Hormone Therapy (HRT & BHRT) in Troy, Michigan
- Bioidentical (BHRT) and traditional HRT protocols, pellets, injections, creams, oral.
- Comprehensive labs before and during therapy.
- In-person consultations, not a telehealth questionnaire.
- For women in perimenopause/menopause and men with hormonal decline.
Hormone therapy at Rêve
The quiet cost of putting this off is that the symptoms get renamed as normal. Another year of broken sleep becomes "how I sleep now." The muscle and bone you lose along the way rebuild slowly, and some of it doesn't come back. And if your labs say hormones aren't your problem, you'll hear that from us too, along with where to look next. The years you spend guessing don't come back either. Women come to us for these answers from Troy, Birmingham, Bloomfield Hills, Rochester Hills and across Metro Detroit.
Conditions hormone therapy addresses
Women
- Hot flashes and night sweats
- Sleep disturbance and insomnia
- Mood changes, anxiety, irritability
- Brain fog and memory issues
- Loss of libido and vaginal dryness
- Weight gain (particularly around the abdomen)
- Joint pain and skin changes
- Bone density support
Men
- Persistent fatigue or low energy
- Reduced muscle mass despite training
- Decreased libido or sexual function
- Mood changes, irritability, depression
- Sleep disturbance
- Weight gain, particularly visceral fat
- Reduced motivation and focus
How hormones can be delivered
| Method | Frequency | Best For | |
|---|---|---|---|
| Pellets | Subcutaneous insertion (in-office) | Every 3-6 months | Steady, hands-off delivery. Many women's preferred method. |
| Injections | Intramuscular or subcutaneous | Weekly to bi-weekly | Precise dose adjustment. Common for testosterone. |
| Topical Cream / Gel | Applied to skin daily | Daily | Estradiol, progesterone, or testosterone with daily titration. |
| Oral / Sublingual | Capsule or lozenge | Daily | Certain progesterone protocols. Less common for testosterone or estradiol. |
| Vaginal | Cream or insert | 2-3 times weekly | Localized vaginal estrogen for dryness and urinary symptoms. |
What to expect
Initial consultation
60-minute in-person consultation with our medical team. Detailed history, symptom review, goals discussion, and decision on the right initial labs.
Comprehensive labs
Blood draw in our space. We test the full panel, sex hormones, thyroid, metabolic markers, CBC, lipids, sometimes more. Results in 7-10 days.
Protocol design
Lab review consultation. Your provider explains your results, recommends the right hormones, delivery method, and dosing. Treatment begins.
6-week follow-up
Repeat labs and clinical follow-up to assess response. Most guests notice symptom improvement by week 4-6. Dose adjusted if needed.
Ongoing care
Regular labs every 3-6 months and clinical check-ins. Adjustments as your body, life, and goals evolve. You'll see the same medical team consistently.
Pricing
Pricing is personal, it depends on your goals and the plan we build together. We share exact pricing at your complimentary consultation, transparently and before anything begins.
Book a Consultationor call (248) 817-6704Safety, risks, and contraindications
Generally not appropriate if you have
- Active or history of hormone-sensitive cancer (breast, uterine, prostate)
- History of blood clots or stroke
- Severe active liver disease
- Unexplained vaginal bleeding (women)
- Pregnancy or planning pregnancy
Requires careful consideration if you have
- Cardiovascular disease history
- Migraines with aura
- Family history of breast or hormone-sensitive cancer
- Sleep apnea (men on testosterone)
- Elevated PSA (men)
Frequently asked questions
Bioidentical hormone replacement therapy uses hormones that are molecularly identical to the ones your body naturally produces, typically estradiol, progesterone, testosterone, and DHEA. Many BHRT formulations are compounded specifically for the individual patient.
The data is nuanced. Some bioidentical formulations (transdermal estradiol, micronized progesterone) appear to have a more favorable safety profile than older synthetic combinations in certain measures. The right choice depends on your specific situation.
For women: typically when perimenopausal symptoms begin to affect quality of life, usually in the 40s. For men: when symptoms and labs suggest meaningful testosterone decline, variable by individual. Earlier initiation (within 10 years of menopause for women) generally produces better outcomes.
Some symptoms (hot flashes, sleep) improve within 2-4 weeks. Others (libido, energy, mood, body composition) often take 8-12 weeks. We follow up at 6 weeks to assess and adjust.
A small incision is made in the upper outer hip area, the pellet is inserted, and the incision is closed with sterile strips. Takes about 15 minutes. Brief soreness for 1-3 days afterward.
For most guests, the opposite. Properly dosed hormone therapy supports muscle maintenance, metabolic function, and energy, all of which support healthy body composition. Weight changes during therapy usually point to dosing or other factors that need adjustment.
Some insurance covers FDA-approved HRT prescriptions. Compounded BHRT is generally not covered. We can discuss what may be billable to your plan.
Yes, anytime. Some symptoms may return. We can taper gradually to minimize transition discomfort.
As long as the benefits outweigh the risks for your specific situation. Modern thinking is more permissive about longer-term therapy than older guidelines suggested. We reassess regularly.
Hormone therapy is complex and individual. In-person care lets us do proper labs, physical examination, ongoing assessment of response, and quick adjustment when something isn't working. Telehealth services for hormones operate at high volume; we don't.
More from Rêve Medical
Book your hormone consultation
In-person care. Real labs. Real medical oversight.
Book Online Or call (248) 817-6704