When You Don't Feel Like Yourself, There May Be A Reason.
Personalized hormone therapy designed around your symptoms, your lab results, and what it takes to help you feel more like yourself again.

Treatment Featured In

Feeling "Off" Isn't Something You Have To Simply Accept.

Hormone Therapy in Nashville, TN, at Hourglass Aesthetics & Wellness

You’re tired even when you’ve slept. Your mood feels different. Your sex drive isn’t what it used to be. Your body composition is changing despite your usual routine. Or maybe the hardest part is that you can’t point to one specific problem. You just don’t feel like yourself. Hormones may be one piece of that picture.

At Hourglass Aesthetics & Wellness, hormone therapy starts by looking beyond a single symptom or lab value.  We take time to understand what you’re experiencing, evaluate your health history, review comprehensive lab work, and determine whether hormone therapy may be appropriate for you. If it is, your treatment is built around you.

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Meet The Team

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

Brie Chandler, PA-C, DMS

Lead Aesthetic Injector

Justin Perry, FNP-BC

Aesthetic Injector

Maressa Coley

FNP-C, APRN

Dr. Jon S. Hourigan, MD

Owner (Owner in Nashville location only)

Dr. Kye Higdon, MD

Board-Certified Plastic Surgeon + Nashville Medical Director

Better Care Starts With Actually Listening To How You Feel.

Why Choose Hourglass Aesthetics & Wellness for Hormone Therapy?

Hormone therapy shouldn’t begin with assumptions. Symptoms such as fatigue, mood changes, sleep disruption, low libido, and changes in body composition can have many potential causes. That’s why we don’t start by handing everyone the same prescription or assuming hormones are automatically the answer.

We start with you.

See The Hourglass Difference
At our Nashville location, hormone therapy isn’t about chasing a perfect number on a lab report. It’s about understanding the bigger picture and creating a plan that makes sense for your health and your life.

Hormone Therapy: The Highlights

Women and men experiencing symptoms that may be associated with changing or suboptimal hormone levels.
Fatigue, changes in libido, hot flashes, night sweats, mood changes, sleep difficulties, brain fog, changes in muscle mass or body composition, and other hormone-related concerns.
Your care begins with a detailed consultation, health history, symptom assessment, and laboratory testing.
Depending on your individual needs, hormone therapy may include creams, injections, or pellet therapy.
Your treatment plan, dosage, delivery method, and monitoring schedule are based on your individual evaluation.
Follow-up visits and laboratory testing allow us to monitor your response and adjust treatment when needed.
We don’t treat a lab result. We consider the person behind it.
Your Hormones Affect More Than You May Realize.

What Is Hormone Replacement Therapy?

Hormones act as chemical messengers throughout the body and influence everything from reproduction and sexual function to mood, sleep, metabolism, and body composition.


When hormone levels change, the effects can show up in ways that don’t always seem connected. That’s part of what can make hormone-related concerns so frustrating. Hormone replacement therapy, or HRT, involves supplementing specific hormones when clinically appropriate based on your symptoms, health history, laboratory findings, and your provider’s evaluation.


For women, hormone therapy may be considered during perimenopause, menopause, or other situations involving hormone changes. For men, testosterone replacement therapy, commonly called TRT, may be considered when symptoms and clinical evaluation support treatment for low testosterone.

 

At Hourglass, the question isn’t simply whether a hormone level falls inside or outside a range. We want to understand how the entire picture fits together.

Sometimes "I'm Just Tired" Is Only the Beginning.

Signs Your Hormones May Deserve A Closer Look

Hormonal changes can look different from person to person. Some symptoms are obvious. Others develop so gradually that you may not realize how much has changed until you stop and compare how you feel now with how you used to feel.

Depending on your age, sex, health history, and individual hormone patterns, symptoms may include:

These symptoms don’t automatically mean you have a hormone imbalance. That’s exactly why evaluation and laboratory testing matter. Rather than guessing based on symptoms alone, we look for the information needed to understand what may be contributing to how you feel.
Because Perimenopause and Menopause Don't Look the Same for Everyone.

Hormone Therapy for Women

For some women, hormonal changes arrive loudly: hot flashes, night sweats, disrupted sleep, and noticeable changes in mood. For others, the transition is much harder to identify.

Maybe you’re more tired than you used to be. Your libido has changed. Your sleep isn’t as restorative. Your body feels different despite doing the same things you’ve always done.

