What is Hormone Replacement Therapy?
At InVigorate Asheville, hormone replacement therapy (HRT) is offered as a personalized, physician-guided service designed to support healthy hormone levels and overall wellness.
Hormone levels naturally change over time and may also be influenced by factors such as stress, lifestyle, and underlying health conditions. When appropriate, carefully managed hormone therapy may help support energy levels, mood, and general quality of life.
Treatment plans are individualized and based on medical history, symptoms, and laboratory testing, with ongoing monitoring to help ensure safe and appropriate use.
Signs You May Benefit from Hormone Evaluation
Hormonal changes can present differently for each individual. Some commonly reported symptoms for menopausal women include:
Women (Perimenopause & Menopause)
- Hot flashes and night sweats
- Sleep disturbances
- Mood changes
- Vaginal dryness
- Brain fog
- Changes in bone density
Men (Low Testosterone)
- Fatigue or reduced energy
- Decreased libido
- Changes in mood
- Loss of muscle mass
- Reduced endurance
Both men and women may experience a general decline in well-being.
If you’re experiencing symptoms that may be related to hormone imbalance, a consultation can help determine whether evaluation or treatment is appropriate.
Our Approach to Hormone Therapy
Care at InVigorate Asheville includes:
- Comprehensive medical history and symptom review
- Lab testing to assess hormone levels
- Individualized treatment planning
- Ongoing monitoring and adjustments as needed
All therapies are prescribed and managed by a licensed medical provider.
Bioidentical Hormone Therapy for Women
What is Bioidentical Hormone Therapy?
Bioidentical hormone therapy (BHRT) uses hormones that are structurally similar to those naturally produced by the body. These therapies may be considered for women experiencing symptoms associated with hormonal changes during perimenopause or menopause.
Treatment is individualized based on clinical evaluation and lab findings.
Potential Areas of Support
When medically appropriate, hormone therapy may help support:
- Management of menopausal symptoms such as hot flashes and sleep disruption
- Bone health support
- Vaginal and urinary health
- Overall quality of life
Outcomes vary by individual and therapy is not appropriate for everyone.
Testosterone Therapy for Men
What is Testosterone Therapy?
Testosterone therapy may be considered for men with clinically low testosterone levels confirmed through appropriate evaluation.
Treatment is intended to support overall health and well-being when deficiency is present and therapy is deemed appropriate through a comprehensive intake that includes patient health history and current labs.
Potential Areas of Support
Under medical supervision, testosterone therapy may help support:
- Energy levels and vitality
- Mood and mental well-being
- Muscle mass and body composition
- Sexual health
Therapy is only recommended when clinically indicated and requires ongoing monitoring.
Schedule a Consultation
If you are experiencing symptoms that may be related to hormone imbalance, schedule a consultation to discuss whether evaluation or treatment may be appropriate for you. Ready for a consult? Call to book at 828-237-1511,. If you still have questions and would like to book a 15 minute free exploratory call, please use the online booking tool below.
Hormone replacement therapy services at InVigorate Asheville are provided under the supervision of a licensed medical provider. These services are intended to support general wellness and are not guaranteed to diagnose, treat, cure, or prevent any disease. Individual results may vary. Treatment decisions are based on a comprehensive medical evaluation and laboratory findings.
References and Research:
Leslee J Shaw, C Noel Bairey Merz, Steven E Reis, et.al. Post-menopausal Hormone Therapy and Cardiovascular Disease – Lessons from the Women's Health Initiative. US Cardiology Review, https://www.uscjournal.com/articles/post-menopausal-hormone-therapy-and-cardiovascular-disease-lessons-womens-health?language_content_entity=en#ArticleInfoTab\
Emily S. Lau, MD, MPH. (2025). Menopause, Heart Disease, and Benefits of Hormone. Mass General Brigham Newsroom, https://www.massgeneralbrigham.org/en/about/newsroom/articles/menopause-heart-disease-hormone-therapy
Allison Aubrey. (2024). Hormones for menopause are safe, study finds. Here's what changed. NPR - All Things Considered, https://www.npr.org/sections/health shots/2024/05/01/1248525256/hormones-menopause-hormOne-therapy-hot-flashes
JoAnn E. Manson, MD, DrPH1, Carolyn J. Crandall, MD, MS2, Jacques E. Rossouw, MD, et al, (2024). The Women’s Health Initiative Randomized Trials and Clinical Practice: A Review, JAMA, https://jamanetwork.com/journals/jama/article-abstract/2818206?resultClick=24
Mayo Staff, Testosterone Therapy: Potential Benefits and Risks as You Age, Mayo - Healthy Lifestyle: Sexual Health, https://www.mayoclinic.org/healthy-lifestyle/sexual-health/in-depth/testosterone-therapy/art-20045728
Paul J Rizk, Taylor P Kohn, Alexander W Pastuszak, et. al. (2018). Testosterone Therapy Improves Erectile Function and Libido in Hypogonadal Men. Original article: Curr Opin Urol. 2017 Nov;27(6):511–515: Resourced from NIH: PMCID: PMC5649360 NIHMSID: NIHMS910261 PMID: 28816715, https://pmc.ncbi.nlm.nih.gov/articles/PMC5649360/
Meara With. (2023). What to Know About Hormone Replacement Therapy for Males, Medical News Today, https://www.medicalnewstoday.com/articles/hrt-for-men
Travis Goodale 1, Archana Sadhu 1, Steven Petak, et. al. Testosterone and The Heart. Originally Published in Methodist Debakey Cardiovasc J. 2017 Apr-Jun;13(2):68–72. Resourced from NIH PMCID: PMC5512682 PMID: 28740585, https://pmc.ncbi.nlm.nih.gov/articles/PMC5512682/
Ready to get treatment? Contact us to book an appointment today!
IV therapies can be booked and administered same day, while more intensive treatments require a pre-screening consult with Dr. Dula to determine the best course of treatment for your body’s specific needs.
Not sure what to do next? Give us a call at 828-237-1511, or email us at wellness@invigorateasheville.com and we’ll get you taken care of!