Hormone replacement therapy is one of the most effective treatments for menopause and andropause symptoms. At his self-named clinic, Joshua R. Gonzalez, MD, in the West Hollywood neighborhood of Los Angeles, California, fellowship-trained urologist and sexual medicine specialist Dr. Gonzalez tailors bioidentical hormone replacement therapy (BHRT) to address each patient’s unique hormone imbalance. Call or schedule an appointment online today to learn more.

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What is hormone replacement therapy?

Hormone replacement therapy replenishes low levels of estrogen or testosterone. These are your body’s main sexual hormones. They play a critical role in your sexual development and function.

As you age, estrogen and testosterone levels naturally decline. Women tend to experience estrogen fluctuations once they reach menopause, while men lose about 1% of testosterone each year after age 30.

Hormone replacement therapy is an effective solution for replacing lost hormones. Dr. Gonzalez offers multiple types, including bioidentical hormone replacement therapy (BHRT) and testosterone pellet therapy for complete hormonal optimization.

Who should consider hormone replacement therapy?

Hormone replacement therapy primarily addresses two types of hormonal conditions:


Menopause marks the end of menstruation. When you stop menstruating, your estrogen levels plummet. This natural decline can have a noticeable effect on your physical and mental health.

Low testosterone (low T)

Testosterone helps regulate libido, sexual function, muscle mass, and fat distribution in men. While your testosterone levels naturally decline with age, low T can impact your sexual function, physical appearance, and mood.

Dr. Gonzalez performs comprehensive hormone testing through bloodwork and urinalysis to determine whether hormone replacement therapy is appropriate for your condition.

How do I know if I need hormone replacement therapy?

If you frequently experience symptoms of menopause or low T, hormone replacement therapy may be right for you.

Common signs of menopause include:

  • Hot flashes
  • Night sweats
  • Weight gain
  • Vaginal dryness
  • Low libido
  • Insomnia
  • Mood swings
  • Chills

Common signs of low T include:

  • Erectile dysfunction
  • Low libido
  • Increased abdominal fat
  • Low muscle mass and strength
  • Thinning hair

Many adults with hormone imbalances also experience mental health challenges, such as depression and anxiety.

What can I expect from hormone replacement therapy?

Once your hormone testing is complete, Dr. Gonzalez can begin your therapy. He offers testosterone replacement therapy (TRT) for men using implantable pellets and bioidentical hormone replacement therapy (BHRT) for menopausal management in women.

If you’re interested in BHRT, Dr. Gonzalez may recommend hormone creams, vaginal rings, or implantable pellets.

Implantable pellets are customizable. To place the rice-sized pellet, Dr. Gonzalez makes an incision in the skin above your buttocks. The pellet releases a steady amount of hormones to meet your unique needs. Dr. Gonzalez evaluates your progress every few months to assess the treatment.

Call Joshua R. Gonzalez, MD, today or schedule an appointment online to learn more about hormone replacement therapy.