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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
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
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.
- Personalized hormone care that considers your symptoms, health history, lifestyle, lab results, and individual wellness goals.
- Comprehensive laboratory testing to better understand your hormone levels and other relevant health markers before developing your plan.
- Evexias-certified hormone therapy protocols with treatment options for both women and men.
- Multiple hormone delivery options, including creams, injections, and pellet therapy, selected according to your individual needs.
- Ongoing monitoring that allows your provider to evaluate your progress and make thoughtful adjustments when appropriate.
- A comprehensive approach that looks beyond a single number to understand how you're actually feeling.
- A private, high-touch experience where you have time to ask questions, understand your options, and feel involved in decisions about your care.
Hormone Therapy: The Highlights
Who It's For
Common Concerns
The Experience
Treatment Options
Personalization
Ongoing Care
The Hourglass Difference
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.
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:
- Persistent fatigue or lower energy
- Changes in libido
- Difficulty sleeping
- Night sweats
- Hot flashes
- Mood changes or irritability
- Brain fog or difficulty concentrating
- Changes in body composition
- Increased body fat
- Decreased muscle mass
- Vaginal dryness or discomfort during intercourse
- Changes in motivation or overall sense of well-being
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:
- Hot flashes
- Night sweats
- Sleep disruption
- Vaginal dryness
- Discomfort with intercourse
- Changes in sexual desire
- Mood changes
- Irritability
- Changes in energy
- Other symptoms associated with the menopausal transition
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:
- Low libido
- Persistent fatigue
- Reduced muscle mass
- Increased body fat
- Changes in mood
- Irritability
- Brain fog
- Reduced motivation
- Changes in strength or physical performance
Hormone Therapy Options at Hourglass
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
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.
Hormone Pellet Therapy
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.
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.
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.
- We'll talk about what you've been experiencing, when your symptoms started, and how they're affecting your everyday life.
- Your provider will review your medical history, current medications and supplements, lifestyle, and relevant health concerns.
- Laboratory testing will be used to evaluate hormone levels and other relevant markers.
- We'll review your results in the context of your symptoms rather than relying on one number alone.
- If hormone therapy is appropriate, we'll discuss your treatment options, expected monitoring, potential risks, and realistic goals before you begin.
- Your treatment is customized according to your evaluation and the hormone therapy prescribed.
- Depending on your plan, treatment may involve creams, injections, or pellet therapy.
- You'll receive clear instructions about how your therapy is administered and what to expect.
- Your provider will explain possible side effects and symptoms that should prompt you to contact the office.
- We want you to understand your treatment, not simply follow it without knowing why.
- Follow-up care is an important part of hormone therapy.
- Repeat laboratory testing may be used to monitor hormone levels and other relevant health markers.
- We'll also pay attention to something equally important: how you actually feel.
- Your dosage or treatment approach may be adjusted according to your response and clinical findings.
- Hormone needs can change over time, so your treatment isn't permanently locked into the plan you started with.
- Ongoing monitoring helps us determine whether continuing, modifying, or reconsidering treatment is appropriate.
Is Hormone Therapy Right for You?
You're Tired Of Feeling Tired
Your Body Feels Different
Your Sex Drive Has Changed
Perimenopause Or Menopause Is Affecting Your Daily Life
You've Been Told Your Testosterone Is Low
You Want Answers Before Treatment
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.
“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.”
“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.
Hormone Therapy FAQs
Hormone Testing & Your First Appointment
How do I know if my hormones are imbalanced?
Do I need blood work before starting hormone therapy?
What happens during my first hormone therapy appointment?
Do I need to know which hormones I need before coming in?
Hormone Therapy for Women
When should women consider hormone therapy?
Can hormone therapy help with hot flashes and night sweats?
Can HRT help with vaginal dryness?
Is hormone therapy only for menopause?
Testosterone Replacement Therapy
How do I know if I have low testosterone?
Is TRT only for older men?
How is testosterone therapy administered?
Will TRT automatically increase my muscle mass?
Hormone Creams, Injections & Pellets
Are hormone pellets better than injections or creams?
How long do hormone pellets last?
Are hormone pellets permanent?
Can I switch hormone delivery methods later?
Hormone Therapy Safety & Monitoring
Is hormone replacement therapy safe?
Who shouldn't receive hormone therapy?
How often will I need follow-up blood work?
Can hormone therapy interact with my medications?
Hormone Therapy Results & Long-Term Care
How quickly will I feel different after starting hormone therapy?
How long will I need hormone therapy?
Will my dosage stay the same forever?
What if hormone therapy isn't the answer?
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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