Balance Your Hormones and Reclaim Vitality

Feel your best again with customized hormone therapy designed to enhance energy, mood, and wellness.

Treatment Featured In

Hormone Replacement Therapy

Hormone Replacement Therapy in Lexington, KY

At Hourglass Aesthetics & Wellness, we understand that hormonal imbalances can significantly impact your health, mood, and overall quality of life. That’s why we offer comprehensive hormone replacement therapy (HRT) options, including creams, injectables, and pellet therapy, all administered through Evexias-certified protocols.

Hourglass Aesthetics & Wellness is proud to be a leading provider of hormone therapy in Lexington, KY, and the surrounding areas of Nicholasville. Our experienced team customizes treatments to restore hormonal balance, alleviate bothersome symptoms, and help you feel your best at every stage of life. If you’re experiencing fatigue, weight fluctuations, low libido, mood changes, or other signs of hormone imbalance, schedule a private consultation today by calling ​​ (859) 904-5274 and start your journey to feeling like yourself again.

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Meet The Team

You’re always in the best hands with our dedicated team of skilled professionals.

Maressa

FNP-C, APRN

Aubren

MSN, APRN, FNP-C

Christina

MSN, APRN

Carly

MSN, APRN, FNP-C

Dr. Jon Hourigan

Medical Director

Why Choose ​Hourglass Aesthetics & Wellness?

Conveniently located in the heart of Lexington, you will feel what makes Hourglass Aesthetics & Wellness special the minute you walk in the door. From the natural light and warm design, curated playlist, and coffee bar, we’ve thought about our clients every step of the way. Our goal is to provide the best treatment experience in a warm, relaxing environment.

What Are The Signs And Symptoms Of Hormonal Imbalance

What Are The Signs And Symptoms Of Hormonal Imbalance In Women?​

Hormonal imbalances occur when there is too much or too little of a hormone in the bloodstream. Because of their essential role in the body, even the slightest hormonal imbalance can cause side effects throughout the body. There are a variety of symptoms of hormone imbalance in women, including:

Fatigue

Decreased sex drive

Irritability

Low mood

Night sweats

Weight gain

Anxiousness

Discomfort during intercourse

Hot flashes or flushes

Trouble sleeping

Mood swings

What Are the Signs and Symptoms of Low Testosterone And Hormonal Imbalance in Men?

A low level of testosterone in a man means more than just a low sex drive. Hormones are important for regulating most major bodily processes. Symptoms consistent with low testosterone and other causes of hormonal imbalance include:

Low sex drive

Fatigue

Loss of muscle mass

Increased body fat (especially in the waist area)

Decreased bone mass

Mood changes

Low mood

Irritability

Brain fog

Elevated blood sugar

Stress

Anxiousness

High cholesterol

Benefits of Hormone Replacement Therapy

Benefits of HRT for Women
Hormone replacement therapy for women can restore balance and vitality at any stage of life, particularly during perimenopause and menopause. By supplementing declining estrogen and progesterone levels, HRT can significantly reduce hot flashes, night sweats, mood swings, and vaginal dryness. Beyond symptom relief, HRT supports bone health, reduces the risk of osteoporosis, and enhances skin elasticity, helping women maintain confidence and well-being.
Testosterone replacement therapy (TRT) can help men regain the energy and drive they may have lost due to decreasing testosterone levels as they age. TRT can boost libido, improve muscle mass and strength, enhance cognitive function, and reduce fatigue. It also supports mood stability and cardiovascular health, contributing to a better quality of life and renewed sense of vitality.

Hormone Therapy Options Available at Hourglass Aesthetics & Wellness

At Hourglass Aesthetics & Wellness, we’re proud to partner with Evexias—a leader in bioidentical hormone therapy—to provide the highest quality treatments. Evexias offers multiple delivery methods to suit your preferences and health needs, including creams, injections, and pellet therapy. Here’s how each option works and the benefits they offer:

Hormone Creams

Hormone creams provide a convenient, non-invasive option for restoring balance. These creams contain bioidentical hormones that are structurally identical to those naturally produced by your body, ensuring compatibility and effectiveness.

