
Treat hot flashes, weight gain, and other menopausal symptoms, and get treatment for common hormone dysfunctions like Hashimoto’s and other thyroid problems.
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Approximately 80% of women experience hormonal imbalances…and many don’t even realize it.
From metabolism to heart rate, sleep cycles, reproductive cycles, body temperature, and mood, hormones play an important role in the body as “messengers” that trigger essential functions.
Because of this, hormonal imbalances in women can manifest in different ways, making it difficult to identify. Onset can occur as a result of aging, menopause, lifestyle, disease, and environmental factors. Hormone replacement therapy for women can help you restore your balance.
Find HRT for women in North Carolina. >>
Recognizing the signs of hormonal imbalance is the first step to bringing your body back into harmony. Most women begin to experience hormonal changes around menopause. Though this can be different for everyone, around age 50 women often experience a decrease in the amounts of estrogen and progesterone their body produces.
While the symptoms of a hormonal imbalance can differ, the most common signs include:
Hormone replacement therapy (HRT) for women can address a variety of these symptoms and get your hormones back in tune. Find menopause treatment in North Carolina today.
Every body is different. Our HRT doctors in North Carolina take a personalized approach to bioidentical hormone replacement therapy for women.
Our priority is to offer you the best solutions for your specific body and goals. This may require using more traditional hormone therapy options such as pills, patches, creams, and injections, or more modern and effective solutions like hormone pellet therapy.
Here at Blue Sky MD, we specialize in bioidentical hormone pellet therapy (BHRT) for women. We’ve found that pellets offer the best relief with the least side effects. Data also supports that hormone replacement therapy with pellet implants is the most effective and the most bio-identical method to deliver hormones in both men and women.
Female hormone pellet therapy ensures a consistent dosage over time—no more daily oral tablets or topicals.
Topical hormone replacement therapy for women is an excellent option for those seeking effective and convenient management of hormonal imbalances or menopausal symptoms. Topical HRT involves applying creams, gels, or patches directly to the skin, allowing for precise and targeted delivery of hormones.
This means you can ensure that the hormones are absorbed where they are needed most. They are a gentler and often better-tolerated option than pills while still providing flexible and convenient dosing.
We also offer more traditional forms of HRT for women like pills are taken orally, making them more convenient and less invasive than injections or pellets. This may be preferred by individuals who dislike needles.
Hormone pills are designed to provide a steady release of hormones throughout the day, mimicking the body’s natural hormone production. They are easier to transport and administer, making them a good option for individuals who travel frequently.
Have more questions about our methods of BHRT for women?
Our team can help you understand which option is best for your needs and lifestyle.
Bioidentical hormones are identical in molecular structure to human hormones, which means your body effectively cannot tell the difference. Plus, the pellet delivery method we use in at Blue Sky MD ensures a consistent dosage over time. The pellets are no larger than a grain of rice and are painlessly inserted to the thigh or arm once ever 3-6 months.
There is no one-size-fits-all approach to hormone replacement therapy for women. Our doctors tailor your treatment plan to your needs and goals while consistently monitoring for areas of improvement. This is the most comprehensive, personalized menopause treatment available.
Once every several months, we painlessly insert the pellet under the skin, and over time, the pellet consistently and evenly releases small doses of hormones.
We find that even patients who have failed to get results with other types of hormone replacement therapy see a high level of success with this bioidentical hormone replacement therapy method.
The first step in the hormone therapy process is to get some blood work done so we may analyze your current hormone levels. This helps us understand your symptoms and formulate your hormone prescription dosage.
Once we’ve established your baseline hormone levels, we can begin treatments with the appropriate delivery method. If pellets are your delivery method, your Blue Sky MD providers will perform a quick procedure to insert the pellet under the skin.
You’ll meet with your Blue Sky MD provider periodically to get more bloodwork done, assess hormone levels, and verify symptoms are improving. If there is room for improvement, our providers can make adjustments to your treatment. Patients receiving pellet therapy will need a new pellet inserted every 3-6 months.
