Hormone Replacement Therapy (HRT)


The phenomenon of menopause affects the entire range of a woman’s reproductive functioning and nearly every aspect of her body and life. Some men also struggle with hormone imbalances later in life. Fortunately, the reproductive endocrinologists at the Fertility Center can lessen the severity of these transitions for many patients.

We offer hormone replacement therapy for both male and female patients at our Chattanooga and Knoxville offices. This treatment can help manage and sometimes eliminate mood swings, hot flashes, acne, weight gain or loss, changes in sex drive, insomnia, depression, bone loss, and a variety of other symptoms of hormonal changes.

Dr. Bird and Dr. Donesky specialize in bioidentical hormone therapy and testosterone therapy for men. In addition to prescribing medications, our doctors also recommend lifestyle changes and homeopathic approaches.

Why is Hormone Therapy needed?

Fluctuating hormone levels in the body can lead to a variety of emotional and physical issues in both men and women. These issues can cause major disruptions in the sufferer’s life. Physicians have found a cure to fluctuating hormone imbalances through hormone replacement therapy and bioidentical hormone replacement therapy.

What is Hormone Replacement Therapy?

As you grow older, your natural hormone levels start to change and fluctuate. As your body adapts to the changes in hormone levels, you will start experience unpleasant side effects. These side effects can include exhaustion, depression, decreases in libido. We have been able to correct the fluctuations in our clients hormone levels through testosterone therapy and bioidentical hormone therapy.

At the fertility center, Dr. Bird and Dr. Donesky will analyze your unique hormone levels and prescribe a custom therapy solution for you. For women, we will normally recommend a bioidentical hormone plan through the use of pellets that balance their estrogen, progesterone and testosterone levels. This treatment has been successfully proven to combat the effects of menopause.

Bio-Identical Hormone Replacement Therapy

Bioidentical hormone replacement therapy, or BHRT for short, is a form of therapy that uses synthetic hormone compounds identical to natural human hormones. Patients with hormone imbalances will have baseline blood work performed, and the doctor will prescribe treatment based on the results of these labs. This blood work is typically performed on the date of the patient’s first consult but can be scheduled at a later date if needed. BHRT has been used successfully by doctors and clinicians for over 80 years. Bioidentical hormone replacement therapy uses all natural plant-based hormones to replicate the natural hormones that exist in our bodies.

Hormone Therapy For Men

Men’s testes produce nearly all male testosterone. As a man gets older, testosterone levels fall while estrogen levels tend to rise, affecting bone density, stamina, muscle strength, mental health, and sex drive. Because of this, one of the most effective methods of treatment for male hormone imbalances is testosterone replacement therapy. Following an evaluation of initial blood work, your doctor will determine if you are a candidate for testosterone therapy and prescribe a treatment plan to adjust your hormone levels. Testosterone may be taken by injection, with a patch, in a gel, or with pellets. Levels will be monitored through regular lab work and dosages will be adjusted as necessary.