Hormone Replacement Therapy (HRT)
Evidence-based hormone care to support bones, muscle, and recovery.
Why hormones matter in orthopedics
Declines in estrogen (women) and testosterone (men) accelerate bone loss, reduce muscle mass, and can slow rehab. When clinically appropriate, carefully monitored HRT can support bone density, strength, and function so you can train, heal, and move with confidence.
Who we help
- Women with menopausal symptoms and low bone density
- Men with medically confirmed low testosterone and functional limitations
- Post-fracture patients who need stronger bones for long-term protection
- Active adults struggling with recovery, sleep, or energy that limits rehab
What we evaluate
- Symptom profile and orthopedic goals
- DEXA bone-density and fracture risk
- Targeted labs: sex hormones, thyroid, vitamin D, lipids/hematocrit (as indicated)
- Medication & family history review; shared decision-making about benefits and risks
Treatment options we use
- Women: bioidentical estrogen (transdermal preferred) with progesterone if uterus present; localized vaginal estrogen for urogenital symptoms
- Men: testosterone replacement for confirmed hypogonadism (form tailored to your profile)
- Adjuncts: bone-active medications when indicated; nutrition and strength plans aligned with your orthopedic rehab
Safety & monitoring
Your safety is our priority. We follow national guidelines and personalize therapy.
- Regular check-ins for symptom relief and side-effect screening
- Timed labs and dose adjustments
- Periodic DEXA for bone outcomes
- Collaboration with your PCP/gynecologist/urologist as needed
Who may not qualify
- Hormone-sensitive cancer without specialist clearance
- Active liver disease, uncontrolled cardiovascular risk, or clotting history
- Untreated sleep apnea (for men on testosterone), pregnancy/breastfeeding
Our difference
- Orthopedic focus: We target outcomes that matter, fracture prevention, strength, mobility, and function.
- Integrated team: Surgeons, PTs, and chiropractors coordinate care so your hormone plan supports training and recovery.
- Measurable results: Clear metrics for strength, balance, bone density, and quality of life.
