Don't let middle age slow you down.  By increasing and maintaining sex hormones at more youthful levels, both men and women often report a higher quality of life, including more energy, improved strength and endurance, happier moods and more vibrant sex lives.

Available to all Ohio residents, provided you can make it to our office in person once per year for a face-to-face visit.

As we age, reproductive hormone levels decrease over time.  Our hormone levels peak in our late teens or early 20s and, for many of us, this is the time when we feel our best.  As levels drop, we may feel symptoms associated with this such as fatigue, irritability, sleeping issues, loss of sex drive, decreased sexual performance, decreased muscle mass and increased fat mass.  Weight gain may occur, as well as loss of strength.  Women may have hot flashes and menstrual irregularities.   Hormone replacement therapy is used to safely restore our hormone levels to what they were when we were younger. 


For men, testosterone therapy can dramatically improve a man's quality of life.  Recent studies have shown a link between low testosterone and shorter life expectancy.  When a man goes on testosterone, we see his fat mass go down while muscle mass goes up.  Treating low T can strengthen a man's bones and help prevent osteoporosis. Some evidence suggests that treatment can also aid blood sugar control, which is important for the prevention and control of diabetes.  Testosterone is tied to heart health, as lower testosterone levels have been linked to higher risk of cardiovascular problems.  Testosterone replacement can renew a man's interest in sex as well as his ability to maintain an erection and can restore the "wow" factor to his orgasms.  Besides its sexual benefits, TRT can improve a man's mood and energy level while reducing irritability and anger.  Treatment options include intramuscular injections, topical creams, topical gels or dermal patches.   We can also provide medications like HCG or Clomid if fertility or maintenance of testicular size is desired.  Additional medications like estrogen blockers (Tamoxifen or Arimidex) or 5-alpha reductase blockers (finasteride) can be added on to meet your specific needs. 


For women, adult female hormone levels begin to decrease around age 30 causing uncomfortable symptoms such as weight gain, loss of muscle mass, hot flashes, and fatigue. Bioidentical hormone replacement therapy (BHRT) has been known to counteract many of the issues related to menopause.  Benefits of BHRT include improved quality of sleep, decreased moodiness, increased libido, heightened energy levels, quickened metabolism, greater sexual function, and decreased risk of developing osteoporosis.  Our staff includes a clinical pharmacist who will compound a BHRT cream specifically for you.  Most custom preparations contain a combination of estradiol, testosterone and progresterone. 

How Do I Receive Hormone Replacement Therapy?

Step 1:  See if you are a good candidate for HRT by completing the appropriate HRT evaluation form.  Our medical staff will review your evaluation form and contact you within 1 business day.  There is no cost to your for this evaluation.

Step 2:  Have a basic blood work evaluation to make sure that HRT is safe for you.  We can email a lab request form to you which you can take to a local laboratory OR you can stop by our office to have blood drawn.  The lab that runs the tests will bill your insurance for the lab tests or will charge you directly if you do not have insurance.  There will be no charges from our office for this portion of the evaluation.

Step 3:  You will need to come by our office for a visit with one of our medical provider to see if you qualify.  At this visit we will answer any questions you may have about HRT and as well as having any in-depth discussion about the risks and benefits of HRT.

Step 4:  After 1 month of HRT we will need to repeat blood work to check your hormone levels as well to make sure there are no adverse affects from the HRT.  You can either come to our office for the blood draw or can have it done at a lab close to your home.

Step 5:  Refills of HRT can be mailed to your home or picked up.  Two to Three times per year we will need to run blood tests to assess hormone levels and safety.  Once per year you will be required to visit our office in person.  

Please call or email Rebecca McClain FNP-C with any questions you may have about our HRT program.  She can be reached at

In-office Consultation

Rebecca McClain, FNP-C - $150 per visit

Shawn Bailey M.D. - $200 per visit

Hormone Replacement

BHRT Cream - $95 for 1 month supply**

Testosterone Cypionate 200 mg/ml - $75 for 10 ml vial**

Arimidex - $45 for 30 tablets

Clomid - $95 for 30 tablets

Finasteride 1mg - $35 for 30 tablets

Finasteride 5 mg - $45 for 30 tablets

Sildenafil (Viagra) 100mg  - $50 for 10 tablets

**BHRT and Testosterone Cypionate must be picked up at Tremont Pharmacy or mailed to your home from Tremont Pharmacy in order to be in compliance with The State of Ohio Board of Pharmacy rules regarding distribution of DEA schedule III controlled substances.

Laboratory Fees

Determined by your insurance company and which lab used.