Hormone Replacement Therapy • Suntree, Melbourne, Florida

Hormone Replacement Therapy (HRT)

Precision-guided, bioidentical options based on your symptoms, goals, and lab results.

Hormone replacement therapy can help restore hormone levels when symptoms of hormone decline affect energy, mood, sleep, weight, and sexual health. At the Center for Antiaging Aesthetic and Rejuvenation Medicine PLLC, renowned bioidentical hormone specialist Yale (Yoel) R. Smith, MD uses detailed evaluation and lab analysis to determine what your body needs—safely and strategically.

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Evidence-informed, individualized hormone care

Hormone therapy decisions should be personalized—based on symptoms, medical history, and risk factors— with ongoing monitoring and follow-up. Sources: Mayo Clinic, The Menopause Society (NAMS) Position Statements

  • Bioidentical hormones are lab-made and designed to mimic human hormones; safety varies by formulation and should be clinician-guided. Source: Cleveland Clinic
  • Testosterone therapy should only be used when low testosterone is confirmed and requires appropriate monitoring. Sources: Endocrine Society, AUA
  • Menopausal hormone therapy can be effective for hot flashes and vaginal symptoms; risks/benefits depend on timing and individual factors. Source: Mayo Clinic

What is hormone replacement therapy?

Hormone replacement therapy helps restore hormone levels when you’re experiencing symptoms related to hormone decline or imbalance. Dr. Smith may prescribe bioidentical hormone therapy—formulations designed to match the molecular structure of hormones naturally produced in the body—when clinically appropriate.

HRT delivery options may include

  • Oral medications
  • Patches
  • Skin creams
  • Skin gels
  • Suppositories
HRT is not “one-size-fits-all.” Treatment type and dose should be individualized and monitored over time. All medication is sent to Hobbs. (See: Mayo Clinic guidance.)

How testing and evaluation work

Dr. Smith uses a detailed history, symptom review, and lab testing (often including blood and/or saliva analysis) to evaluate your needs and reduce risk. For a controlled substance like testosterone, labs and testing must be retaken every 90 days.

In many cases, hormone optimization can be combined with other strategies—such as nutrition, nutraceutical support, and other longevity-focused approaches—based on your goals and findings.

For menopausal hormone therapy, professional societies emphasize individualized decision-making and periodic reassessment. (See: NAMS/The Menopause Society Position Statements.)

When should you consider hormone replacement therapy?

Many people consider HRT when hormone-related symptoms begin to affect daily life—energy, sleep, mood, weight, and sexual health. Women often notice a more significant shift around menopause, while men may experience more gradual changes and may benefit from evaluation when symptoms suggest low testosterone or other imbalances.

Common symptoms that prompt evaluation

  • Lack of energy
  • Low libido
  • Weight gain
  • Hair thinning
  • Loss of muscle mass
  • Brain fog
  • Mood swings or depression
  • Sleep problems
  • Hot flashes / night sweats
  • Vaginal dryness (women)
  • Erectile dysfunction (men)

Why timing and monitoring matter

Hormone therapy can be beneficial for specific symptoms, but suitability depends on your health history and risk profile. Monitoring and follow-up are essential.

Testosterone therapy specifically should be considered only after confirming low testosterone with appropriate evaluation and with a monitoring plan.

Sources: Mayo Clinic (Menopausal hormone therapy), Endocrine Society (Testosterone therapy guideline), AUA (Testosterone deficiency guideline)

Frequently Asked Questions

Clear answers with references to trusted medical organizations.

HRT uses hormones to help relieve symptoms related to hormone decline or imbalance. In menopause care, hormone therapy is commonly used to treat hot flashes and vaginal symptoms, with individualized risk/benefit discussion. Sources: Mayo Clinic, NAMS/The Menopause Society
“Bioidentical” hormones are made in a lab and are designed to mimic hormones produced by the human body. Safety depends on the formulation and oversight; compounded preparations may differ from FDA-approved products. Source: Cleveland Clinic
HRT can be delivered in several ways such as oral medications, patches, gels/creams, or other forms. The “best” form depends on your symptoms, history, and preferences—and should be selected with clinician guidance. Source: Mayo Clinic
Consider evaluation when symptoms like fatigue, low libido, sleep issues, mood changes, weight gain, hot flashes/night sweats, or sexual health concerns begin affecting your quality of life. Your clinician can help determine whether hormones are a contributor. Sources: Mayo Clinic, NAMS/The Menopause Society
Not necessarily. Guidelines recommend confirming low testosterone with appropriate testing and evaluation and using a monitoring plan. Testosterone should not be prescribed solely based on symptoms without proper work-up. Sources: Endocrine Society, AUA

Request an Appointment

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Your visit focuses on symptoms, history, goals, and lab-driven evaluation. We’ll discuss options and a personalized plan with ongoing monitoring.

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