Women’s Hormone Therapy in Tyler, Texas
Energy, and Wellness During Perimenopause and Beyond
Feel Like
Yourself Again
Feel Like Yourself Again
As women enter perimenopause or menopause, hormone levels begin to shift — often bringing symptoms like fatigue, hot flashes, brain fog, mood swings, and changes in sexual health. These are more than just “part of getting older” — they’re signs your body may benefit from Hormone Replacement Therapy (HRT).
At Rose City Urology, Dr. Ryan Tubre offers personalized, medically supervised HRT to help women restore balance, feel better, and protect long-term wellness.
At Rose City Urology, Dr. Ryan Tubre offers personalized, medically supervised HRT to help women restore balance, feel better, and protect long-term wellness.
Proudly prescribing hormone replacement therapy
with Evexipel
Proudly prescribing hormone replacement therapy with Evexipel
Hormone Replacement Therapy (HRT) using bioidentical hormones offers a natural, effective approach to relieving symptoms of hormonal imbalance in women. Bioidentical hormones are derived from plant sources and compounded to match the exact molecular structure of the hormones produced by your body, allowing them to interact seamlessly with your hormone receptors. This personalized form of therapy can support women experiencing menopause, thyroid dysfunction, or general hormone-related symptoms, with fewer side effects than synthetic alternatives. At Rose City Urology, we use comprehensive lab testing and customized treatment plans to address the root cause of imbalance and help you achieve true hormonal optimization based on your unique needs and goals.
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What Is Hormone Replacement Therapy for Women?
Hormone Replacement Therapy (HRT) replaces estrogen, progesterone, and sometimes testosterone in women whose natural hormone levels have declined. It can ease symptoms of menopause and reduce risks associated with long-term hormone deficiency.
Dr. Tubre offers tailored therapy options based on your symptoms, health history, and goals.
Dr. Tubre offers tailored therapy options based on your symptoms, health history, and goals.
Estrogen-only or combined estrogen/progesterone therapy
Depending on whether you’ve had a hysterectomy, we may recommend estrogen alone or a combination with progesterone to protect your uterus.
Oral, topical, or patch-based options
You can choose from pills, skin creams, or patches based on what’s most convenient and effective for your lifestyle.
Hormone pellet implants
Small, time-released pellets placed just under the skin can provide consistent hormone levels for several months without daily maintenance.
Low-dose testosterone therapy (when appropriate)
In certain cases, a carefully monitored dose of testosterone may be added to support mood, energy, or sexual health.
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Common Symptoms of Hormone Imbalance
If you’re experiencing any of these, a hormone evaluation may help you understand your options.
Hot flashes or night sweats
Mood swings or irritability
Trouble sleeping
Fatigue and low energy
Brain fog or forgetfulness
Vaginal dryness or pain with intimacy
Decreased libido
Bone loss or joint aches
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How HRT Can Help
Relief from hot flashes and sleep issues
Improved mood and emotional stability
Enhanced memory and mental clarity
Increased energy and stamina
Improved intimacy and libido
Protection against bone loss
What to Expect with Treatment
Every woman’s experience with menopause and hormones is different. Dr. Tubre takes the time to understand your unique symptoms and goals before recommending a treatment plan.
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In-office consultation and medical history
You’ll meet with Dr. Tubre to discuss your symptoms,
health background, and how hormonal changes may be affecting
your daily life.
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Lab testing and symptom discussion
A simple blood test will measure your hormone levels, and we’ll talk through your symptoms to identify the best starting point for care.
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Personalized HRT options reviewed
Based on your results and preferences, Dr. Tubre will explain available therapies — from pills and patches to pellets — and help you choose what fits best.
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Follow-ups to monitor progress and adjust as needed
Your treatment is monitored with regular check-ins and lab work to ensure safety, symptom relief, and long-term success.
Experienced, Supportive Care in a Private Setting
Board-certified physician
Personalized, not “one-size-fits-all” hormone care
Local Tyler provider — not a national chain or mail-order clinic
