Hormone Replacement Therapy (HRT) in St. Louis

Hormone Replacement Therapy at St. Louis Skin Solutions™ restores balance using personalized estrogen, progesterone, testosterone, and DHEA therapy—guided by advanced lab testing—to help you feel confident at every stage of life.

Balance Your Hormones. Reclaim Your Energy. Feel Like Yourself Again.

True wellness is inseparable from how you feel every day. St. Louis Skin Solutions™ is a physician-owned and medically led practice with over 20 years of experience in the field. Dr. Amy Miller, an experienced medical physician with extensive expertise in regenerative and aesthetic medicine, leads us. Our hormone therapy programs are evidence-based and designed based on advanced diagnostics. Simply put, we focus on providing long-term patient support rather than quick fixes.

What Is Hormone Replacement Therapy (HRT)?

As we age, hormone levels naturally decline or become imbalanced—sometimes gradually, sometimes abruptly. When this occurs, symptoms may develop that affect daily comfort, performance, and overall quality of life. Hormone Replacement Therapy in St. Louis is a medically guided approach designed to restore hormones to their optimal, physiologic levels, helping to rebalance these systems and support how you feel and function.

Hormones are powerful chemical messengers that regulate many essential functions throughout the body, including:

Brain function, mood, and mental clarity
Energy levels and metabolism
Muscle tone and bone strength
Skin health and elasticity
Cardiovascular and overall systemic function

At St. Louis Skin Solutions™, we provide personalized hormone therapy using:

Estrogen
Progesterone
Testosterone
DHEA

Treatment is guided by comprehensive lab testing performed three to four times per year, allowing us to closely monitor your response and adjust therapy with precision as your body adapts.

The Benefits of HRT

Many patients choose hormone replacement therapy when lifestyle changes alone aren’t enough to relieve symptoms. HRT may help improve energy and stamina, support a more balanced mood, and promote better sleep quality. Patients often experience increased mental clarity and focus, along with improvements in libido and sexual health.

Hormone optimization can also support muscle mass, bone density, and a healthier metabolism, contributing to improved body composition and overall well-being.

Are You a Good Candidate for HRT?

You may be a candidate for Hormone Replacement Therapy if you are experiencing symptoms such as:

Chronic fatigue or low energy
Weight gain or difficulty maintaining muscle
Brain fog or poor concentration
Mood changes, anxiety, or irritability
Low libido or sexual dysfunction
Sleep disturbances
Perimenopausal, menopausal, or andropausal symptoms

Schedule a Consultation

What to Expect Before, During, and After HRT

Consultation

We offer an informational “see if you are a candidate” appointment that includes:

Medical consultation
Comprehensive initial lab work

Your investment is approximately $400 per visit, and if you choose to move forward, we require a one-year commitment since hormone optimization takes time to stabilize and fine-tune properly. We offer a discounted one-year program paid upfront, as well as a pay-per-visit option, which is available at a higher overall cost.

Procedure & Treatment

Initial consultation and baseline labs
Review of results and personalized hormone plan
Medication selection based on your needs and preferences
Regular follow-up visits with repeat labs 3–4 times per year
Ongoing dose adjustments to achieve optimal balance

Recovery & Results

First 4–8 weeks: Subtle improvements may begin to occur.
3–6 months: More noticeable symptom relief and stabilization.
6–12 months: Optimal hormone balance achieved for most patients. Consistency is key, which is why we emphasize a one-year commitment.

Alternative or Related Services

Hormone therapy is often complemented by:

Medical Weight Loss programs
IV Therapy and Vitamin B12
Advanced skincare and rejuvenation treatments
Lifestyle and metabolic support

Ready to Find Out If HRT Is Right for You?

Hormone balance can be life-changing, but it starts with the proper guidance and a thoughtful, medically sound approach. Our informational consultation is designed to help you understand your hormones, review your lab results, and determine whether therapy is appropriate for you without pressure or obligation. Book your Hormone Replacement Therapy consultation today.

Why Choose St. Louis Skin Solutions™?

St. Louis Skin Solutions™ offers physician-designed hormone replacement therapy backed by over 20 years of medical experience and a whole-body approach to care. Programs include comprehensive lab testing three to four times per year to ensure safe, precise adjustments throughout treatment.

Therapy is fully personalized, with flexible dosing and delivery options based on your physiology, lifestyle, and comfort level. A structured one-year optimization model supports proper stabilization and long-term results, while transparent, all-inclusive pricing covers medications and required labs. With two St. Louis–area locations, patients receive consistent, continuous care from a team that knows their history and closely tracks their progress.

HRT FAQs

How long does it take to know if HRT is working for me?

Hormone therapy works gradually. Some patients notice subtle improvements within the first 4–8 weeks, but meaningful, sustained results typically develop over several months. This is why we emphasize a one-year commitment—to allow time for stabilization and fine-tuning.

Can my hormone doses change during treatment?

Yes. Adjustments are typical and expected. Your hormone needs may change as symptoms improve, stress levels fluctuate, or your body adjusts. Regular lab testing and follow-ups allow us to refine dosing for optimal physiologic balance.

Will I need to stay on HRT forever?

Not necessarily. Some patients choose to continue long-term because they feel significantly better, while others reassess their situation over time. Hormone therapy is always a collaborative decision and can be adjusted, paused, or discontinued under medical guidance if goals or health needs change.

What happens if I miss a dose or appointment?

Missing an occasional dose is usually not harmful, but consistency is important for maintaining stable hormone levels. If appointments or labs are delayed, it can temporarily slow progress. Our team will help you get back on track safely and effectively.

Will HRT help with weight loss?

Hormone therapy is not a weight loss treatment, but balanced hormones can support a healthier metabolism, increased energy, and improved body composition. Some patients find that weight management becomes easier when hormone imbalances are addressed, especially when combined with lifestyle or medical weight loss support.

Can I switch to a different hormone delivery method later?

Yes. Many patients start with one form and transition to another as their needs or preferences evolve. Your treatment plan remains flexible, and changes can be made based on comfort, lifestyle, and how your body responds.

Are there risks or side effects with HRT?

As with any medical therapy, HRT carries potential risks and side effects, which vary depending on the individual, hormone type, dosage, and delivery method. Possible side effects may include fluid retention, breast tenderness, acne, mood changes, or changes in hair growth. More serious risks are uncommon when therapy is prescribed correctly, monitored, and maintained within physiologic ranges. This is why comprehensive screening, ongoing lab monitoring, and medical oversight are essential to safe treatment.