HRT
in Fort Wayne, IN
in Fort Wayne, IN
Perimenopause and menopause bring change, but not everyone talks about how deeply those changes can affect your mind, body, and day-to-day life. Hot flashes, night sweats, mood swings, fatigue, and brain fog aren’t just minor annoyances. For many, they interrupt routines, relationships, and the sense of feeling like oneself.
At Lilivy Aesthetics & Wellness, we offer evidence-based hormone replacement therapy (HRT) designed to help you feel whole, grounded, and supported again. Guided by Dr. Stephanie Sublett, a board-certified OB/GYN with advanced training in menopausal hormone therapy, we create personalized HRT plans tailored to your unique needs, health history, and goals.
This isn’t one-size-fits-all care. It’s a thoughtful, deeply personal treatment that meets you where you are. If you're navigating perimenopause or menopause and wondering whether HRT might be the right next step, we’re here to help you explore that with clarity, compassion, and clinical expertise.
Hormone replacement therapy (HRT) is a medical treatment that restores declining hormone levels to help manage the symptoms of perimenopause and menopause. As hormone production naturally drops during this phase of life, many people experience a wide range of menopause symptoms, from hot flashes and night sweats to mood changes, anxiety, vaginal dryness, and even joint pain.
Hormone therapy replenishes hormones like estrogen, progesterone, or testosterone to optimal levels through methods such as transdermal patches, oral medications, vaginal inserts, or topical creams. In some cases, bioidentical hormones, which are chemically identical to those the body produces, may be used for more precise symptom support.
The goal of hormone therapy is to improve your daily quality of life while also protecting your long-term health. Research shows that, for many women, HRT can help reduce the risk of osteoporosis, cardiovascular disease, and cognitive decline when started at the right time and monitored closely.
Your journey with HRT at Lilivy Aesthetics & Wellness begins with an in-depth consultation. We’ll discuss your medical history, review your current menopause symptoms, and explore your experience with perimenopause or menopause so far. Additionally, you’ll undergo lab work to assess your hormone levels and other key markers related to your overall health.
Once we understand what’s happening in your body, Dr. Sublett will develop a customized hormone therapy plan that includes the type of hormones, dosage, and delivery method best suited to your goals and lifestyle. Depending on your needs, this could include estrogen-only therapy, combined estrogen-progesterone hormone therapy, or the addition of testosterone to support libido, mood, or energy levels.
The first few months of HRT often involve some adjustments, both in how your body responds and in refining the doses. You’ll be supported with regular check-ins and access to our care team to ensure your symptoms improve and your labs stay within a safe range.
HRT is primarily used to treat symptoms caused by perimenopause (the years leading up to menopause) and menopause (defined as 12 consecutive months without a period). During these stages, your body’s production of estrogen and progesterone declines significantly, leading to a range of physical and emotional symptoms.
Some of the most common conditions we treat with hormone therapy include:
In some cases, HRT may also support better management of conditions like osteoporosis, bladder urgency, or chronic pelvic discomfort when these are tied to estrogen loss.
For many, the benefits of hormone therapy can be felt within the first few weeks, including improved sleep, reduced hot flashes, and a general sense of returning to a more steady, balanced self. Over time, maintaining a balanced hormone level can support energy levels, emotional well-being, cognitive clarity, and sexual satisfaction.
There are also long-term benefits to consider. When started within about 10 years of menopause onset, HRT has been shown to reduce the risk of bone loss, heart disease, and potentially Alzheimer’s-related cognitive decline in some patients. It can also help maintain skin elasticity, urinary tract health, and muscle tone.
When used thoughtfully and monitored by a qualified provider, HRT can be a powerful tool in reclaiming comfort, function, and confidence in midlife and beyond.
If you're experiencing symptoms of perimenopause (early menopause) or menopause that are affecting your quality of life, you may be a good candidate for menopausal hormone therapy. Many people begin exploring treatment when menopause symptoms become disruptive, whether that’s unpredictable mood swings, sleep changes, discomfort during intimacy, or feeling like a stranger in your own skin.
Most healthy individuals without a personal history of hormone-sensitive cancers, blood clots, stroke, or uncontrolled high blood pressure are eligible for hormone therapy with the right precautions. That said, every HRT plan at Lilivy Aesthetics & Wellness is created after reviewing your medical history, lifestyle, lab markers, and risk factors.
Even if you’re not sure whether HRT is the right path, your consultation can serve as a thoughtful space to learn more, ask questions, and explore your options without pressure.
During the first 1 to 3 months of starting HRT, your provider may adjust your dosage as your body rebalances. Some people notice improvements in energy, sleep, and mood quickly, while others experience more gradual changes.