How They Work:

Applied topically to areas of thin skin—such as the inner arms, thighs, or abdomen—these creams allow for consistent absorption of hormones directly into the bloodstream.
Benefits:

Best For:

Hormone injections offer a more direct method of administering bioidentical hormones. They deliver a precise, consistent dose directly into the muscle, ensuring rapid absorption and reliable results.
How They Work:
Administered by a licensed provider at our clinic, these injections are typically given on a regular schedule—weekly or biweekly, depending on your treatment plan.
Benefits:

Best For:

Hormone pellet therapy is a revolutionary approach that provides consistent, long-term hormone delivery. Tiny, customized pellets—smaller than a grain of rice—are inserted just beneath the skin in a quick, in-office procedure.
How They Work:
The pellets, made of bioidentical hormones, gradually dissolve and release hormones consistently over several months, mimicking the body’s natural rhythms.
Benefits:

Best For:

Meet your provider

NP, APRN

Maressa Coley

As a Board-Certified Family Nurse Practitioner with over 15 years of nursing experience—five of those as an Advanced Practice Registered Nurse—Maressa Coley, APRN, NP has devoted her career to truly understanding and supporting her patients’ long-term wellness. Though her background includes experience in aesthetics, her heart lies in regenerative and functional medicine, where she helps people heal from within and feel like themselves again. She’s earned multiple advanced certifications, including an A4M Advanced Fellowship in Functional and Regenerative Medicine, a T4L Fellowship (as the only nurse practitioner to complete the program), and certifications through Evexias, BioTe, O-Shot®, and P-Shot®. At Hourglass, she’s known for her deep compassion, clinical excellence, and the meaningful relationships she builds with each patient. She genuinely loves supporting people on their journey to feeling their best—inside and out.

Personalized Hormone Care at Hourglass Aesthetics & Wellness

Our commitment to your health and well-being goes beyond simply administering hormones. At Hourglass Aesthetics & Wellness, every hormone therapy program begins with a thorough consultation and comprehensive lab work. We take the time to understand your symptoms, lifestyle, and health goals before designing a customized plan that’s right for you.

Our process includes:

Comprehensive Medical Evaluation

We review your health history, symptoms, and lifestyle factors to ensure a holistic approach.

Laboratory Testing

We analyze your hormone levels and other key markers to determine the best therapy for your needs.

Customized Treatment Plan

Whether you choose creams, injections, or pellet therapy, we develop a plan that’s tailored specifically to you.

Ongoing Monitoring

Hormone levels can change over time, which is why we regularly review your progress and make adjustments as needed to keep you feeling your best.

Get Hormone Therapy Near You in Lexington, KY

If you’re ready to take control of your health and feel like yourself again, Hourglass Aesthetics & Wellness is here to help. Our Evexias-certified hormone therapy programs—including creams, injections, and pellet therapy—can help you reclaim your vitality and improve your quality of life.

Schedule your private consultation today. Call (859) 904-5274 and discover how personalized hormone therapy can transform the way you feel every day.

The Hourglass Difference

“We deliver Ritz-Carlton–level hospitality from the moment you enter our space. Often referred to as the Gucci of aesthetics, we set the standard for exceptional care, elevated experiences, and uncompromising results that exceed expectations at every touchpoint.”

– Owner Beth Hourigan

Hormone Replacement Therapy FAQs

Hormone replacement therapy is highly personalized and is not a one-size-fits-all solution. While many people benefit from hormone therapy, it may not be appropriate for individuals with certain medical histories. Conditions such as hormone-sensitive cancers, a history of blood clots, liver disease, stroke, or unmanaged cardiovascular issues can increase risk. That is why a comprehensive consultation is essential. Your provider will carefully review your medical history, current symptoms, lifestyle factors, and lab results before recommending treatment. If hormone therapy is not the right option, alternative approaches may be discussed to support your health and well-being safely.