Hormone therapy may be considered for appropriate women experiencing symptoms related to changing estrogen, progesterone, or other hormone levels, particularly during the perimenopausal and menopausal years.

Depending on your individual evaluation, treatment may be considered for concerns such as:

Your experience doesn’t have to match someone else’s for it to deserve attention.
Low Testosterone Can Show Up In More Ways Than Low Libido.

Testosterone Replacement Therapy for Men

Testosterone changes can affect much more than sexual function. Men may notice changes in energy, strength, muscle mass, body composition, mood, concentration, or motivation before ever thinking about testosterone.

If symptoms suggest that testosterone deserves a closer look, we can evaluate your health history and laboratory findings to determine whether TRT may be appropriate.

Potential signs associated with low testosterone can include:

TRT isn’t appropriate simply because someone wants more energy or better gym performance. It begins with a proper evaluation.
The Right Treatment Has To Fit Your Body And Your Life.

Hormone Therapy Options at Hourglass

There is more than one way to deliver hormone therapy. At Hourglass Aesthetics & Wellness, we offer multiple options through Evexias-certified protocols, so your treatment can be selected based on your clinical needs, preferences, and lifestyle.

Hormone Creams

Hormone creams offer a topical option for delivering prescribed hormone therapy.

Depending on your individualized plan, creams may appeal to patients who prefer a non-injectable approach and the convenience of administering treatment at home.

Your provider will explain where and how to apply your medication, how often to use it, and what follow-up monitoring is needed.

Hormone injections provide another way to administer a prescribed dose on a defined schedule.

They are commonly associated with testosterone replacement therapy, although whether injections are appropriate depends on your individual treatment plan.

Your dosage and treatment schedule are determined based on your evaluation and monitored over time rather than using a universal protocol for everyone.

Pellet therapy offers a longer-acting hormone delivery option.

Small hormone pellets are placed beneath the skin during an in-office procedure, where they gradually release hormone over time.

For appropriate patients, pellets may be appealing because they don’t require daily topical application or frequent injections.

Convenience isn’t the only consideration, however. Before recommending it, we’ll discuss the advantages, limitations, monitoring requirements, and whether pellet therapy makes sense for you.

The Best Option Isn't The Most Popular One. It's The One That Fits You.

Which Type of Hormone Therapy Is Right for You?

Creams, injections, and pellets each offer different advantages. The right option depends on more than personal preference. Your symptoms, lab results, medical history, hormones being treated, lifestyle, and response to therapy can all influence which delivery method makes sense.

Some people appreciate the flexibility of a topical medication. Others prefer an injection schedule. Some would rather have a longer-acting option that requires less frequent administration. You don’t have to make that decision before your appointment. We’ll walk you through the differences and help determine which options are appropriate for you.

Good Hormone Care Doesn't Start With A Prescription. It Starts With A Conversation.

Your Hormone Therapy Experience at Hourglass

Hormone therapy is an ongoing relationship, not a one-time treatment.

Before we decide whether therapy is appropriate, we need to understand where you’re starting.

You Don't Have To Know What's Wrong To Know You Don't Feel Like Yourself.

Is Hormone Therapy Right for You?

Hormone therapy isn’t right for everyone. But if you’ve noticed meaningful changes in the way you feel, it may be worth finding out whether hormones are part of the picture.
You're Tired Of Feeling Tired
Your energy isn’t what it used to be, and getting more sleep doesn’t seem to solve the problem. Fatigue has many possible causes, but hormone changes may be one factor worth evaluating.
Changes in muscle mass, body composition, weight, or physical performance can sometimes accompany hormonal changes. We’ll look at your symptoms alongside your overall health and laboratory results.
Changes in libido can affect both women and men and may have multiple contributing factors. Hormonal evaluation can help us determine whether hormone levels may be playing a role.
Hot flashes, night sweats, sleep disruption, vaginal symptoms, and other changes don’t have to simply be endured. We’ll discuss your symptoms and whether hormone therapy may be an appropriate option.
A lab result is only one part of the evaluation. We consider your symptoms, health history, repeat or appropriate testing when needed, and overall clinical picture before recommending TRT.
You don’t have to walk into Hourglass asking for pellets, injections, estrogen, or testosterone. Come in and tell us what has changed. We’ll start by trying to understand why.
Feeling Better Starts With Understanding What's Changed.

Experience Personalized Hormone Therapy in Nashville

You know your body. When your energy, mood, sleep, sexual health, or overall sense of well-being changes, you don’t need to dismiss it as something you’re simply supposed to live with. You also don’t need to assume hormones are automatically the answer.

