Could you benefit from Bioidentical Hormone Replacement Therapy? The answer may be “YES” if you identify with these 12 common signs you need hormone replacement therapy!
Hormone shifts can happen so slowly that it’s hard to identify what’s happening to our bodies. You may simply feel more tired than usual or like your mental clarity and mood are not what they used to be. These changes are often chalked up to aging or stress, but they may actually be signs of hormone imbalance.
At Revelation Health and Wellbeing, a leading Kansas City Hormone Replacement Clinic, we specialize in integrative medicine with a focus on bioidentical hormone replacement therapy (BHRT) for both women and men. Dr. Mark Hechler, DO, and Tandi Hechler, RN, work closely with patients to optimize hormone levels, support metabolic health, and increase healthspan—so you don’t just live longer, you live better.
Would you like to explore what hormone replacement therapy is and the eleven most common signs you need hormone replacement therapy? Then read on for expert advice from the Revelation Health and Wellbeing team!
What Is Hormone Replacement Therapy?
Hormone replacement therapy (HRT) is a medical treatment designed to restore optimal hormone levels, typically in individuals experiencing age-related hormonal decline. For women, this often means estrogen and progesterone; for men, testosterone. But it can also include DHEA, thyroid hormones, and others depending on your individual needs.
Your chosen Hormone Replacement Clinic will likely perform blood tests to assess your levels of critical hormones and hormone-boosting nutrients to understand your individual hormone health needs.
What Is BHRT and Why Is It Superior to Traditional HRT?
Bioidentical Hormone Replacement Therapy (BHRT) uses hormones that are chemically identical to those your body naturally produces. Unlike conventional HRT, which often relies on synthetic or animal-derived hormones, BHRT is derived from plant-based sources like wild yams, cactus, and soy. Most importantly, BHRT can be customized to match your body’s unique hormonal needs.
At Revelation Health and Wellbeing, we prefer BHRT because it allows for:
-
Better compatibility with the body
Since bioidentical hormones are molecularly identical to your own, they are more easily recognized and used by your body. This often makes BHRT the more effective choice for Hormone Replacement. -
Fewer side effects
Many patients report fewer adverse reactions with BHRT compared to traditional hormone replacement therapies. -
Tailored dosing
BHRT is typically compounded in personalized doses based on comprehensive lab testing and symptom assessment—allowing us to fine-tune your therapy for the most effective and safe results. -
Functional, whole-body integration
We don’t just prescribe hormones—we look at how your entire endocrine system is functioning, from adrenal health to thyroid balance, and support you with integrative strategies including nutrition, movement, and lifestyle changes.
Our BHRT for men and BHRT for women are designed to restore optimal hormone function and enhance your quality of life, all while supporting long-term metabolic health and longevity.
How Do I Know If BHRT Is Right for Me?
If you are experiencing any of the 12 most common symptoms of hormone imbalance listed below, odds are BHRT can help you feel better. How do we know? Because we’ve been there! We, Mark and Tandi Hechler, are both currently living our best lives through BHRT, and we’re here to tell you that age-related mental and physical changes DO NOT have to be your new normal. Listen to our Podcast, RevUp Health, above for more in-depth information.
If you feel trapped by your symptoms and like you aren’t living your life to the fullest, please reach out for help. Many of these symptoms can be helped or completely reversed by supplementing your hormones with BHRT. Our Kansas City BHRT services are here when you need them—book a free consult NOW to discuss your perimenopause, menopause, or andropause symptoms!
1. Chronic Fatigue and Low Energy
Do you feel drained before the day even begins? Hormonal imbalance—especially involving cortisol, thyroid, estrogen, or testosterone—can disrupt your body’s ability to produce and sustain energy.
If your go-to strategies like getting more sleep, drinking more caffeine, or taking energy-boosting supplements still aren’t working, it’s time to look deeper. BHRT helps restore energy by correcting the underlying hormonal deficiencies at the root of chronic fatigue.
2. Mood Swings, Anxiety, or Irritability
Fluctuating hormones—particularly estrogen, progesterone, and testosterone—can influence neurotransmitters in the brain like serotonin and dopamine.
