Hormone Replacement Therapy in Fort Worth, TX
At Sky Women's Health, Dr. Carolyn Moyers, DO, FACOG, MSCP, provides personalized hormone replacement therapy in Fort Worth, TX, for women struggling with hot flashes, night sweats, poor sleep, mood changes, or vaginal dryness. As a Menopause Society Certified Practitioner, Dr. Moyers builds evidence-based hormone therapy plans around your symptoms, health history, and goals.
Medically reviewed by Dr. Carolyn Moyers, DO, FACOG, MSCP , board-certified OB-GYN · Last updated October 2026
What Is Hormone Replacement Therapy?
Hormone replacement therapy (HRT), also called menopausal hormone therapy (MHT), is a medical treatment that replaces the estrogen and sometimes progesterone your body stops making during perimenopause and menopause. It is the most effective hormone therapy for menopause symptoms. HRT for hot flashes and night sweats provides faster and more reliable relief than any other treatment, and it also helps protect bone density and relieve vaginal dryness.
When estrogen levels drop, many women notice changes in sleep, mood, energy, skin, and sexual health. Hormone therapy restores those hormones to a level that eases symptoms and supports long-term health. HRT is one part of our broader menopause care in Fort Worth, which also includes non-hormonal and lifestyle options.
Hormone therapy in Fort Worth at a glance:
What it treats: Hot flashes, night sweats, sleep problems, vaginal dryness, and bone loss
Who prescribes it at Sky Women's Health: Dr. Carolyn Moyers, board-certified OB-GYN and MSCP
Common forms: Patches, pills, gels, and vaginal rings
When symptoms improve: Often within a few weeks, with full benefit in about 3 months
Guideline followed: The Menopause Society's Hormone Therapy Position Statement
Types of Hormone Therapy We Offer
Estrogen Therapy for Menopause
Estrogen-only therapy is used for women who have had a hysterectomy. Estrogen therapy for menopause relieves hot flashes and night sweats and helps prevent bone loss. If you are considering a hysterectomy, Dr. Moyers can also discuss hormone planning alongside minimally invasive gynecologic surgery.
Combined Estrogen and Progesterone Therapy
Women who still have a uterus need progesterone along with estrogen. Progesterone protects the lining of the uterus from overgrowth, which lowers the risk of uterine cancer.
Vaginal Estrogen
Low-dose vaginal estrogen treats dryness, irritation, painful intercourse, and some urinary symptoms. Very little is absorbed into the bloodstream, so it is an option for many women who cannot or prefer not to use systemic hormones. For a hormone-free option, Dr. Moyers also offers MonaLisa Touch® vaginal laser therapy right here in our Fort Worth clinic.
Testosterone Therapy for Low Libido
For women with a persistent loss of sexual desire, Dr. Moyers may recommend carefully dosed testosterone therapy. As a Fellow of the International Society for the Study of Women's Sexual Health (ISSWSH), she brings specialized training to this area. Learn more about our sexual health care for women.
Bioidentical and FDA-Approved Hormones
Many standard prescriptions, including estradiol patches, gels and pills and micronized progesterone, are bioidentical: chemically the same as the hormones your ovaries make, and FDA-approved for consistent dosing. The Menopause Society recommends FDA-approved hormone therapy over custom-compounded hormones for most women, and Dr. Moyers follows its guidance.
Concierge Women's Health Care in Fort Worth and Across Texas
Sky Women's Health is a concierge, membership-based gynecology practice. Appointments are longer and unhurried, members can reach Dr. Moyers directly, and care is paid through a membership or per visit. Our clinic is at 1125 S Henderson St, Fort Worth, TX 76104, and patients regularly travel from Arlington, Benbrook, Burleson, Mansfield, Keller, Southlake, North Richland Hills, Weatherford, Grapevine and Westlake. Consultations and follow-ups are also available by telehealth for patients located in Texas.
