Reclaim Your Spark: How a San Antonio HRT Clinic Can Restore Libido During Perimenopuase

If you’ve been wondering where your energy went – or why you’re suddenly battling insomnia, low sex drive, itchy skin, or that “snappy” irritability – it may have less to do with “just getting older” and more to do with what your hormones are doing. At a hormone-focused clinic in San Antonio, Texas, we help women navigate perimenopause and menopause with clarity, confidence and compassion.

What’s happening

Perimenopause is the transitional phase before full menopause, usually beginning in your 40s and continuing until your periods stop for good. During this time your ovaries produce less consistent levels of estrogen, progesterone and testosterone. That fluctuation can trigger symptoms like brain fog, mood swings, irritability, low libido (or no sex drive), hot sweats, night sweats, vaginal dryness and even itchy skin. According to trusted sources, hormone therapy can relieve many of these symptoms.

Why it matters

These symptoms don’t only impact how you feel—they impact how you think, how you connect with your partner, how you sleep and how you show up in your own life. When your hormones are out of balance, everything from your skin and mood to your intimacy and mental clarity can suffer. Good news: science supports that hormone replacement therapy (HRT) works. Research shows significant relief in hot flashes, vaginal dryness and low libido when treatment is timed early and tailored. 

What you can do

1. Recognize the pattern – if you’re in your late 30's, 40s or 50s and seeing changes like low drive, memory fog or sleep disruption, it’s worth investigating.

2. Seek a specialist who understands perimenopause/menopause and treats you as a whole person — body, mind, mood, skin and intimacy.

3. Choose a clinic in San Antonio offering comprehensive lab work, tailored treatment plans and ongoing monitoring to support your vitality during this phase.

4. Ask about solutions for vaginal dryness and low libido — these are real, treatable symptoms, not “just how it goes.” Vaginal estrogen and other therapies can help. 

Final thoughts

You deserve to feel like you again. Not foggy, not distant, not disconnected. If your libido has slipped, your mood has shifted or your brain feels cloudy, take action. A well-designed hormone program can restore your energy, clarity and confidence—and reconnect you with your own life.

Ready to reclaim your vitality? In San Antonio, your next step is only a consult away.

Your initial lab investment is $325. This gives both practitioners at HOOT HRT a complete look at what your brain is communicating to your ovaries, how your adrenal glands are responding to stress, and how your thyroid, estrogen, progesterone, and testosterone are functioning together.

Our comprehensive perimenopause and menopause program is approximately $2,800 to $3,000 per year. This includes all telehealth visits, medications, supplies, shipping, and full support by phone, email, or text. 

We don’t “sell” you medications. We relieve your symptoms and correct the underlying deficiencies that are holding you back from feeling like yourself. Our goal is simple: to help you experience a healthier, stronger, more fulfilling midlife — with better sleep, improved mood, steady energy, and renewed confidence.

At HOOT HRT, your care isn’t about a prescription — it’s about a partnership. Together, we’ll uncover what your body needs, restore your hormonal balance, and help you thrive again.

If your primary care provider, OB-GYN, internal medicine doctor, or endocrinologist is hesitant to discuss your symptoms or order the right labs, it’s time to take charge of your own health.

Seek expert hormonal guidance from Dr. John Cash and PA Joe Hamm at HOOT HRT.
You deserve to be a midlife enthusiast—the best mother, the best wife, the best sister, and the best version of you.