Common symptoms of hormone imbalance in women include hot flashes, night sweats, irregular periods, mood swings, brain fog, weight gain (especially around the midsection), low libido, vaginal dryness, and sleep disturbances. These symptoms can begin during perimenopause (typically in your 40s) and continue through menopause. If you’re experiencing several of these symptoms and they’re affecting your quality of life, hormone testing can determine if HRT is right for you.
Bioidentical hormones are chemically identical to the hormones your body naturally produces, while synthetic hormones have a different molecular structure. Bioidentical estradiol, progesterone, and testosterone are derived from plant sources and metabolized by your body just like your natural hormones. Many women report fewer side effects and better symptom relief with bioidentical hormones compared to synthetic alternatives like Premarin or Provera.
Hormone replacement can be delivered through pellets, creams, patches, pills, or injections. Pellet therapy provides steady hormone levels for 3-4 months through tiny pellets inserted under the skin. Topical creams offer flexible dosing but require daily application. Patches provide consistent delivery but may cause skin irritation. The best method depends on your lifestyle, preferences, and how your body responds to different delivery systems.
When properly prescribed and monitored by qualified physicians, bioidentical hormone replacement therapy is considered safe for most healthy women. Modern HRT uses lower doses and bioidentical formulations that carry fewer risks than older synthetic hormones. We conduct thorough medical evaluations, review family history, and provide ongoing monitoring to ensure safe treatment. The benefits of properly managed HRT often outweigh the risks for women with significant menopausal symptoms.
Most women begin noticing improvements within 2-4 weeks of starting hormone replacement therapy. Hot flashes and sleep disturbances are often the first symptoms to improve. Energy levels, mood, and mental clarity typically improve within 4-6 weeks. Full optimization of symptoms like weight management and libido may take 3-6 months as hormone levels stabilize. We adjust dosing as needed during this period to achieve optimal results.
Yes, hormone replacement therapy can significantly help with menopausal weight gain. Declining estrogen levels slow metabolism and promote fat storage around the midsection. Balanced hormones help restore metabolic function, reduce belly fat accumulation, and make weight loss more achievable. Many women find that hormone therapy, combined with proper nutrition and exercise, helps them return to their pre-menopausal weight and body composition.
The cost of hormone replacement therapy varies depending on the delivery method and dosing requirements. Bioidentical hormone pellets typically cost $300-500 every 3-4 months, while creams and other methods may have different pricing structures. Some insurance plans cover consultations and lab work, though hormone medications themselves are often not covered. We provide transparent pricing and discuss all costs upfront so you can make an informed decision about your treatment.

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LOCATIONS
ADDRESS + HOURS
DIRECTIONS
1983 Hendersonville Road
Asheville, NC 28803
828-651-0450
MON 7:30am – 4:30pm
TUES 7:30am – 4:30pm
WED 7:30am – 4:30pm
THU 7:30am – 4:30pm
FRI 7:30am – 1:00pm
SAT CLOSED
SUN CLOSED
317 North King Street
Hendersonville, NC 28792
828-693-9199
MON 7:30am – 4:30pm
TUES 7:30am – 4:30pm
WED 7:30am – 4:30pm
THU 7:30am – 4:30pm
FRI 7:30am – 1:00pm
SAT CLOSED
SUN CLOSED
3922 W Market Street
Greensboro, NC 27407
336-252-3993
MON 7:30am – 4:30pm
TUES 7:30am – 4:30pm
WED 7:30am – 4:30pm
THU 7:30am – 4:30pm
FRI 7:30am – 1:00pm
SAT CLOSED
SUN CLOSED
4740 Commercial Park Court
Clemmons, NC 27012
336-245-9521
MON 7:30am – 4:30pm
TUES 7:30am – 4:30pm
WED 7:30am – 4:30pm
THU 7:30am – 4:30pm
FRI 7:30am – 1:00pm
SAT CLOSED
SUN CLOSED
10616 Metromont Pkwy, Unit 210
Charlotte, NC 28269
704-774-6569
MON 7:30am – 4:30pm
TUES 7:30am – 4:30pm
WED 7:30am – 4:30pm
THU 7:30am – 4:30pm
FRI 7:30am – 1:00pm
SAT CLOSED
SUN CLOSED
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