Hormone Delivery Options
Dr. Moyers tailors the form of hormone therapy to your body, your health history and your preferences:
| Form | How it is used | Good to know |
|---|---|---|
| Estradiol skin patch | Applied to the skin and changed once or twice a week | Steady hormone levels; lower blood clot risk than estrogen pills |
| Estradiol gel or spray | Applied to the skin once a day | Easy to adjust the dose; lower blood clot risk than pills |
| Estrogen pill | Taken by mouth once a day | Simple routine; slightly higher blood clot risk than skin options |
| Vaginal estrogen (cream, tablet or ring) | Placed in the vagina | Treats dryness and urinary symptoms with very little absorbed into the bloodstream |
| Micronized progesterone | Capsule, usually taken at bedtime | Protects the uterine lining if you take estrogen and still have a uterus |
Transdermal options like patches and gels are often preferred for women with certain health risks because they carry a lower risk of blood clots than oral estrogen.
Hormone Therapy for Perimenopause
You don't have to wait until your periods stop to get help. Hormone therapy for perimenopause can ease symptoms that begin years before your final period, including irregular cycles, night sweats, mood swings, and trouble sleeping. Dr. Moyers evaluates where you are in the transition and adjusts treatment as your hormones continue to change. If irregular bleeding is part of the picture, she may also recommend a gynecology exam to rule out other causes.
Our Approach to Hormone Therapy in Fort Worth
At Sky Women's Health, HRT in Fort Worth is never one-size-fits-all. As a concierge practice, we give you the time to talk through your symptoms, concerns, and goals without feeling rushed. Hormones are one piece of a whole-body plan that may also include nutrition support, medical weight loss for midlife weight changes, and osteopathic manipulative treatment (OMT) to calm stress and support your body.
Why Choose Sky Women's Health for HRT?
Menopause Society Certified Practitioner (MSCP)
Board-certified OB-GYN, DO, FACOG
Fellow of ISSWSH for sexual health care
2026 Fort Worth Magazine Top Doctor
Longer, unhurried appointments
Telehealth visits for consultations and follow-ups
Membership plans with direct access to your doctor
Meet our team to learn more about the people behind your care.
Concierge Women's Health Care in Fort Worth and Across Texas
Sky Women's Health is a concierge, membership-based gynecology practice. Appointments are longer and unhurried, members can reach Dr. Moyers directly, and care is paid through a membership or per visit. Our clinic is at 1125 S Henderson St, Fort Worth, TX 76104, and patients regularly travel from Arlington, Benbrook, Burleson, Mansfield, Keller, Southlake, North Richland Hills, Weatherford, Grapevine and Westlake. Consultations and follow-ups are also available by telehealth for patients located in Texas.
Frequently Asked Questions
Is hormone replacement therapy safe?
For most healthy women under 60 or within 10 years of menopause, hormone replacement therapy is considered safe and effective, according to The Menopause Society. Safety depends on your age, health history, and the type of hormones used. Dr. Moyers evaluates each patient individually to find the safest option.
What are the side effects of HRT?
The most common side effects of HRT are breast tenderness, bloating, headaches, nausea, and irregular spotting. They are usually mild and often fade within the first few months. If side effects continue, Dr. Moyers can adjust your dose or switch the delivery method.
How long can you stay on HRT?
There is no set time limit for hormone therapy. Many women safely continue HRT for several years, and some continue longer when benefits outweigh risks. Dr. Moyers reviews your treatment at least once a year to decide whether to continue, adjust, or taper.
Does HRT increase breast cancer risk?
Combined estrogen and progesterone therapy may slightly increase breast cancer risk, mainly with use beyond 3 to 5 years. The Menopause Society describes this added risk as rare. Estrogen-only therapy has not been shown to increase breast cancer risk in the same way. Dr. Moyers considers your personal and family history before recommending treatment.
Am I a candidate for hormone therapy?
You may be a candidate for hormone therapy if menopause symptoms like hot flashes, night sweats, poor sleep, or vaginal dryness are affecting your quality of life, and you don't have a history of hormone-sensitive cancer, blood clots, or stroke. A consultation with Dr. Moyers is the best way to find out.
How soon does HRT start working?
