factors, and create protocols tailored to your specific situation.
Do women really need testosterone?
Absolutely. Women produce testosterone too—just in smaller amounts than men—and levels decline with age. Low testosterone in women can cause fatigue, decreased libido, difficulty building muscle, brain fog, and mood changes. When appropriately dosed (much lower than men), testosterone therapy can significantly improve energy, sex drive, mental clarity, and body composition in women.
How long until I feel better on HRT?
Many women notice improvements in sleep, mood, and hot flashes within 2-4 weeks of starting HRT. Vaginal symptoms may take 4-12 weeks to fully improve. Energy levels and body composition changes typically develop over 2-3 months. Full benefits are usually realized within 3-6 months of optimized therapy. We fine-tune your protocol based on your response.
Will HRT help with menopause weight gain?
Hormone optimization can help address menopause-related weight gain by improving metabolism, reducing insulin resistance, and supporting muscle mass. Estrogen decline is directly linked to increased belly fat storage. While HRT alone isn't a weight loss treatment, balanced hormones make it significantly easier to maintain a healthy weight when combined with proper nutrition and exercise.
Ready to Feel Like Yourself Again?
Book a free HRT consultation and find out if bioidentical hormone therapy is right for you. No pressure, no obligation—just answers.