This can lead to symptoms like:
-
Anxiety
-
Mood instability
-
Irritability
-
Low resilience to stress
If you’ve noticed you’re feeling more overwhelmed, emotionally reactive, or “just not like yourself,” these could be signs you need hormone replacement therapy. We take a whole-body approach to emotional wellbeing by looking at hormone panels alongside lifestyle and stress levels.
3. Trouble Sleeping or Staying Asleep
Sleep disruptions are often dismissed as just part of “getting older,” but hormone imbalances—particularly low progesterone, estrogen, melatonin, or testosterone—can drastically impact your sleep-wake cycle.
Women may experience night sweats or hot flashes that wake them up, while men might struggle to stay asleep due to cortisol spikes or low testosterone.
If you’ve tried everything from blackout curtains to sleep supplements and still wake up groggy or restless, it’s time to get your hormones checked.
4. Weight Gain and Difficulty Losing Fat
Unexplained weight gain, especially around the midsection, is one of the telltale signs you need hormone replacement therapy. Estrogen, progesterone, insulin, cortisol, thyroid, and testosterone all play critical roles in metabolism, fat storage, and muscle maintenance.
At Revelation Health and Wellbeing, we don’t just treat symptoms—we help uncover the metabolic root causes that might be sabotaging your weight loss efforts. Balancing your hormones can improve insulin sensitivity, reduce inflammation, and support lean muscle preservation—making sustainable weight loss possible again.
5. Hair Thinning or Hair Loss
If you’re noticing more hair in your brush, hair thinning at the crown or temples, or reduced hair density overall, hormone imbalance might be the culprit. Estrogen and testosterone help maintain healthy hair follicles. When levels drop, hair can become brittle, slow-growing, or fall out more easily.
While hair loss can have other causes (like stress, thyroid issues, or nutritional deficiencies), hormone testing is an essential first step in identifying the cause—and BHRT can play a powerful role in regrowth and prevention.
6. Brain Fog and Memory Issues
Have you walked into a room and forgotten why? Struggled to recall names or focus on tasks that used to be second nature? These could be hormonal, not just age-related.
Estrogen and testosterone influence brain function, including memory, mental clarity, and focus. Declines in these hormones can lead to impaired cognitive function—what many call “brain fog.”
If you’re relying on sticky notes and smartphone alarms to remember daily tasks, it may be one of the overlooked signs you need hormone replacement therapy.
7. Low Libido or Erectile Dysfunction
A significant drop in sexual desire or difficulty with arousal is often one of the first signs you need hormone replacement therapy. For women, declining estrogen can lead to vaginal dryness, discomfort during intimacy, or loss of interest in sex. Men with low testosterone may also notice reduced sex drive, erectile difficulties, or lack of sexual satisfaction.
Sexual health is an essential part of overall wellbeing, and it’s nothing to be embarrassed about. We create a safe space to discuss these concerns and explore solutions that work for your lifestyle.
8. Loss of Muscle Mass and Physical Strength
If you’ve noticed it’s harder to maintain your usual strength at the gym, or that everyday tasks—like carrying groceries or climbing stairs—feel more challenging, it could be one of the signs you need hormone replacement therapy. Testosterone, estrogen, and growth hormone all support muscle mass, strength, and physical performance in both men and women.
As these hormone levels drop with age, your body naturally loses lean muscle and gains fat, even if your exercise and diet haven’t changed. This isn’t just about aesthetics—it can lead to a slower metabolism, reduced stamina, and increased risk of injury or falls.
BHRT helps restore hormonal signals that support muscle protein synthesis, energy production, and exercise recovery—allowing you to stay strong, active, and independent for years to come.
9. Dry Skin and Loss of Elasticity
Hormones play a critical role in maintaining skin health. When estrogen declines, collagen production slows down and you may begin to lose skin elasticity and moisture retention.
You might notice:
-
Increased dryness, flaking, or itching
-
Fine lines appearing more rapidly
-
Thinner, more fragile skin
If your skincare routine hasn’t changed but your skin suddenly feels dull, dry, or aged overnight, hormone shifts could be to blame. BHRT helps restore skin vibrancy from the inside out by supporting hydration, elasticity, and collagen regeneration.
