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Guide

Hormone therapy, explained.

Hormones are not a guessing game. Whether it is low testosterone in men or perimenopause and menopause in women, the right approach starts with labs and a clinical picture, then treats and monitors carefully. Here is how it works, plus every guide we have written.

Become a patient Hormone Replacement Therapy

In short

Hormone therapy restores hormones that decline with age or change with menopause, to address energy, recovery, mood, sleep, and metabolic health. At Seth Premier Medical in Tampa, care starts with labs and a clinical evaluation, with dosing monitored over time by Dr. Rishi Seth, for both men (TRT) and women (HRT and menopause care).

TRT for men

Testosterone replacement therapy starts with a workup, not a prescription. We look at symptoms like low energy, reduced libido, poor recovery, and mood changes alongside confirmed lab values, then dose conservatively with regular monitoring.

TRT is not right for everyone, and we are candid when the labs and symptoms do not point that way. When it is warranted, the goal is to treat the person, not a single number on a report.

HRT and menopause care for women

Perimenopause and menopause bring changes in energy, sleep, mood, and metabolism that deserve a real evaluation rather than being dismissed. We build an individualized plan around your symptoms, labs, and overall health.

We discuss the options and tradeoffs honestly, including bioidentical hormones, and adjust over time rather than handing you a fixed protocol. Women can also have low testosterone that affects energy and libido, which we evaluate too.

From the podcast

Prefer to listen? Dr. Seth covers it on the podcast.

Out of Network Podcast cover art

Out of Network Podcast · Ep 15

HRT Black Box Warning Removed: What Women Need to Know

0:00 / 35:44
More episodes on Apple Podcasts

Hormone therapy, explained, answered.

Common signs include persistent low energy, reduced libido, poor sleep, mood changes, trouble holding muscle, and brain fog. None is specific to hormones alone, which is why diagnosis rests on symptoms plus confirmed labs.
Perimenopause can bring irregular periods, hot flashes, night sweats, sleep trouble, mood changes, brain fog, weight changes, and lower libido, often years before menopause itself. A clinical evaluation and labs guide the plan.
Perimenopause commonly lasts about four to eight years, though it varies widely. It ends at menopause, defined as twelve consecutive months without a period. Care is tailored to where you are in that transition.
Under physician supervision, testosterone therapy is well studied and monitored. We confirm low testosterone with symptoms and labs, dose conservatively, and re-check regularly. It is not appropriate for everyone, and we are candid about that.
Cost depends on the protocol and labs. Hormone therapy is available to concierge members as an add-on at an additional cost, and we share pricing clearly before you start.
We start with comprehensive bloodwork and a clinical picture, looking at total and free testosterone for men and the relevant panel for women, then interpret the labs alongside your symptoms rather than a single number.