Hormone Replacement Therapy for Women in Houston, TX
HRT+
Hormone therapy plus GLP-1 care. One monthly fee.
- Bioidentical hormones
- GLP-1 weight loss care
- All follow-up visits included
$129 / monthOne-time HRT+ evaluation $199, includes baseline labs
Hot flashes, sleepless nights, mood swings, brain fog. Menopause is a normal part of life, but you do not have to just push through it. HRT+ is our bioidentical hormone replacement therapy (BHRT) program for women: hormone therapy plus GLP-1 weight loss care, from the same team, for one low monthly fee of $129.
Your care is led by our nurse practitioners. They know this stage of life well. They take the time to listen, they take your symptoms seriously, and they understand what you are going through.
- Serving Houston since 1996
- Physician-supervised
- Bioidentical estradiol and progesterone
- Yearly labs included
Free, takes about two minutes, and there is no obligation. Or call 281-400-1290.
Already taking a GLP-1 with us?
Many of our GLP-1 patients get their hormone therapy somewhere else. With HRT+, you can get both here, from the providers you already know and trust. Your GLP-1 care is part of the program, so your hormone therapy and your GLP-1 treatment are under one roof and one monthly fee.
Menopause symptoms are common, and they are treatable
Most women notice changes in their mid to late 40s, often years before their last period. Estrogen levels rise and fall in perimenopause and then settle low after menopause. That shift can affect how you sleep, how you feel, and how comfortable you are in your own body. Symptoms women bring to us include:
- Hot flashes and night sweats
- Trouble falling or staying asleep
- Mood changes, irritability or anxiety
- Low energy and brain fog
- Joint and muscle aches
- Vaginal dryness or painful sex
- Bladder urgency or discomfort
- Lower sex drive
Lower sex drive often has more than one cause, such as dryness, poor sleep, hot flashes or medications. Your provider looks at what is behind it first. For some women after menopause, a low dose of testosterone may also be an option (see below).
What makes HRT+ different
Hormone therapy and GLP-1 care, together, for one low monthly feeInstead of going to one clinic for your hormones and another for your GLP-1, HRT+ brings both under one plan with one team. All follow-up visits, in person or virtual, are included for $129 a month, along with your yearly lab work and messaging with your care team. Weight is often harder to manage around menopause, and hormone therapy is not a weight loss treatment, so we treat both.
Nurse practitioners who understandOur nurse practitioners spend their days caring for women going through perimenopause and menopause. You will not be rushed or told it is all in your head. You get a provider who listens, explains your options in plain language, and stays with you as your needs change, with physician oversight behind every plan.
Bioidentical hormone replacement therapy (BHRT)The estradiol and progesterone we prescribe are bioidentical. They are the same natural hormones your body makes, in doses your provider can adjust as your needs change.
A plan you can adjust, never one you are stuck withWe do not use hormone pellets. Once a pellet is placed, the dose cannot be changed and it cannot easily be removed. We usually use an estradiol skin patch, with progesterone when you need it, which can be adjusted or stopped at any time.
Your dose follows how you feelWe start with a standard low dose and check in with you 4 to 6 weeks later. At each visit you fill out a short symptom questionnaire, and your provider adjusts your dose one small step at a time.
Your whole health, checked every yearYour yearly General Health Panel looks at your blood count, liver, kidneys, blood sugar, cholesterol and thyroid. Thyroid problems can cause symptoms that look a lot like menopause, so we check for them from the start.
We do not profit from your medicationWe do not sell or dispense medication. Your prescriptions go to the pharmacy of your choice, so we have no financial reason to keep you on a particular product or dose.
Testosterone for low desire after menopause
Some women notice a drop in sexual desire after menopause that lasts and that bothers them. When other causes have been looked at first, a low dose of testosterone may help some women. Here is how it works in HRT+:
Who it is for. Women 45 and older who are past menopause, with low desire that has lasted at least six months and is a change from what is normal for them. There is no upper age limit.
What it is used for. Low sexual desire only. It is not used for energy, mood, muscle or weight.
What you use. No testosterone product is made specifically for women in the United States, so your provider prescribes a low-dose testosterone cream, made by a compounding pharmacy and used off-label.
How we keep it safe. We check your testosterone level before you start and during treatment to keep it in a normal range for women. If it has not helped after six months, we stop it.
What it costs. Testosterone management and your testosterone level checks are included in your HRT+ monthly fee. You pay the pharmacy for the cream.
Hormone therapy safety: what has changed
If you remember headlines saying hormone therapy was dangerous, you are not alone. In 2002 a large study called the Women’s Health Initiative (WHI) was stopped early, and millions of women stopped taking hormones. More than 20 years later, the research is much better understood.
