Personalized Treatment for Hormonal Balance & Wellbeing
Hormonal imbalances can affect nearly every aspect of your life—from energy, mood, and sleep to weight, libido, and overall wellbeing. For women in Missouri City, Texas, understanding hormone therapy options can be the first step toward feeling balanced and like yourself again.
Whether you are experiencing menopause symptoms, thyroid issues, or other hormonal concerns, personalized hormone therapy may offer lasting relief.
Understanding Hormone Therapy
Hormone therapy, also known as hormone replacement therapy (HRT), involves supplementing or replacing hormones your body is no longer producing in adequate amounts.
Hormone fluctuations may occur due to:
- Aging and menopause
- Perimenopause
- Thyroid disorders
- Stress and adrenal dysfunction
- PCOS or other endocrine conditions
- Surgical or premature menopause
At IVANA MD, hormone therapy is tailored to each woman’s unique symptoms, lab results, and health goals.
When Do Women Need Hormone Therapy?
Menopause & Perimenopause
Declining estrogen and progesterone levels may cause:
- Hot flashes and night sweats
- Vaginal dryness or discomfort
- Insomnia or poor sleep
- Mood swings, anxiety, or depression
- Decreased libido
- Brain fog and memory issues
- Joint and muscle pain
- Weight gain (especially abdominal)
- Bone density loss
- Skin dryness and aging changes
Premature Menopause or Primary Ovarian Insufficiency
Women entering menopause before age 40 may need hormone therapy to:
- Protect bone health
- Support cardiovascular health
- Reduce long-term estrogen deficiency risks
Thyroid Disorders
Hormone therapy may be necessary for:
- Hypothyroidism or hyperthyroidism
- Fatigue and weight changes
- Cold or heat intolerance
- Metabolic imbalances
Other Hormonal Imbalances
Hormone therapy may help women with:
- PCOS
- Irregular periods
- Acne or hair loss
- Excess hair growth
- Fertility challenges
Types of Hormone Therapy Available in Missouri City
Systemic Hormone Therapy for Menopause
Estrogen Therapy (ET)
Typically recommended for women who have had a hysterectomy.
Benefits include:
- Relief from hot flashes and night sweats
- Improved vaginal health
- Osteoporosis prevention
- Reduced urinary symptoms
Combination Therapy (Estrogen + Progesterone)
For women with an intact uterus, progesterone is added to:
- Protect the uterine lining
- Reduce endometrial cancer risk
- Provide comprehensive menopause symptom relief
Bioidentical Hormone Replacement Therapy (BHRT)
Bioidentical hormones are:
- Derived from plant sources
- Chemically identical to natural human hormones
BHRT benefits:
- Customizable dosing
- Available as pills, patches, creams, gels, or pellets
- Often preferred by women seeking “natural” hormone therapy
Local (Vaginal) Hormone Therapy
Low-dose vaginal estrogen treats localized symptoms with minimal systemic absorption.
Options include:
- Vaginal estrogen creams
- Vaginal tablets or inserts
- Vaginal estrogen rings
Ideal for women with vaginal dryness, irritation, or painful intercourse.
Testosterone Therapy for Women
Testosterone plays an important role in:
- Libido and sexual satisfaction
- Energy levels
- Muscle mass and bone density
- Mood and motivation
Low levels may cause fatigue, low desire, or muscle loss. Therapy is considered when deficiency is confirmed by testing.
Thyroid Hormone Replacement
For hypothyroidism, treatment may include:
- Levothyroxine (T4)
- Liothyronine (T3)
- Natural desiccated thyroid
- Combination therapies
Hormone Therapy Delivery Methods
Oral Medications (Pills)
Pros:
- Convenient and familiar
- Fixed dosing
- Widely available
Considerations:
- Daily use required
- Processed through liver
- Slightly higher clot risk than transdermal options
Transdermal Therapy (Patches, Gels, Creams)
Pros:
- Steady hormone delivery
- Lower clot risk
- Bypasses digestive system
Considerations:
- Possible skin irritation
- Requires routine application
Vaginal Applications
Pros:
- Excellent for vaginal symptoms
- Minimal systemic exposure
Considerations:
- Does not treat symptoms that affect the entire body
Hormone Pellets
Pros:
- Long-lasting (3–6 months)
- No daily medication
Considerations:
- Minor in-office procedure
- Dose adjustments are limited
Injections
Pros:
- Precise dosing
- Less frequent administration
Considerations:
- Hormone fluctuations between doses
- Requires injections
Personalized Hormone Therapy at IVANA MD
Hormone therapy is not one-size-fits-all. Treatment is customized based on:
- Symptoms and severity
- Blood hormone levels
- Medical history and risk factors
- Lifestyle and preferences
- Age and menopausal status
The Hormone Therapy Process
Step 1: Comprehensive Consultation
Includes:
- Symptom review
- Medical and family history
- Physical exam
- Treatment goals discussion
Step 2: Hormone Testing
Blood tests may evaluate:
- Estrogen (estradiol)
- Progesterone
- Testosterone
- Thyroid hormones (TSH, T3, T4)
- FSH and other relevant markers
Step 3: Customized Treatment Plan
Your plan includes:
- Specific hormones
- Individualized dosing
- Preferred delivery method
- Timeline and expectations
Step 4: Monitoring & Adjustments
Ongoing care includes:
- Follow-up visits
- Repeat lab testing
- Dose adjustments
- Side-effect monitoring
Benefits of Hormone Therapy
Symptom Relief
- Reduced hot flashes and night sweats
- Improved sleep quality
- Enhanced mood and energy
- Improved concentration
- Increased libido
Long-Term Health Support
- Bone density protection
- Muscle strength preservation
- Cardiovascular support (when appropriate)
- Skin health improvement
Quality of Life Improvements
- Better daily functioning
- Improved emotional stability
- Enhanced intimacy
- Greater confidence and wellbeing
Hormone Therapy Safety & Risks
Modern research shows hormone therapy is safest when:
- Started within 10 years of menopause
- Individualized to personal risk factors
- Delivered via appropriate method (e.g., transdermal estrogen)
Potential risks may include:
- Slight breast cancer risk with long-term combination therapy
- Blood clots (lower with patches)
- Stroke risk in certain populations
Your provider will carefully evaluate risks versus benefits.
Who Should Not Use Hormone Therapy?
Hormone therapy may not be recommended for women with:
- Hormone-sensitive cancers
- Active liver disease
- Unexplained vaginal bleeding
- History of blood clots or stroke
Alternative treatments are available when needed.
Alternative & Complementary Options
- Lifestyle changes (exercise, nutrition, sleep)
- Stress management
- Non-hormonal medications
- Vaginal moisturizers and lubricants
- Select supplements (under medical guidance)
How Long Should You Stay on Hormone Therapy?
- Menopause symptoms: Often 3–5 years
- Premature menopause: Usually until age 51
- Ongoing review: Regular reassessment and adjustment
Choosing a Hormone Therapy Provider in Missouri City
Look for a provider who offers:
- Board-certified gynecologic expertise
- Comprehensive hormone testing
- Personalized treatment plans
- Ongoing monitoring and support
- Convenient Missouri City access
Take the First Step Toward Hormonal Balance
Hormonal symptoms do not have to control your life. With the right evaluation and personalized treatment, hormone therapy can restore comfort, energy, and confidence.
At IVANA MD, we specialize in individualized hormone therapy for Missouri City women, helping you feel your best at every stage of life.
Balance is possible—and help is available.
Schedule your women’s health appointment with IVANA MD in Missouri City, TX.
Call: 346-585-4077
4220 Cartwright Road, Suite 201
Missouri City, Texas 77459