In many cases, hormone therapy is considered an elective or wellness-based treatment and may not be fully covered by traditional health insurance plans. Coverage varies depending on your provider, plan, and the type of therapy prescribed. Some patients are able to use flexible spending accounts or health savings accounts to help offset eligible costs. Our team is happy to review pricing with you upfront so there are no surprises, and we encourage patients to contact their insurance provider directly to understand their specific benefits before starting treatment.

There is no universal timeline for hormone therapy. Some patients choose short-term treatment to address specific symptoms such as fatigue, mood changes, or menopausal discomfort. In contrast, others benefit from longer-term therapy to maintain hormonal balance and quality of life. Your treatment length will depend on your symptoms, response to therapy, and personal health goals. Ongoing evaluations allow your provider to determine whether adjustments, continuation, or tapering of therapy is appropriate over time.

Follow-up visits and lab testing are an important part of hormone therapy and help ensure your treatment remains safe and effective. Most patients complete initial lab work before starting therapy, followed by periodic testing to monitor hormone levels and overall health markers. Follow-up visits allow your provider to assess how you are feeling, address any concerns, and make precise adjustments to dosing when needed. This ongoing monitoring helps optimize results while minimizing potential side effects.

Hormone therapy can interact with certain prescription medications, over-the-counter products, supplements, and herbal remedies. Some interactions may affect how hormones are absorbed or metabolized, while others may increase the risk of side effects. It is important to provide a complete list of everything you take during your consultation and at follow-up visits. This allows your provider to safely coordinate your hormone therapy with your existing treatments and make adjustments as needed to protect your health.

Real People. Real Results.

“Brandy is my favorite esthetician in Lexington! She has always made me feel comfortable, and is such an important friend in my life. Her work is truly stunning and unmatched! I know she will always put her best effort forward into any service I receive, and she will hype me up to making me feel gorgeous walking out of the salon! I couldn’t recommend someone better than Brandy as a lash tech or for any of her other esthetic treatments! She stands out and goes above and beyond for every client! She’s also an amazing waxer!”

– Sabrina B.

“I had the best experience at Hourglass! From the moment I walked in, Keely welcomed me with a smile and was so sweet and friendly. The atmosphere was calming and clean. The staff went above and beyond to make me feel comfortable, which I really appreciated. Dustyn delivers the perfect results every time! I left feeling confident, and cared for. You can tell they truly value their clients and take pride in what they do. I will definitely be returning and highly recommend Hourglass to anyone looking for top-notch care and results!”
– Lauren B.
“My experience at Hourglass was great, Dustyn was so knowledgeable and answered all of my questions in detail. She was reassuring because I was a bit nervous since it was my first visit. She did a great job and it was quick and painless. All of the staff was so nice and helpful as well. I will definitely be back.”
– Hannah T.

“Hourglass was very modern, classy and clean inside. I felt like it was a spa-like experience. My aesthetician explained everything to me and even did a quote for cost before we got started. They let my mom come back with me which made me feel more comfortable. They did not pressure me into buying extra services or do a big sales pitch to me which I thought was refreshing. They gave me a brochure and answered all of my questions. Overall it was a very pleasant experience and I will be back. Everything was quick and there was off street parking around back.”

– Ciara L.
“Hourglass is a great place to go for all things aesthetics! A beautiful downtown Lexington located building that is decorated and designed absolutely gorgeously, you will feel like you’re in a spa! All of the providers are wonderful and professional.”
– Darell A. D.

“Absolutely love Hourglass Aesthetics! The moment you walk in you immediately feel welcome. Everyone is so kind and helpful. So happy I found them! Definitely recommend for all treatments! You won’t be disappointed!”

– Mandy S.

“Hourglass is a great place to go for all things aesthetics! A beautiful downtown Lexington located building that is decorated and designed absolutely gorgeously, you will feel like you’re in a spa! All of the providers are wonderful and professional.”
– Darell A. D.
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