Hormone Replacement Therapy
Personalized Hormone Optimization for Men & Women
Hormones influence many aspects of health, including energy, sleep, sexual wellness, bone density, muscle strength, and overall physical function. At Spencer Orthopedics, our Hormone Replacement Therapy program provides a personalized approach to hormone optimization based on your symptoms, laboratory results, health history, and individual goals.
As part of our comprehensive musculoskeletal approach, hormone optimization can also complement orthopedic care, physical rehabilitation, bone health, and long-term wellness.
Schedule a Hormone ConsultationWhy Hormones Matter for Musculoskeletal Health
Hormonal changes can affect more than how you feel day to day. Hormones are involved in maintaining bone density, muscle mass, strength, and physical function. Changes associated with aging, menopause, or low testosterone may also influence how active you feel and your ability to maintain strength.
Our program evaluates hormone health as one component of a broader strategy focused on helping patients stay active, strong, and healthy.
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
Hormone Replacement Therapy for Women
Hormone levels naturally change throughout a woman’s life, especially during perimenopause and menopause. These changes may be associated with symptoms that affect sleep, energy, physical comfort, and quality of life.
Common Symptoms in Women
- Hot flashes
- Night sweats
- Sleep difficulties
- Fatigue or low energy
- Changes in mood
- Brain fog or difficulty concentrating
- Low libido
- Vaginal dryness
- Changes in body composition
- Joint or muscle discomfort
- Decreased bone density
Biote specifically identifies hot flashes, night sweats, sleep disturbances, decreased bone density, fatigue, and changes in libido among symptoms associated with hormonal changes in women.
Hot Flashes. Night Sweats. Trouble Sleeping?
These are among the most commonly recognized symptoms of hormonal changes in women. A comprehensive evaluation can help determine whether a hormone imbalance may be contributing to how you feel.
Schedule a Women’s Hormone EvaluationHormone Replacement Therapy for Men
Testosterone levels can decline with age, and low testosterone may affect energy, sexual wellness, muscle mass, strength, and overall quality of life.
Common Symptoms in Men
- Low libido or decreased sexual performance
- Persistent fatigue or low energy
- Loss of muscle mass and strength
- Difficulty maintaining strength
- Changes in mood
- Brain fog
- Sleep difficulties
- Changes in body composition
- Weak bones
Biote lists low energy, loss of muscle mass and strength, low sex drive, mood changes, and weak bones among common symptoms associated with low testosterone.
Low Libido. Persistent Fatigue. Losing Muscle & Strength?
A hormone evaluation can help determine whether low testosterone or another hormonal issue may be contributing to your symptoms.
Schedule a Men’s Hormone EvaluationWhat Does the Program Include?
Your hormone optimization plan begins with a comprehensive evaluation and may include:
- Medical and symptom review
- Laboratory testing
- Hormone level assessment
- Personalized supplement recommendations
- Hormone optimization
- Pellet therapy when clinically appropriate
- Follow-up laboratory testing
- Ongoing monitoring and adjustments
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
Hormone Pellet Therapy
For appropriate patients, hormone optimization may include pellet therapy. Small hormone pellets are placed beneath the skin and are designed to provide hormone delivery over time.
Treatment is individualized based on your laboratory testing, symptoms, medical history, and response to therapy.
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
An Integrated Approach to Wellness
One of the advantages of receiving hormone optimization through Spencer Orthopedics is the ability to connect your hormone health with your broader musculoskeletal care.
Depending on your needs, your treatment plan may coordinate with:
- Orthopedic care
- Bone health evaluation
- Physical Therapy
- Chiropractic care
- Regenerative treatments
- Strength and mobility programs
- Nutrition and supplementation
This reflects Spencer Orthopedics' broader multidisciplinary focus on treating musculoskeletal health through orthopedic, rehabilitation, regenerative, and physiologic strategies.
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.
Frequently Asked Questions
Symptoms can include hot flashes, night sweats, sleep difficulties, fatigue, mood changes, brain fog, low libido, and changes in bone density. Symptoms vary significantly from person to person.
Common symptoms may include low libido, low energy, loss of muscle mass and strength, mood changes, and weak bones.
No. Many medical conditions can cause similar symptoms. Laboratory testing and a medical evaluation are necessary before determining whether hormone replacement therapy is appropriate.
Pellet therapy may be included when clinically appropriate based on your evaluation, laboratory results, symptoms, and personalized treatment plan.
Hormones play a role in bone density, muscle mass, strength, and physical function. For some patients, hormone optimization can be considered alongside orthopedic treatment, rehabilitation, and bone health strategies.
Take the First Step Toward Hormone Optimization
If changes in energy, sleep, strength, sexual wellness, or overall well-being are affecting your quality of life, a personalized hormone evaluation can help identify the next step.
Explore whether HRT is right for you. Call 760-797-7540 or request an appointment for a personalized consultation.
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