You’ll come in regularly for follow-ups and labs so we can fine-tune your plan and monitor for any side effects. Dr. Sublett will help you stay informed about what to expect, what’s working, and when it might be time to make adjustments. Ongoing communication is central to your care at Lilivy. Whether you're adjusting to a new hormone or simply have questions along the way, we’re here to provide attentive, continuous support.
HRT isn’t a quick fix, but over time, it can bring profound relief and renewal. Most clients report better sleep, fewer mood swings, and more ease in their bodies within the first few months. Vaginal and sexual comfort often improve, and many people also notice greater mental clarity, reduced joint pain, and more consistent energy.
Longer-term, consistent hormone balance may reduce the risk of osteoporosis, preserve cognitive function, and support cardiovascular health. Most importantly, it helps you feel like yourself again, letting you approach every season of life with energy and vitality.
At Lilivy Aesthetics & Wellness, our providers see the full picture of who you are and what you’re experiencing. Led by Dr. Stephanie Sublett, a board-certified OB/GYN and menopause specialist, our team is uniquely qualified to guide you through hormonal transitions with both clinical accuracy and deeply personal care.
We blend medical expertise with a boutique experience, where you’re never rushed and your comfort is our top priority at every step. If you’ve ever been dismissed, overlooked, or told to “just deal with it,” you’ll find a very different kind of care here —one rooted in empathy, evidence, and the belief that this chapter of life deserves support, not silence.
Hormone replacement therapy (HRT) is considered safe for many individuals, especially when started near the onset of menopause and monitored closely by a qualified provider. While HRT is not risk-free, newer research, especially from the North American Menopause Society and Women's Health Initiative, has clarified that risks like breast cancer, blood clots, and heart disease are highly individualized. Your care plan at Lilivy Aesthetics & Wellness will be tailored to your personal and family medical history, ensuring both safety and effectiveness.
HRT can relieve a wide range of menopausal symptoms, including hot flashes, vaginal dryness, mood swings, and night sweats. It may also protect against bone loss, improve cardiovascular health, and support cognitive clarity when started within the recommended treatment window. Many women report improved sleep, energy, libido, and emotional balance with consistent hormone therapy.
Bioidentical hormones are structurally identical to the hormones your body naturally produces. Bioidentical hormones can be formulated from plant sources and are available in FDA-approved versions or as compounded hormones through specialty pharmacies. Conventional HRT may include conjugated equine estrogen or synthetic forms of estrogen and progesterone. At Lilivy Aesthetics & Wellness, the type of hormone therapy used will depend on what’s best for your body and goals.
The link between hormone therapy and breast cancer depends on several factors, including the type of hormone therapy, duration of use, and timing of initiation. Combined HRT (estrogen and progesterone) may be associated with a slight increase in breast cancer risk after 4–5 years of continuous use. Estrogen-only HRT, typically used after hysterectomy, may have a lower risk. We assess your family and personal medical history to guide your treatment plan safely and transparently.
Yes, vaginal dryness, vaginal atrophy, and discomfort during intimacy are often improved with systemic estrogen therapy or localized options such as vaginal creams, rings, or tablets. These treatments help restore moisture, elasticity, and pH balance in the vaginal tissues. Even if systemic therapy isn’t right for you, localized vaginal therapy may still be an option.
Potential risks of hormone therapy include blood clots, stroke, uterine cancer, and breast tenderness. Risk levels vary based on whether you use estrogen-only HRT, combined HRT, or low-dose transdermal therapy. At Lilivy, we discuss the health risks and benefits of HRT with you clearly, so you can make informed choices. Ongoing monitoring and regular labs help keep risks minimal.
You may be advised to avoid HRT if you have a history of breast cancer, ovarian cancer, endometrial cancer, blood clots, uncontrolled high blood pressure, or liver disease. Some patients with insulin resistance or cardiovascular concerns may still be candidates for low-dose or transdermal estradiol options, depending on individual risk factors. We take into account the full picture of your health before recommending treatment.
The ideal time to begin HRT is typically during perimenopause or within 10 years of your final menstrual period. Starting hormone therapy during this window may reduce your risk of cardiovascular disease, osteoporosis, and other age-related changes. That said, there’s no single “right time." We’ll guide you based on your symptoms, labs, and long-term goals.
Yes, testosterone therapy or testosterone supplementation may be included in HRT for certain women experiencing low libido, fatigue, or reduced muscle tone. While not FDA-approved for women in the U.S., it is sometimes prescribed off-label in carefully monitored, low doses. We’ll help you explore whether testosterone therapy is appropriate as part of your broader HRT care plan.
The duration of HRT depends on your symptoms, treatment goals, and your response to therapy. Some women use HRT for just a few years to manage acute menopausal symptoms, while others continue with low-dose or intermittent regimens to support bone, brain, or heart health. Your plan at Lilivy Aesthetics & Wellness is always tailored and evolves with you over time.