10. Hot Flashes and Night Sweats
These are known as the hallmark symptoms of perimenopause and menopause—but they’re also major signs you need hormone replacement therapy! Estrogen helps regulate your body’s internal thermostat. When estrogen levels drop, your hypothalamus becomes more sensitive to small changes in temperature, resulting in sudden waves of heat, sweating, and flushing.
For men, sudden feelings of overheating can also indicate testosterone imbalance, especially during andropause (male menopause).
BHRT can reduce the frequency and intensity of hot flashes and night sweats, allowing you to feel comfortable in your skin again.
11. Irregular or Heavy Periods
In the years leading up to menopause (perimenopause), fluctuating estrogen and progesterone levels can wreak havoc on your menstrual cycle.
You might notice:
-
Shorter or longer cycles
-
Skipped periods
-
Extremely heavy bleeding
-
Periods that seem to last forever
These irregularities aren’t just inconvenient—they can be disruptive, exhausting, and a sign of deeper hormonal imbalance. BHRT can help regulate your cycle during perimenopause and ease the transition into menopause, often reducing heavy bleeding and the discomfort that comes with it.
12. Digestive Issues and Stomach Upset
Hormone imbalances don’t just affect your mood or sleep—they can also disrupt your digestive health. Many women and men in midlife start experiencing symptoms like bloating, indigestion, constipation, or even sudden food sensitivities. This happens because estrogen, progesterone, and cortisol all play a role in regulating gut motility, enzyme production, and the gut-brain connection.
Low hormone levels can slow down digestion, weaken the gut lining, and disrupt the balance of healthy bacteria in your microbiome. This often leads to uncomfortable symptoms that seem to appear out of nowhere. If you’ve been dealing with chronic stomach upset or unexplained GI changes, hormone imbalance could be the hidden cause.
How BHRT at Revelation Health and Wellbeing Works
At our Kansas City clinic, we believe in getting to the root of your health concerns—not masking symptoms.
Our BHRT programs are:
-
Fully customized based on lab results and symptom tracking
-
Monitored closely with ongoing support and dosage adjustments
-
Delivered through bioidentical hormones for better safety and compatibility
-
Integrated with lifestyle medicine including nutrition, movement, and stress reduction strategies
Whether you’re navigating perimenopause, menopause, andropause, or want to optimize hormone levels during any stage of life, we can work harmoniously alongside your primary healthcare providers to help you feel better.
Still Not Sure If You Need Hormone Replacement Therapy?
It can be confusing to know whether your symptoms are signs you need hormone replacement therapy, especially with so many overlapping causes. That’s exactly why we offer a free discovery appointment—to help you get clarity and map out next steps with a trusted expert.
We take the time to listen, ask the right questions, and make sure you feel heard.
👉 Schedule your free discovery appointment now
You’ll meet with Mark and Tandi, Revelation Wellness functional medicine providers, to discuss your health goals, symptoms, and concerns. If hormone testing is appropriate, we’ll guide you through every step!
You can also conduct a self-assessment with our convenient Women’s BHRT Quiz and Men’s BHRT Quiz, designed to help you decide if you are a good candidate for Bioidentical Hormone Replacement Therapy and other integrative health services.
Why Choose Revelation Health and Wellbeing?
We’re not your typical hormone replacement therapy clinic. As an integrative medicine practice, we blend the best of science-backed treatments with a deeply personalized, human-centered approach.
Our patients appreciate that we:
-
Use bioidentical hormones for optimal safety and effectiveness
-
Tailor treatments to your exact biology—not a “one-size-fits-all” protocol
-
Address root causes like inflammation, adrenal fatigue, or thyroid imbalance
-
Incorporate metabolic health and health coaching for whole-body support
-
Help you improve not just lifespan, but healthspan—how long you thrive in your body and mind
Whether you’re dealing with frustrating menopause symptoms, want to age vibrantly, or simply want answers, our goal is to empower you to take control of your health.
Get Started with Hormone Replacement Therapy NOW
Your body is wise—and when your hormones are out of balance, it will let you know. If you’re struggling with low libido, brain fog, mood swings, poor sleep, or other symptoms we’ve covered, these could be signs you need hormone replacement therapy.
Don’t wait until things get worse or “push through it” thinking this is just part of getting older. With the right support, balance is possible.
💬 Ready to feel like yourself again? Click here to book your free discovery appointment and let’s find out if BHRT is right for you.