Hormone Replacement Therapy

Consultations offered at our two convenient locations in Houston and Lake Jackson, TX

Rediscover your natural vitality through advanced hormone optimization.

Hormones contribute to the way you look, the way you feel, and even the way you age. As early as our mid-20s, vital hormones like estrogen and testosterone begin to decline.

Women often experience subtle shifts that spiral into symptoms like insomnia, mood swings, hot flashes, and more.

At Town & Country Plastic Surgeons + Medspa, we understand that hormonal changes can leave you feeling tired, foggy, and “not like yourself.” Our hormone wellness program combines the expertise of licensed medical professionals with a personalized approach to help you reclaim your energy, focus, and confidence.

Why Do I Feel This Way? (The Symptoms)

For many patients, hormonal imbalance goes undiagnosed for years. Symptoms are often dismissed as “normal aging” or incorrectly treated as anxiety or depression.

Women often experience subtle shifts that spiral into insomnia, mood swings, or weight gain that resists diet and exercise. Men suffer from “Andropause,” leading to a rapid loss of competitive edge, muscle mass, and libido.

Common Signs of Hormone Imbalance:

  • Physical: Chronic fatigue, weight gain, loss of muscle mass, hot flashes, night sweats.
  • Emotional: Irritability, anxiety, depression, mood swings.
  • Mental: Brain fog, memory loss, lack of focus/drive.
  • Intimate: Low libido, erectile dysfunction, painful intercourse, vaginal dryness.
  • Sleep: Difficulty falling or staying asleep (insomnia).

The Solution: Hormone Replacement Therapy

Hormone Replacement Therapy (HRT) helps both men and women restore low hormone levels and improve symptoms like fatigue, mood changes, and low libido. We offer HRT in both bioidentical and synthetic forms, including pellets, creams, and injections, to fit individual needs. Common hormones used in BHRT include testosterone, estradiol (E2), progesterone, DHEA, and thyroid hormones.

Bioidentical vs Synthetic Replacement:

Bioidentical HRT includes therapies that are structurally identical to the hormones produced by the human body and thus tend to have fewer side effects.

Therapy Options: Pellets (Evexias), Creams, and Injections

Synthetic HRT includes therapies that are structurally different than naturally occurring hormones and typically have a higher incidence of side effects. Injections are available for testosterone only, but patients receiving other hormones can receive pellets or creams.

We are proud to offer EVEXIAS hormone pellets, offering a natural, plant-based alternative to synthetic hormones.

  • Natural: The hormones are plant-based and biologically identical to the structures found within the human body, reducing the risk of side effects associated with synthetic options.
  • Consistent: Unlike creams, pills, or patches—which can cause a “rollercoaster” effect of highs and lows—pellets release a steady stream of hormones 24/7.
  • Convenient: Once inserted, the pellets last for 3 to 6 months, meaning you don’t have to worry about daily maintenance.

How It Works: Your Wellness Journey

Our process is medical, precise, and tailored entirely to your unique physiology.

1. Comprehensive Wellness Evaluation Your journey begins with a private consultation and extensive lab work (blood profile analysis). We don’t guess; we measure your exact hormone levels to determine the precise dosage your body needs.

2. The Simple Procedure The treatment is quick and performed in our comfortable, private treatment rooms. If you receive injections, we will show you how to safely self-administer treatment, or you can return to our office to receive your injections from our trained specialists. If you receive a cream, we will explain where to apply it and how often. If you receive a pellet, the insertion process is as follows:

  • Insertion: A tiny pellet (about the size of a grain of rice) is gently inserted beneath the skin in the hip or buttock area.
  • Time: The entire procedure takes only 15 minutes.
  • Downtime: There is zero downtime. You can return to your daily activities immediately.

3. Ongoing Support & Results You are never alone on this journey. We monitor your levels closely to ensure optimization.

  • Timeline: Most patients report feeling a lift in energy and mood within 2–4 weeks, with full optimization occurring over the following months.
  • Maintenance: We schedule periodic reviews to ensure you maintain your newfound vitality year-round.

The Benefits of Balance

When your hormones are optimized, the results can be life-changing. Our patients often report:

  • Restored Energy: Wake up feeling refreshed and ready for the day.
  • Physical Strength: Increased muscle mass and decreased body fat.
  • Mental Clarity: Improved focus and the lifting of “brain fog.”
  • Emotional Stability: Reduced anxiety and a generally happier outlook.
  • Revived Intimacy: A return of sexual desire and performance.
  • Long-Term Health: Protection for bones, brain, breast, and heart health.

Schedule Your Hormone Evaluation

Don’t leave your health up to chance or accept fatigue as a “normal” part of aging. Contact us today to schedule your blood work and consultation.

Town & Country Plastic Surgeons + Medspa

HOUSTON LOCATION 950 Threadneedle St. Suite 280 Houston, TX 77079 📞 (713) 467-0146

LAKE JACKSON LOCATION 215 Oak Drive South, Suite J Lake Jackson, TX 77566 📞 (713) 467-0146

Frequently Asked Questions

Is EVEXIAS safe?

Yes. EVEXIAS has trained thousands of providers nationwide. Because the hormones are bio-identical (structurally the same as what your body produces), they are metabolized naturally, avoiding the side effects often seen with synthetic pharmaceutical hormones.

Why is this better than pills or creams?

Creams and pills often result in inconsistent absorption, leading to energy spikes and crashes. Pellet therapy is the only method that provides sustained, consistent hormone levels around the clock, mimicking the body’s natural function.

How do I start BHRT?

Before beginning a BHRT regimen, we review your medical history, current medication and supplement intake, and current symptoms, establish a baseline through lab work, and clearly establish your goals. With this information, your wellness specialist will establish which BHRT method is best for your goals, determine an effective dose, and create your treatment plan.

What kind of support can I expect during the BHRT process?

BHRT requires ongoing support. As you progress through your BHRT regimen, we will conduct regular blood work, track symptoms, run tests, and adjust your dose(s) to keep therapy effective.

How soon will I see results with BHRT?

Results develop progressively with BHRT. By weeks 2-6, you should notice improved sleep and mood, fewer hot flashes, and increased libido. At weeks 6-12, muscle strength, stamina, cognitive function, and metabolism should improve. After months 3-6, you should notice improved body composition, bone support, and skin health.

How long should I continue BHRT?

Most patients benefit from continuing their treatment after their first BHRT cycle. Just like our bodies, our hormones continue to change over time. Prolonging your BHRT regimen and adjusting your dose(s) to optimize your hormones long-term can deliver improved health. Your specialist can help you explore your long-term options once your current symptoms stabilize.