BHRT for Women in Johnson City, TN
Carefully guided. Individually applied. Physician-led evaluation of bio-identical hormone replacement therapy for women, including perimenopause and menopause, with Dr. Dalal Akoury, MD, MPH.
The information provided on this website is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Individual experiences vary. Please consult your licensed healthcare provider before making medical decisions.

Hormone Changes Through a Woman's Life
Hormone levels naturally fluctuate throughout a woman's life. Some women may experience symptoms that could be associated with hormonal changes at various stages, including perimenopause or menopause. Bio-Identical Hormone Replacement Therapy (BHRT) for women is a medical option that may be considered for certain individuals after comprehensive evaluation by a licensed physician.
At AWAREmed, all hormone-related care is physician-led and individualized, guided by clinical assessment, medical history, available health records, and appropriate laboratory testing. Learn more on our Hormone Optimization (BHRT) page.
What Is Bio-Identical Hormone Replacement Therapy?
Bio-identical hormones are compounds designed to have the same chemical structure as hormones naturally produced by the human body. In some cases, these hormones may be prescribed as part of a medically supervised treatment plan when clinically indicated.
The term "bio-identical" is descriptive and does not imply that these therapies are safer or more effective than conventional hormone therapies. Scientific evidence varies, and benefits and risks differ for each individual.
When Might BHRT Be Considered for Women?
Some women seek medical evaluation when experiencing symptoms that may be associated with hormonal changes, such as:
- Hot flashes or night sweats
- Fatigue or low energy
- Sleep disturbances
- Mood changes or irritability
- Changes in menstrual patterns
- Changes in libido
These symptoms can have multiple causes and do not automatically indicate a hormone imbalance. Proper medical evaluation is necessary before considering hormone-based therapy.
Physician-Led Evaluation & Review of Medical Records
At AWAREmed, consideration of BHRT for women begins with a comprehensive medical evaluation conducted by a licensed physician. This process may include:
- Review of detailed medical and reproductive health history
- Review of relevant prior medical records when available
- Physical examination
- Clinically appropriate laboratory hormone testing
- Discussion of symptoms, risks, alternatives, and expectations
All treatment decisions are individualized and based on clinical judgment, current medical evidence, and patient-specific factors.
What to Expect From Care at AWAREmed
- Care provided under the supervision of Dr. Akoury, a licensed physician
- Personalized treatment planning based on medical evaluation and records review
- Ongoing monitoring and follow-up as clinically appropriate
- Emphasis on patient education and informed decision-making
No specific outcomes are promised, and responses to hormone therapy vary among individuals.
Who This May Be Appropriate For
- Adult women noticing changes they associate with perimenopause or menopause, such as hot flashes, night sweats or sleep changes
- Women who want to understand whether symptoms such as fatigue, mood changes or changes in libido may be related to hormones
- Women considering hormone therapy who want a careful discussion of its potential benefits, risks and alternatives
- Women who prefer a personalized, physician-led evaluation that includes a review of their prior medical records
- Those who want hormone care that is coordinated with their gynecologist or primary care physician
A consultation with Dr. Akoury helps decide whether this service is a good fit for you. It is not a substitute for emergency care or for care from your specialist physicians.
Schedule a Consultation
To find out what hormone care may be right for your needs, speak with a medical professional. Request more information today: call (423) 430-6170 or contact us online.
New to AWAREmed? See what to expect at your first visit.
Related reading: Progesterone and healthy aging and Hormones and weight gain: practical tips.
Frequently Asked Questions
Related Services
Learn more about Dr. Akoury and her approach, explore our integrative services, or contact our care team with your questions.
Why Patients Choose AWAREmed in Johnson City, TN
Physician-Led Care
Every plan starts with an evaluation by Dr. Dalal Akoury, MD, MPH.
A Personalized Approach
Care is shaped around your health history, your goals and your daily life.
Works With Your Doctors
Integrative, supportive care alongside your primary and specialty physicians.
In Person or Virtual
Visits at our Johnson City office; consultations can also take place online where licensing rules allow.
Meet Dr. Dalal Akoury, MD, MPH
Founder and Medical Director of AWAREmed Health and Wellness Resource Center.
Learn more about Dr. AkouryVisit Us in Johnson City, Tennessee
AWAREmed Health and Wellness Resource Center1604 Lamons Lane, Suite 202
Johnson City, TN 37604
(423) 430-6170
We welcome patients from Johnson City, Kingsport, Bristol, Greeneville and the surrounding Tri-Cities area, and we also offer virtual visits.
Take the First Step Toward Personalized Care
Book an appointment with Dr. Akoury to discuss a personalized, whole-person care plan.