Hormone Replacement Therapy

Hormone replacement therapy is treatment that supplements your body’s declining natural hormones – estrogen, progesterone, testosterone, or thyroid hormones – to alleviate symptoms associated with hormonal imbalances or age-related hormone decline. HRT addresses the root cause of symptoms like fatigue, weight gain, mood changes, and sleep disruption rather than just treating symptoms with antidepressants or sleeping pills

Common signs that you need hormone replacement therapy include persistent fatigue despite adequate sleep, unexplained weight gain or difficulty losing weight, mood swings or depression, low libido, sleep disruption, hot flashes and night sweats in women, brain fog, decreased muscle mass, and hair thinning. In women, irregular periods during perimenopause or menopause symptoms signal potential hormone needs, while men often experience decreased energy, erectile dysfunction, and loss of muscle mass with low testosterone.

Bioidentical hormone replacement therapy uses hormones that are molecularly identical to hormones your body produces naturally – same chemical structure as human estrogen, progesterone, testosterone, or thyroid hormones – which differs from synthetic hormones that have altered molecular structures potentially producing different effects.

Bioidentical estradiol behaves exactly like estrogen your ovaries produce, and bioidentical progesterone provides the same benefits as your body’s natural progesterone, with many patients tolerating bioidentical hormones better than synthetic alternatives.

Hormone replacement therapy is safe for most patients when properly monitored through comprehensive lab testing and quarterly physician consultations, though like all medical treatments, HRT carries potential risks that vary based on which hormones you need, your medical history, and how treatment is managed.

Women with history of breast cancer, blood clotting disorders, or active liver disease typically should not use estrogen-based HRT, and men with prostate cancer should not receive testosterone replacement.

Hormone replacement therapy cancer risk depends on which hormones you use, how they’re administered, and your individual risk factors, with older studies showing increased breast cancer risk using synthetic hormones (Premarin and Provera) at high doses – protocols rarely used today. Bioidentical estrogen combined with progesterone shows lower cancer risk than estrogen alone, transdermal estrogen carries lower risks than oral estrogen, and testosterone replacement in men does not cause prostate cancer though it’s contraindicated if prostate cancer already exists.

At Craft Concierge, we review your complete medical history and family cancer history during initial consultation, choose hormone protocols minimizing cancer risk for your situation, and monitor through quarterly lab work and annual health assessments including cancer screening appropriate for your age and risk factors.

Hormone replacement therapy at Craft Concierge is included in your membership with no separate program fees or per-visit charges, with the Core membership ($99/month) providing access to HRT consultations and prescriptions with labs at discounted member rates, or the Vitality membership ($175/month) including quarterly lab testing and monitoring visits that proper HRT requires.

Hormone medications themselves typically cost $30-$150 monthly depending on which hormones you need and delivery methods, purchased separately through pharmacies. This transparent pricing means you know your costs upfront – unlike insurance-based HRT where copays, deductibles, and surprise bills make total costs unpredictable.

You should start hormone replacement therapy when hormone-related symptoms significantly affect your quality of life and comprehensive lab testing confirms hormone deficiencies causing those symptoms.

For women, perimenopause symptoms often begin in your 40s and starting HRT early can prevent some complications rather than waiting until after menopause, while for men, testosterone decline typically starts around age 30-40 and starting replacement when levels drop below optimal can preserve muscle mass, energy, and metabolic health.

To get hormone replacement therapy at Craft Concierge, schedule your initial consultation by completing our patient intake form online, and within 24 hours we’ll schedule your appointment with Dr. Stamoolis in Tampa or Dr. Else in Tulsa to discuss your symptoms and health goals.

Your physician orders comprehensive lab work testing hormones, thyroid function, metabolic markers, and nutritional factors, and once labs return (typically within days), your follow-up appointment reviews results and creates your personalized HRT protocol if testing confirms hormone deficiency.

We provide hormone prescriptions you fill at your preferred pharmacy along with lifestyle recommendations supporting hormone balance, and your membership includes quarterly monitoring visits to assess treatment response and adjust protocols based on symptom improvement and repeat lab testing.

At our Tulsa clinic, Craft Concierge operates on a direct primary care model, which means we do not accept traditional insurance for our services. This approach allows us to offer personalized care without the complexities often associated with insurance billing. Our membership packages are designed to provide comprehensive care at transparent prices.

No, initiating HRT requires a thorough evaluation by a qualified healthcare provider to ensure it’s safe and appropriate for your specific health needs.​

Bioidentical hormones are compounds that are chemically identical to the hormones produced by your body, offering a natural approach to hormone replacement.​

Yes, lifestyle modifications, dietary changes, and certain medications can help manage symptoms. Our providers can discuss these options during your consultation.