Unlock Vitality: Embrace Testosterone Replacement Therapy for Pre & Postmenopausal Women

Discover the transformative power of Testosterone Replacement Therapy for women, offering increased energy, enhanced mood, improved libido, and potential relief from symptoms associated with hormonal imbalances, empowering you to embrace life to the fullest with confidence and vitality

introduction to female testosterone replacement therapy

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What is HRT

Female hormone therapy, also known as hormone replacement therapy (HRT) or menopausal hormone therapy (MHT), involves the administration of hormones to alleviate symptoms associated with hormonal imbalances, particularly during menopause. In women, menopause typically occurs in their late 40s to early 50s and is characterized by a decline in the production of estrogen and progesterone by the ovaries. This hormonal shift can lead to symptoms such as hot flashes, night sweats, vaginal dryness, mood swings, and bone loss.

Female hormone therapy aims to replace or supplement the hormones that are declining during menopause to alleviate these symptoms and improve overall quality of life. There are different types of hormone therapy available, including:

Testosterone Therapy: Replaces testosterone levels back into healthy ranges that promote vitality and avoiding low testosterone related diseases.

Estrogen Therapy: This involves the administration of estrogen alone, typically for women who have undergone a hysterectomy (surgical removal of the uterus). Estrogen therapy can help relieve symptoms such as hot flashes, night sweats, vaginal dryness, and urinary symptoms.

Progesterone Therapy: For women who still have their uterus, estrogen therapy is often combined with progestin (a synthetic form of progesterone) to protect the uterine lining (endometrium) from overgrowth, which can increase the risk of endometrial cancer. Estrogen-progestin therapy can help alleviate menopausal symptoms while reducing the risk of endometrial cancer.

  1. Bioidentical Hormone Therapy: Some women opt for bioidentical hormone therapy, which involves using hormones that are chemically identical to those produced by the body. These hormones are typically derived from plant sources and can be customized based on an individual's hormone levels and symptoms.

Female hormone therapy can provide relief from menopausal symptoms and may also offer other benefits, such as preventing bone loss (osteoporosis) and reducing the risk of colorectal cancer.

Blood work

At Evolve, we have built an in-house laboratory which allows us to check important bio-markers. We have full results within 60 minutes of the blood draw. From there, your panel is analyzed.

Our standard blood panel includes:

  • Hormones; testosterone, estrogen, FSH, LH.
  • Lipid panel; cholesterol, HDL, LDL, triglycerides.
  • Complete blood count
  • Thyroid
  • Complete metabolic panel

Understanding these panels help us determine your overall health and hormonal status.

Negative side effects

It's important to note that though side effects are possible, through blood work, proper dosage and consultations, we have had success with our clients in avoiding negative side effects and maximizing the benefits.

Breast Tenderness: Some women may experience breast tenderness or swelling as a side effect of estrogen therapy. This side effect is usually temporary and may improve over time.

Irregular Bleeding: Women who take estrogen without progestin (in those who have a uterus) may experience irregular bleeding or spotting. This is due to the estrogen stimulating the growth of the uterine lining. Adding progestin to the regimen can help regulate the menstrual cycle and reduce the risk of endometrial hyperplasia (overgrowth of the uterine lining).

Fluid Retention: HRT may cause fluid retention in some women, leading to bloating or swelling in the hands, feet, or ankles.

Increased Risk of Blood Clots: Estrogen therapy, particularly when combined with progestin, may increase the risk of blood clots, particularly deep vein thrombosis (DVT) or pulmonary embolism (PE).


HRT is typically a three therapy protocol.

Testosterone is administered weekly or once every two weeks. It is a intramuscular injection (glute, thigh)

Estrogen patch is applied for three days at a time. The patch is replaced on the third day and patch sites are alternated.

Progesterone is a daily pill to take at bed time.

  • Increased Libido: One of the primary benefits of HRT for women is an increase in sexual desire or libido. Testosterone plays a role in sexual arousal, and TRT may help improve libido in women with low testosterone levels.

    Improved Energy Levels: Testosterone is associated with energy and vitality, and HRT may help improve energy levels and reduce feelings of fatigue or lethargy.

  • Enhanced Mood: Testosterone influences mood regulation, and HRT may help stabilize mood and improve overall emotional well-being. Women undergoing HRT may experience reduced irritability, mood swings, or symptoms of depression.

    Preservation of Muscle Mass: Testosterone plays a role in maintaining muscle mass and strength. Women with low testosterone levels may experience decreased muscle mass and tone. HRT may help preserve muscle mass and improve muscle strength.

  • Vaginal Lubrication: Testosterone contributes to vaginal lubrication and overall sexual health. Women with low testosterone levels may experience vaginal dryness, discomfort during sex, or other sexual problems. HRT may help improve vaginal lubrication and sexual function.

    Hair and Skin: Testosterone influences hair growth and skin health. Women with low testosterone levels may experience thinning hair, dry skin, or other changes in hair and skin quality. HRT may help improve hair thickness and skin hydration.