Bioidentical hormone replacement therapy for women navigating perimenopause and menopause in Brentwood, Tennessee. Physician-monitored, lab-measured, part of a coordinated plan.
Women’s hormone replacement therapy at Aeterna is for women over 40 in Brentwood and Nashville who are navigating perimenopause or menopause. Women who sense that their body is changing in ways that feel out of their control — and who want a physician-led, lab-measured approach to restoring balance. Not a gynecologist’s prescription pad. A coordinated, comprehensive hormone strategy managed by Dr. Howard.
If you are over 40 and noticing any of the following, hormonal changes may be part of the picture. These are not in your head. They are signals.
Sudden heat, flushing, and night sweats that disrupt your day and your sleep. You never know when it will hit.
You wake at 3am and can’t get back to sleep. The restorative sleep you used to have is gone.
Anxiety, irritability, or low mood that wasn’t there before. You feel like a different version of yourself.
Persistent exhaustion that rest doesn’t fix. You push through but the energy isn’t there.
Word-finding difficulty, forgetfulness, and mental sluggishness that make you question your own sharpness.
Dr. Howard uses bioidentical hormone replacement therapy (BHRT) — hormones that are molecularly identical to what your body produces. Not synthetic. Not one-size-fits-all. Every protocol is built from your labs, your symptoms, and your goals.
Comprehensive hormone panels measure estradiol, progesterone, testosterone, DHEA, SHBG, thyroid, and metabolic markers. Dosing is individualized and adjusted based on measured response. Side effects are managed proactively, not reactively.
Hormone optimization is not a standalone prescription. It is one component of a coordinated longevity plan that may include sleep architecture, metabolic support, peptide therapy, and recovery protocols. Everything is managed under one physician.
Your first step is the Foundation Assessment ($2,000). Comprehensive labs, a full review with Dr. Howard, and a baseline that everything else builds on. This is not a consultation for a single therapy. It is a longevity assessment.
Based on your labs, history, and goals, Dr. Howard builds a coordinated hormone plan. Bioidentical hormones may be part of it. The plan is designed around your biology, not a template.
If this therapy is prescribed, it is monitored with labs at regular intervals and adjusted based on your response. Available to Aeterna Private and Club members at the retail fee schedule. Your first step is the Foundation Assessment ($2,000).
Bioidentical hormones are molecularly identical to your body’s own hormones, which many physicians and patients find better tolerated than synthetic alternatives. Dr. Howard monitors your response with labs and adjusts dosing individually.
Hormone changes can affect weight. When properly optimized and monitored, HRT often improves body composition by restoring metabolic function. Dr. Howard manages the full metabolic picture, not just hormones.
Most women begin to notice improvements within 2–6 weeks. Full optimization may take 3–6 months as dosing is adjusted based on lab response and symptom resolution.
Some women use HRT transitionally; others benefit from longer-term use. Dr. Howard will discuss the evidence and your personal goals to determine the right duration for you.
Available to Aeterna Private and Club members at the retail fee schedule. Your first step is the Foundation Assessment ($2,000).
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