Age and timing matter. The women in that study were 63 years old on average, many more than 10 years past menopause. Women who start before age 60, or within 10 years of menopause, have a much more favorable balance of benefits and risks.
The numbers were smaller than they sounded. In the estrogen plus progestin group, breast cancer went up by about 8 extra cases per 10,000 women each year. In women who took estrogen alone, breast cancer risk did not go up.
The type of hormone matters. The study used an estrogen pill and a synthetic progestin. We usually use a bioidentical estradiol skin patch and bioidentical (micronized) progesterone. Studies suggest estrogen through the skin carries a lower risk of blood clots than estrogen pills.
The FDA updated its warnings. On November 10, 2025, the FDA began removing the boxed warnings about heart disease, breast cancer and dementia from menopausal hormone therapy labels. The new labels also say to consider starting hormone therapy before age 60 or within 10 years of menopause. The first updated labels were approved in February 2026, and some packages have not caught up yet, so the insert with your prescription may still show the old warnings.
One warning was kept on purpose. Estrogen taken without progesterone can cause cancer of the uterus. That is why every woman with a uterus in our program takes progesterone along with her estrogen.
For most healthy women who start near menopause, the benefits of hormone therapy outweigh the risks. The risks are not zero, and hormone therapy is not right for everyone. Before you start, your provider reviews your health history and your personal risks with you, and we see you regularly so your treatment stays safe and still makes sense for you.
Who can join HRT+
Estrogen and progesterone
- Women ages 45 to 59 with symptoms of perimenopause or menopause
- Still having periods? You can still join. Hormone therapy is not birth control, so we do a quick pregnancy test in the office before starting.
- Women 60 or older who are already taking hormone therapy, no matter what age they started
- Women younger than 45 whose menopause was caused by surgery to remove the ovaries, who are already taking hormone therapy
- Women on hormone pellets who want to switch. We help you move to a patch once your pellets wear off.
Vaginal dryness and bladder symptoms, age 45 and older
- Treats vaginal dryness, irritation, painful sex and some bladder symptoms, such as urgency or repeated bladder infections
- Uses a small amount of estrogen in the vagina, as a cream, tablet or ring
- It works where it is applied and very little reaches the rest of the body, so there is no upper age limit
- We also refer you to a gynecologist for an exam, and you can begin treatment while you wait for that visit
Testosterone, age 45 and older
- Women past menopause with low sexual desire that bothers them
- No upper age limit
- You do not need to be on estrogen to start
- Already using testosterone from another clinic? We start with a new evaluation and a blood level.
When a gynecologist is the better fit
Some women are better served by a gynecologist who can offer a full range of treatment. We will refer you promptly, rather than starting hormone therapy here, if you have ever had a blood clot in a leg or lung or have a known clotting disorder; have had breast cancer or cancer of the uterus or ovary; have unexplained vaginal bleeding or a new breast lump or change; have had a stroke or heart attack; have active liver disease; or are pregnant or could be pregnant.
Breast and pelvic exams and mammograms are handled by your primary care physician or gynecologist, and we will refer you promptly when one is needed. If your mammogram is due, in most cases you do not need to wait for it to begin treatment.
Not sure if you qualify? Fill out the questionnaire or call us at 281-400-1290. We are happy to talk it through.
What HRT+ costs
HRT+ is a cash-pay program. One monthly fee covers your hormone care and your GLP-1 care.
$199
HRT+ evaluation, one time. Your visit with your provider, your baseline labs and your treatment plan.
$129 / month
HRT+ membership, starting 30 days after your HRT+ evaluation. Bioidentical hormone therapy and GLP-1 weight loss care for one monthly fee.
Your monthly fee includes
- Estrogen, progesterone and testosterone management, as needed
- GLP-1 weight loss management, if you take a GLP-1
- All follow-up visits, in person or virtual
- Your yearly lab work
- Testosterone level checks, if you use it
- Messaging with your care team between visits
Your medication, including any GLP-1 medication, is not part of your monthly fee. Prescriptions are sent to the pharmacy of your choice and you pay the pharmacy directly. Pharmacy prices vary by medication and by pharmacy. We do not bill insurance, including Medicare.
How to get started
Complete the questionnaire or call usA few quick questions about your age, your symptoms and any hormone therapy you take now. It is free and takes about two minutes.
Our team calls youA member of our team answers your questions and finds a time that works for you.
Your HRT+ evaluationIn person at our clinic. Your provider reviews your health history, draws your baseline labs, and goes over the benefits and risks as they apply to you. Then you start a plan built around your symptoms.
Your first check-in, 4 to 6 weeks laterOften a quick virtual visit or phone call to see how you are doing and adjust anything that needs it.
Every 3 months after thatOngoing hormone visits, in person or virtual, keep your therapy matched to how you feel. Once a year you have an in-person visit and your yearly lab work.
