

Hormonal changes are a natural part of aging, but for many women, they bring uncomfortable and disruptive symptoms that can affect everything from mood and sleep to energy and intimacy. Menopause, perimenopause, and other hormonal imbalances can significantly reduce quality of life—and they’re more common than many realize.
At Fayetteville Internal Medicine, we help women find relief and regain control of their health through hormone therapy. If you’re struggling with hot flashes, fatigue, low libido, or other unexplained symptoms, hormone therapy might be the solution you’ve been searching for.
What Can Hormone Therapy Help Treat?
Hormone therapy (HT), also known as hormone replacement therapy (HRT), is used to relieve a variety of symptoms caused by declining or imbalanced hormone levels. While it is most commonly associated with menopause, hormone therapy can be beneficial for other stages and conditions as well.
Here are some of the most common health issues hormone therapy helps address:
1. Menopausal and Perimenopausal Symptoms
- Hot flashes and night sweats
- Sleep disturbances and insomnia
- Mood swings, anxiety, and irritability
- Vaginal dryness and discomfort during intimacy
- Brain fog, poor concentration, and memory issues
- Weight gain, especially around the abdomen
- Decreased energy and fatigue
- Thinning hair and dry skin
These symptoms are often caused by decreasing levels of estrogen and progesterone, and they can begin years before menopause officially starts.
2. Low Libido and Sexual Health Changes
Hormonal imbalances can reduce sex drive and make intimacy uncomfortable. Hormone therapy can improve:
- Vaginal moisture and elasticity
- Libido and sexual response
- Overall comfort and confidence
3. Bone Density Loss and Osteoporosis Prevention
Estrogen plays a key role in maintaining bone density. After menopause, the risk of osteoporosis increases sharply. Hormone therapy helps slow bone loss and may reduce fracture risk in postmenopausal women.
4. Chronic Fatigue and Low Energy
Many women report persistent fatigue that isn’t improved by sleep or diet. Hormonal imbalances—particularly in estrogen, progesterone, or thyroid levels—can be a root cause. Restoring hormone levels can help women regain energy and motivation.
5. Mood and Mental Health Issues
Hormones directly affect brain chemistry. Imbalances can lead to:
- Depression
- Anxiety
- Irritability
- Emotional instability
For women experiencing mood issues not resolved with traditional treatments, hormone therapy may be an important part of care.
Types of Hormone Therapy for Women
Depending on your symptoms, medical history, and health goals, hormone therapy may include:
- Estrogen-only therapy – typically for women who’ve had a hysterectomy.
- Estrogen and progesterone combination therapy – protects the uterus and treats symptoms.
- Bioidentical hormone therapy (BHRT) – customized hormones that closely match your body’s natural chemistry.
- Vaginal estrogen – low-dose creams, tablets, or rings for localized relief of dryness and discomfort.
Your provider will help determine the safest and most effective type and delivery method—whether oral, patch, gel, cream, or pellet.
Is Hormone Therapy Right for You?
Hormone therapy is not one-size-fits-all. The best candidates are typically women in good health who are under age 60 or within 10 years of menopause. However, it’s also an option for younger women with certain hormonal disorders or those who experience early menopause.
Contraindications include a history of breast cancer, blood clots, liver disease, or stroke. That’s why it’s crucial to have a personalized medical evaluation before starting treatment.
At Fayetteville Internal Medicine, we take the time to understand your symptoms and health history, perform comprehensive testing, and create a customized hormone therapy plan to help you feel your best again.
Hormone Therapy for Women in Fayetteville, NC
If you’re feeling “off” and don’t know why—whether it’s exhaustion, brain fog, low libido, or constant mood swings—don’t ignore it. Hormonal imbalance could be the cause. At Fayetteville Internal Medicine, we offer expert, compassionate care to help women rebalance their hormones and restore their quality of life.
Schedule your hormone therapy consultation today and take the first step toward feeling like yourself again.