 

At Hourglass Aesthetics & Wellness, we start with the questions, the labs, and the conversation. If hormone therapy is appropriate, we’ll create a plan around your needs and continue monitoring how you respond. Because the goal isn’t to turn back the clock. It’s to help you feel more at home in your body now.

Call us at (615) 819-1111 to schedule your hormone therapy consultation in Nashville.

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

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.
Everything You Want To Know Before Starting Treatment.

Hormone Therapy FAQs

Hormone Testing & Your First Appointment

How do I know if my hormones are imbalanced?

Symptoms can provide clues, but they aren’t enough to diagnose a hormone imbalance on their own. We consider your symptoms, medical history, laboratory results, and overall clinical picture before discussing treatment.
Laboratory testing is an important part of Hourglass’s hormone therapy process. It gives your provider objective information to consider alongside your symptoms and health history.
We’ll discuss what you’ve been experiencing, review your health history and medications, talk about your goals, and determine which laboratory testing or additional evaluation is appropriate.
No. You don’t need to diagnose yourself or decide which treatment you want. That’s what the evaluation is for.

When should women consider hormone therapy?

Women may consider discussing hormone therapy when symptoms associated with perimenopause, menopause, or other hormone changes begin affecting their quality of life. Whether treatment is appropriate requires an individualized medical evaluation.
Hormone therapy may be used to manage vasomotor symptoms such as hot flashes and night sweats in appropriate menopausal patients. Your provider will review your symptoms and health history to determine whether treatment is suitable for you.
Hormone therapy may be considered for certain genitourinary symptoms of menopause, including vaginal dryness and discomfort. The appropriate treatment depends on your symptoms and medical history.
No. Hormonal concerns can occur at different stages of life. Your symptoms and clinical evaluation determine whether hormone testing or treatment deserves consideration.

How do I know if I have low testosterone?

Symptoms such as low libido, fatigue, reduced muscle mass, and mood changes can be associated with low testosterone, but they can also have other causes. Appropriate laboratory testing and clinical evaluation are necessary.
Age-related testosterone changes are common, but age alone doesn’t determine whether someone should receive TRT. Treatment decisions should be based on symptoms, testing, health history, and clinical evaluation.
Depending on your treatment plan, testosterone therapy may be administered through options such as injections, topical preparations, or pellets.
Testosterone plays a role in muscle health, but TRT isn’t a shortcut for building muscle and shouldn’t be prescribed solely for that purpose. Treatment is intended for appropriately evaluated patients with a clinical indication.

Are hormone pellets better than injections or creams?

Not necessarily. Each delivery method has advantages and considerations. The best option depends on your medical needs, lifestyle, preferences, and prescribed therapy.
Pellets are designed to provide hormone delivery over an extended period. Your provider will explain the expected duration and treatment schedule based on the specific therapy prescribed.
No. Pellets gradually release their contents over time. They aren’t a permanent form of hormone therapy.
Your treatment can be reassessed over time. If your current delivery method isn’t working well for your needs or preferences, your provider can discuss whether another appropriate option should be considered.

Is hormone replacement therapy safe?

Hormone therapy has potential benefits and risks, and it isn’t appropriate for everyone. Safety depends on factors including your medical history, the hormones prescribed, dosage, delivery method, and ongoing monitoring.
Certain health conditions or medical histories may affect whether hormone therapy is appropriate. Your provider will review your personal and family history and discuss relevant risks before recommending treatment.
The timing of laboratory testing depends on your treatment and individual clinical needs. Follow-up testing helps your provider monitor your response and determine whether adjustments are appropriate.
It can interact with certain medications, supplements, and other therapies. Bring a complete and current list of everything you take to your consultation.

How quickly will I feel different after starting hormone therapy?

There isn’t one timeline that applies to everyone. Your response depends on your symptoms, treatment, hormone levels, individual physiology, and other health factors.
There is no universal treatment duration. Your provider will continue evaluating the benefits, risks, symptoms, and clinical findings to determine whether ongoing therapy remains appropriate.
Not necessarily. Hormone needs and responses can change, which is why follow-up care and laboratory monitoring are important.

Then that’s useful information too.

Our goal isn’t to put every patient on hormones. It’s to understand what you’re experiencing and determine whether hormone therapy has an appropriate place in your care. If the evaluation suggests another issue deserves attention, we’ll discuss the appropriate next steps.

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