Nothing is prescribed until you have been evaluated.
Where we offer HRT+
Your first visit is in person. Many follow-up visits can be virtual.
Frequently asked questions
What is HRT+?
HRT+ is our bioidentical hormone replacement therapy (BHRT) program for women. It combines hormone therapy for perimenopause and menopause with GLP-1 weight loss care, for one monthly fee of $129.
What is hormone replacement therapy for women?
Hormone replacement therapy (HRT), also called menopause hormone therapy, replaces some of the estrogen your body makes less of in perimenopause and menopause. In our program that usually means a bioidentical estradiol skin patch, plus bioidentical progesterone for women who still have a uterus to protect its lining.
Do you offer bioidentical hormone replacement therapy (BHRT)?
Yes. The estradiol and progesterone we prescribe are bioidentical, meaning they are the same hormones your body makes.
Who is a candidate for HRT+?
Women ages 45 to 59 with symptoms of perimenopause or menopause can start estrogen and progesterone with us. Women 60 and older who are already on hormone therapy may continue with us. Vaginal estrogen and testosterone are available to women 45 and older with no upper age limit. If another option or a specialist is a better fit for you, we will tell you and refer you promptly.
Can I start if I am still having periods?
Yes. Perimenopause often starts while you are still having periods. Hormone therapy is not birth control, so if you could still become pregnant, talk with your gynecologist or primary care physician about birth control. We do a quick pregnancy test in the office before starting.
Do I have to be taking a GLP-1 to join?
No. HRT+ is open to any woman who qualifies. If you take a GLP-1 medication for weight loss, your GLP-1 care is included. The monthly fee is the same either way.
Is hormone therapy safe?
No treatment is free of risk, and hormone therapy is not right for everyone. For most healthy women who start before 60 or within 10 years of menopause, current research shows the benefits outweigh the risks. Your provider reviews your personal history and risks with you before you start and checks in at every visit.
Why do I need to take progesterone?
Estrogen taken without progesterone can cause cancer of the uterus. If you still have a uterus, you take progesterone along with your estrogen to protect it. If you have had a hysterectomy, you generally do not need it.
Do you offer testosterone for women?
Yes, for women past menopause who have low sexual desire that bothers them. It is a low-dose cream, prescribed off-label, and we check your blood level before and during treatment. If it has not helped after six months, we stop it. It is not used for energy, mood, muscle or weight.
Why don’t you use hormone pellets?
Once a pellet is placed, the dose cannot be adjusted and the pellet cannot easily be removed. We use forms of therapy that can be changed or stopped at any time. If you are on pellets now, we can help you switch to a patch once your pellets wear off.
Do I need hormone blood tests before starting?
Not for estrogen and progesterone. For women 45 and older, menopause is diagnosed by age, periods and symptoms, and your dose is adjusted by how you feel. Your yearly lab work is drawn at your first visit. If you start testosterone, we check your testosterone level first.
How much does HRT+ cost?
Your HRT+ evaluation is $199, one time, and includes your visit with your provider, your baseline labs and your treatment plan. Starting 30 days later, HRT+ is $129 per month, which includes all follow-up visits, in person or virtual, your yearly lab work, testosterone level checks if you use it, and messaging with your care team. Your medication is paid directly to the pharmacy of your choice.
Do you take insurance or Medicare?
No. HRT+ is a cash-pay program. You can use your insurance at the pharmacy for your medication if your plan covers it.
How often will I be seen?
You have a first check-in 4 to 6 weeks after you start, then hormone visits every 3 months for as long as you are on treatment. Once a year, you have an in-person visit with your yearly lab work. If you take a GLP-1, you also have monthly GLP-1 visits, which may be virtual.
Can hormone therapy help with weight gain?
Hormone therapy is not a weight loss treatment. But many women find weight harder to manage during menopause, which is why HRT+ includes GLP-1 weight loss care for women who take a GLP-1 medication.
Am I committing to anything by filling out the questionnaire?
No. The questionnaire is free and creates no obligation. It gives our team enough information to have a useful conversation with you, and nothing is prescribed until you have been evaluated.
Ready to feel more like yourself?
Complete the short questionnaire and a member of our team will call you to answer your questions and talk through next steps.
Free, about two minutes, no obligation. Prefer to talk first? Call 281-400-1290.
Important medical information. Hormone therapy is not appropriate for everyone. Whether any therapy is right for you is determined by your physician or Nurse Practitioner following an evaluation of your health history. Testosterone for women is prescribed off-label.
Individual responses vary and outcomes are not guaranteed. Nothing on this page is a promise of results, a diagnosis, or a substitute for medical advice. This page is provided for general informational purposes only.