Hormones FAQs: Answers to your most common questions about Bioidentical Hormone Replacement Therapy (BHRT)
Hormones play a vital role in how you feel every day, from your energy and mood to sleep, weight, and even mental clarity. When your hormones are out of balance, it can affect nearly every aspect of your health and well-being. That’s why understanding your options is so important.
At Forum Health Las Colinas, we believe informed patients make empowered decisions. This Hormones FAQs page is designed to answer your most common questions about hormone imbalance, symptoms, treatment options such as BHRT and hormone pellets, and what to expect when starting care with us. Whether you’re navigating perimenopause, dealing with low libido, or just feeling “off,” you’re in the right place.
Let’s help you find the answers—and the relief—you’ve been looking for.
Understanding Hormones and BHRT
What is the difference between bioidentical and synthetic hormones?
Synthetic hormones (like those used in traditional HRT) differ chemically from your body’s natural hormones and may carry higher risks. Bioidentical hormones are designed to match your body’s chemistry, which may reduce side effects and improve results.
Why should I use bioidentical hormones?
Bioidentical hormones can help restore balance, relieve symptoms like fatigue, weight gain, poor sleep, and low libido, and support long-term health — especially during perimenopause, menopause, and andropause.
What is a functional medicine approach to balancing hormones?
We go beyond symptom management. A functional medicine approach focuses on identifying and treating the underlying causes of hormone imbalances using advanced testing, personalized treatment, and lifestyle support.
What is the Women’s Health Initiative, and how did it impact hormone therapy?
The Women’s Health Initiative (WHI) was a large study of synthetic hormone therapy. Its findings raised concerns about increased health risks. However, those findings do not apply to bioidentical hormone therapy, which uses different compounds and dosing.
Do I need a prescription for bioidentical hormone therapy?
Yes. BHRT should always be prescribed and monitored by a qualified healthcare provider to ensure safety and effectiveness.
Why don’t all doctors prescribe bioidentical hormones?
Some doctors are more familiar with traditional HRT or may not be trained in the use of compounded bioidentical hormones. At Forum Health Las Colinas, our providers specialize in BHRT as part of a holistic, functional medicine approach.
Who Might Need Hormone Therapy?
Do women in their childbearing years need hormone therapy?
Sometimes. Women in their 20s or 30s may have imbalances in estrogen, progesterone, or testosterone due to stress, PCOS, birth control use, or other factors. Testing can help determine whether BHRT may be beneficial.
When should I consider BHRT?
If you’re experiencing symptoms like fatigue, weight gain, poor sleep, mood swings, brain fog, or low libido, or if you’re in perimenopause or menopause, hormone testing can help determine if BHRT is right for you.
Can men benefit from hormone therapy too?
Yes. Men can experience hormone decline, particularly in testosterone, leading to symptoms like fatigue, depression, irritability, belly fat, or low sex drive. BHRT can help restore vitality and mood.
Symptoms and Conditions Linked to Hormones
What is estrogen dominance?
Estrogen dominance means you have too much estrogen relative to progesterone. It can cause weight gain, PMS, bloating, breast tenderness, and mood issues, even if estrogen is in the normal range.
Can low testosterone affect women?
Yes. Testosterone supports muscle tone, libido, mental focus, and mood in women. Low levels may cause fatigue, low sex drive, and brain fog.
Can hormone imbalances cause depression or anxiety?
Yes. Fluctuating or low levels of estrogen, progesterone, and testosterone are linked to mood disorders, especially during menopause, perimenopause, or postpartum phases.
Can hormones affect my weight?
Absolutely. Hormonal imbalances can lead to insulin resistance, increased fat storage (particularly belly fat), a sluggish metabolism, and carbohydrate cravings. All of these can make weight loss more difficult.
What hormonal imbalances most commonly affect weight loss?
Insulin, cortisol, thyroid hormones, estrogen, progesterone, and testosterone all play key roles in metabolism and fat storage.
Will hormone therapy help with stress?
Optimizing hormone levels can help regulate cortisol and other stress hormones, leading to better mood stability and stress resilience.
Could my low sex drive be hormone-related?
Yes. Low levels of testosterone, estrogen, or progesterone can all contribute to decreased libido. BHRT can help restore hormonal balance and revive sex drive.
Hormone Therapy Process
Can you use my prior lab results?
Yes, we can review recent labs, but we may request additional testing to ensure accuracy and track progress.
How long until I see results?
Some patients experience symptom relief within 2–3 weeks, although it may take up to 12 weeks for their hormones to fully stabilize.
Do I have to take hormones forever?
Not necessarily. Your provider will reassess regularly and adjust as needed. Some patients choose to continue for long-term wellness, while others taper over time.
Will I need regular lab work?
Yes. Ongoing testing helps us monitor your hormone levels and adjust dosing for best results and safety.
Do I need to stop my current medications?
No. Your provider will review all current medications and supplements to ensure safe integration with BHRT.
Are birth control pills considered hormone therapy?
No. Birth control uses synthetic hormones to suppress ovulation. BHRT is designed to restore the natural balance of hormones.
BHRT Methods & Delivery
What is hormone pellet therapy?
Pellets are tiny implants inserted under the skin that release hormones steadily over time, usually lasting 3–5 months. They offer convenience and consistent levels without daily dosing.
Is pellet therapy safe?
Yes, when managed by a trained provider. We monitor labs regularly to ensure safety and effectiveness.
How often will I need pellet therapy?
Most patients require pellets to be inserted every 3 to 5 months, depending on how their body metabolizes hormones.
Safety, Risks, and Results
Are there side effects with BHRT?
Side effects are generally mild and may include breast tenderness, bloating, spotting, or mood changes, which are often attributed to dose adjustments. These are usually temporary and manageable.
Does hormone therapy increase my risk of disease?
Studies suggest that bioidentical hormones, when properly prescribed, may carry fewer risks than synthetic hormones. We use the lowest effective dose and closely monitor your health.
Getting Started & Costs
Does your office accept insurance for visits?
We do not bill insurance for office visits; however, we offer transparent pricing and can review this with you during your free phone consultation.
Will insurance cover lab work?
Some lab work may be covered by your insurance. We’ll discuss your options and provide cost estimates if needed.
How much do lab tests cost if not covered?
We work with affordable lab partners and can provide upfront pricing before testing.
Will I be prescribed vitamins and supplements?
Yes. Nutritional support is often part of our approach, and your provider may recommend targeted supplements to support hormone balance.
What other services do you offer?
In addition to hormone therapy, we provide functional medicine services, nutritional counseling, weight management, thyroid treatment, aesthetic services, and more, all tailored to help you feel your best.
More Questions About Hormones and Hormone Balancing? We Can Help!
Hormone imbalances can leave you feeling unlike yourself—tired, foggy, moody, or just off. But you don’t have to keep wondering what’s wrong or pushing through each day on empty. And while we have tried to answer your most common questions in this Hormones FAQs page, we know that you may have more. And we are happy to help.
At Forum Health Las Colinas, we take the time to listen, test, and create a personalized treatment plan tailored to you. If you’re ready to get answers and start feeling better, we invite you to schedule a free phone consultation with our New Patient Coordinator.
It’s a simple, no-pressure way to learn more and take the first step toward feeling like yourself again.
Call our New Patient Coordinator at 972-960-4800
Or fill out the form below, and she will contact you.
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