Most women notice improvement in hot flashes and night sweats within 2 to 4 weeks of starting HRT. Full results typically take about 3 months. Vaginal and urinary symptoms may take a few months to fully improve.
Do you offer telehealth for hormone therapy?
Yes. HRT consultations, medication management and follow-up visits can be done by video for patients located in Texas. Physical exams and in-office treatments take place at our Fort Worth clinic.
For questions about membership, payment, and insurance, visit our FAQs page.
Is HRT covered by insurance?
Sky Women's Health is out-of-network with all insurance plans, so visits are paid through membership or per visit. Hormone prescriptions are filled at your own pharmacy, where your prescription coverage applies, and labs may be billed to your insurance. FSA and HSA funds can be used for eligible services.
Do you offer bioidentical hormones?
Yes. Estradiol patches, gels and pills and micronized progesterone are bioidentical and FDA-approved. Following The Menopause Society, Dr. Moyers favors FDA-approved hormones over custom-compounded products for most women.
What is the best HRT for progesterone intolerance?
Women who feel bloated, moody or unwell on progesterone often do better with a change in type, dose or route: micronized progesterone instead of a synthetic progestin, vaginal progesterone, or a levonorgestrel IUD that acts mainly in the uterus. Some postmenopausal women can use conjugated estrogens with bazedoxifene, which protects the uterus without a progestogen. Read Dr. Moyers' guide to progesterone intolerance.
SERVICES WE OFFER
Conditions & Treatments
Our services
Menopause Care
Expert treatment for hot flashes, sleep, mood, brain fog and vaginal symptoms from a Menopause Society Certified Practitioner.
Perimenopause Care
Help for the years before menopause, when periods, sleep and mood change and labs often look normal.
Hormone Therapy
Personalized estrogen, progesterone and testosterone therapy using FDA-approved patches, gels, pills and vaginal options.
Gynecology
Complete gynecology care from a female board-certified OB-GYN, from age 12 through menopause.
Well-Woman Exams and Pap Smears
Annual preventive visits, Pap and HPV testing, breast exams and STD testing in an unhurried appointment.
Sexual Health
Care for low libido, painful sex, vaginismus and orgasm concerns from an ISSWSH Fellow.
MonaLisa Touch®
Hormone-free, in-office laser treatment for vaginal dryness, irritation and painful sex.
Minimally Invasive Gynecologic Surgery
Laparoscopic, hysteroscopic and da Vinci® robotic surgery for fibroids, endometriosis, cysts and abnormal bleeding.
Medical Weight Loss
Physician-supervised GLP-1 treatment, InBody tracking and lifestyle medicine designed for women in midlife.
Osteopathic Manipulative Treatment (OMT)
Gentle hands-on treatment for pregnancy, pelvic floor, back and hip pain from an OB-GYN trained in neuromusculoskeletal medicine.
Telehealth
Secure video visits for consultations, hormone follow-ups and lab reviews for patients located in Texas.
Expert treatment for hot flashes, sleep, mood, brain fog and vaginal symptoms from a Menopause Society Certified Practitioner. Explore Menopause Care
Help for the years before menopause, when periods, sleep and mood change and labs often look normal.
Personalized estrogen, progesterone and testosterone therapy using FDA-approved patches, gels, pills and vaginal options.
Complete gynecology care from a female board-certified OB-GYN, from age 12 through menopause.
Annual preventive visits, Pap and HPV testing, breast exams and STD testing in an unhurried
appointment.
Care for low libido, painful sex, vaginismus and orgasm concerns from an ISSWSH Fellow.
Complete gynecology care from a female board-certified OB-GYN, from age 12 through menopause.
Complete gynecology care from a female board-certified OB-GYN, from age 12 through menopause.
Physician-supervised GLP-1 treatment, InBody tracking and lifestyle medicine designed for women in midlife.
Gentle hands-on treatment for pregnancy, pelvic floor, back and hip pain from an OB-GYN
trained in
neuromusculoskeletal
medicine.
Secure video visits for consultations, hormone follow-ups and lab reviews for patients located in Texas.
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