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Is Hormone Replacement Therapy Right for ME? A Complete Guide for Men and Women

  • tealfoster9
  • Jul 17
  • 4 min read

Updated: Sep 16

woman using glp-1 medication for weight loss

Understanding Hormones and Why They Matter


Hormone replacement therapy (HRT) is often misunderstood, both in what it offers and who it’s for. Many people associate Hormone replacement therapy only with menopause or testosterone in aging men—but the truth is, hormone therapy can help a wide range of individuals feel like themselves again, and it’s far more nuanced than a one-size-fits-all approach.


The Role of Hormones in Energy, Sleep, and Mood


Hormones are your body’s messengers. They regulate everything from energy and metabolism to mood, sleep, libido, and skin health. When your levels are off—even slightly—it can lead to symptoms that may feel vague or unrelated, but are often hormonal at their core.


So how do you know if Hormone Replacement Therapy right for you? Our latest blog post explores the basics of Hormone Replacement Therapy and symptoms for both men and women.







Hormone Replacement Therapy for Women: More Than Just Menopause


Common Symptoms of Hormone Imbalance in Women


Women are often told that fatigue, mood swings, weight gain, brain fog, low libido, and painful sex are just a part of aging or perimenopause. But many of these symptoms stem from declining estrogen, progesterone, or testosterone levels—and you don’t need to “tough it out.”


How Hormone Replacement Therapy Supports Women's Health


Hormone replacement therapy for women isn’t just about managing hot flashes (though it helps).


Evidence shows Hormone Replacement Therapy can support:


  • Vaginal and vulvar health (no, you don’t have to suffer with dryness or discomfort)

  • Mood and cognitive clarity

  • Bone density and cardiovascular health

  • Libido and orgasmic function

  • Sleep and energy regulation


As Dr. Rachel Rubin often says: “Your brain and vagina both have estrogen receptors.” Addressing hormone imbalance is not superficial—it’s fundamental to health.


Hormone Replacement Therapy for Men: When Low T Impacts More Than Muscle


Signs of Low Testosterone in Men


Testosterone levels naturally decline with age, but in some men, the drop is faster or more pronounced.


Signs of low testosterone can include:


  • Loss of muscle mass or strength

  • Increased abdominal fat

  • Low libido or erectile dysfunction

  • Brain fog or irritability

  • Poor recovery from exercise


The Goal of HRT for Men: Function, Not Just Fitness


It’s not about boosting testosterone to “get big”—it’s about restoring a level that supports normal body function, mental clarity, energy, and sexual health. And sometimes, it’s about uncovering the why—low testosterone can be a signal of other metabolic or endocrine issues that deserve attention.


Questions to Ask Before Starting Hormone Therapy


Do You Need Hormone Replacement Therapy? Start With These Questions:


  • Are you feeling physically or mentally “off” in a way that doesn’t match your lifestyle or lab work?

  • Have you noticed changes in your libido, energy, or mental clarity?

  • Do you avoid sex or exercise because it no longer feels good or rewarding?

  • Are you doing “all the right things” but still struggling with symptoms?


The Refine Wellness Approach to Hormone Replacement Therapy


Personalized Plans and Root-Cause Treatment


We take a root-cause, individualized approach to Hormone replacement therapy. It starts with listening to you, not just reading labs. We use evidence-based protocols that support safety, longevity, and quality of life. And yes—we talk about libido, pelvic health, orgasms, and mood, because your hormones impact all of it.


If you’ve been dismissed, told it’s all in your head, or sent home with a multivitamin—this is your sign to dig deeper.


Not sure where to start? Schedule a consultation


Let’s talk about what’s going on beneath the surface. You deserve to feel well, think clearly, and enjoy your life again.






Hormone Imbalance Symptom Checklist for Women


Common Symptoms of Hormone Imbalance in Women


  • Fatigue or low energy

  • Hot flashes or night sweats

  • Irregular or heavy periods (premenopausal)

  • Vaginal dryness or discomfort during intercourse

  • Low libido

  • Mood swings or irritability

  • Anxiety or feelings of overwhelm

  • Brain fog or difficulty concentrating

  • Weight gain (especially around the midsection)

  • Insomnia or poor sleep

  • Thinning hair or dry skin

  • Bone or joint pain

  • Bladder urgency or incontinence


Hormone Imbalance Symptom Checklist for Men


Common Symptoms of Hormone Imbalance in Men


  • Fatigue or decreased stamina

  • Low libido or erectile changes

  • Difficulty building or maintaining muscle

  • Increased body fat, especially abdominal

  • Mood changes or irritability

  • Trouble focusing or memory issues

  • Poor sleep quality

  • Decreased motivation or drive

  • Hair thinning

  • Reduced exercise performance

  • Depression or low mood

  • Gynecomastia (breast tissue development)







Frequently Asked Questions About Hormone Replacement Therapy and Hormone Imbalance


What are the signs I might need hormone replacement therapy?

If you’re experiencing fatigue, low libido, brain fog, sleep issues, mood swings, or weight changes without a clear cause, you may be dealing with a hormone imbalance.

Can hormone therapy help during perimenopause or before menopause?

Yes. HRT is especially helpful during perimenopause, when estrogen, progesterone, and testosterone levels start to fluctuate and cause symptoms like anxiety, hot flashes, and fatigue.

What symptoms of low testosterone should men watch for?

Common symptoms of low testosterone include low libido, brain fog, weight gain, mood changes, and poor exercise recovery. These can impact energy, motivation, and quality of life.

Is hormone therapy only for older adults?

No. Hormone replacement therapy is used by people in their 30s, 40s, and beyond. If your hormone levels are off and impacting your well-being, age shouldn’t be a barrier to treatment.

What’s the difference between bioidentical and traditional Hormone replacement therapy?

Bioidentical hormone therapy uses hormones that are structurally identical to those your body makes. These are often considered a more natural and individualized approach to hormone care.

How is hormone therapy customized at Refine Wellness Clinic?

We use a root-cause approach, combining lab testing with symptom tracking to create a personalized Hormone Replacement Therapy plan tailored to your goals, lifestyle, and long-term health.


Explore Hormone Replacement Therapy >

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ABOUT TEAL FOSTER, DNP, FNP-C

Founder of Refine Wellness Clinic, Stillwater MN


With over 15 years of diverse clinical experience, Dr. Teal Foster is a board-certified Family Nurse Practitioner and founder of Refine Wellness Clinic in Stillwater, MN. Her background spans emergency medicine, women’s health, concierge care, and aesthetics, uniquely positioning her to deliver results-driven, personalized treatments. Teal combines her medical expertise with a passion for wellness and beauty, helping patients look and feel their best at every stage of life. At Refine, her approach is collaborative, compassionate, and rooted in evidence-based care—focused on empowering each patient through customized hormone therapy, advanced skin rejuvenation, and holistic health solutions. 



 
 
 

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