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Hormone Replacement Therapy (HRT) for Women

Personalized care for perimenopause, menopause, hormone imbalance, energy, sleep, mood, libido, and long-term wellness.

At Charleston Hormone Services, we help women better understand the hormonal changes happening in their bodies and create individualized treatment plans designed to improve symptoms, support long-term health, and help you feel like yourself again.

Your Symptoms Are Real, and Common.

Hormonal changes can begin years before menopause and affect far more than just your cycle.

Weight Changes

Brain Fog

Fatigue

Sleep Disruption

Anxiety or Irritability

Hot Flashes & Night Sweats

Mood Changes

Painful Intercourse

Hair Thinning

What is Hormone Therapy?

Hormone therapy (HRT) helps restore optimal levels of key hormones that naturally decline during perimenopause and menopause. The goal is long-term health, disease prevention, and improved quality of life, not just symptom relief.

Estrogen

Supports mood, sleep, bone health, skin elasticity, heart health, and more.

Progesterone

Promotes restful sleep, reduces anxiety, and balances estrogen for optimal health.

Testosterone

Supports libido, energy, muscle strength, mood, and cognitive function.

Hormone therapy can be delivered in several forms including creams, patches, oral medications, pellets, injections, and vaginal estrogen, depending on your needs and preferences.

Our Approach

A Personalized, Whole-Body Approach

We take the time to look at the whole picture: your symptoms, hormones, lifestyle, and long-term wellness goals.

Our approach may include:

  • Comprehensive lab testing & hormone evaluation
  • In-depth symptom & health history review
  • Metabolic, thyroid & adrenal assessment
  • Nutrition, sleep, stress & body composition analysis
  • Ongoing support & treatment optimization

Our Treatment Options

Estrogen Therapy

Support for mood, sleep, hot flashes, bone health, and overall wellness.

Progesterone Therapy

Helps improve sleep, calm the nervous system & support hormone balance.

Testosterone for Women

Supports libido, energy, motivation, muscle strength & cognitive health.

Vaginal Estrogen

Targeted support for dryness, irritation, discomfort, and urinary symptoms.

Pellet Therapy

Long-lasting hormone delivery designed for consistency and convenience.

Nutritional Support

Guidance to support hormone balance, metabolic health, and inflammation reduction.

Weight & Metabolic Support

Personalized strategies to optimize body composition, insulin resistance, and energy.

Frequently Asked Questions

Hormone therapy may be a safe and effective option for many women when it is guided by comprehensive lab testing and an in-depth personalized consultation. We review your medical history, lifestyle, genetics, and personal health goals before recommending any treatment.

Hormonal changes can begin years before menopause. If you are experiencing symptoms such as fatigue, mood changes, or sleep disruption, we can help you understand what is happening and whether treatment may help.

There is no single right time. Many women start once symptoms begin affecting daily life, quality of life, or long-term health. Extensive laboratory testing helps determine what may be appropriate for you.

Perimenopause is the transitional period leading up to menopause, when hormone levels begin to fluctuate and symptoms often first appear. Menopause is marked by twelve consecutive months without a period.

No. Hormone therapy can be delivered in several forms, including creams, patches, oral medications, pellets, injections, and vaginal estrogen. We help you choose the option that fits your needs and preferences.

Testosterone plays a role in women’s libido, energy, muscle strength, mood, and cognitive function. When dosed and monitored appropriately, it may be included as part of a personalized treatment plan.

Yes. Our concierge approach begins with extensive laboratory testing, followed by an in-depth personalized consultation, so your treatment plan is based on your actual hormone levels, not guesswork.

This varies by person and by symptom. Some women notice changes within the first several weeks, while other benefits build over months of ongoing support and treatment optimization.

Have more questions? We’re here to help.

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Experienced. Compassionate. Dedicated to You.

Meet Your Care Team

Stephanie Donovan, NP-C, Megan Sharpe, NP-C, and Soay Aggrey, NP-C are board-certified nurse practitioners with advanced training in hormone therapy and women’s health.

We believe in empowering patients with knowledge, options, and personalized care, so you can feel your best at every stage of life.

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