Hormone Replacement Therapy (HRT) at La Boussole Medical Spa and Wellness Center, Joplin

We proudly offer HRT Under the direction of Dr. Altagrace Hanely, La Boussole's medical director, and Nurse Practitioner Joyce Clement.

Joyce, a Board-certified Adult and Family Nurse Practitioner with 50 years of experience in women's health, emphasizes the significance of addressing hormonal concerns for both men and women. With a comprehensive understanding of female estrogen and male testosterone issues, she offers evaluations and treatment options tailored to each individual's needs. Joyce's expertise extends to all hormonal treatments, including bioidentical compounded hormones, which she administers topically to bypass the liver's first-pass metabolism. This approach not only promotes a healthier liver environment but also mitigates the risk of cardiovascular events, breast cancer, and other potential side effects. 

Hormone Replacement Therapy (HRT) using bioidentical hormones has gained significant attention in recent years as a natural and personalized approach to managing hormonal imbalances. Bioidentical hormones are derived from plant sources and are structurally identical to the hormones produced by the human body. What sets bioidentical compounded hormones apart is their personalized approach. Unlike the "one size fits all" mentality of conventional treatments, these hormones can be formulated to meet each woman's individual needs and adjusted as necessary.

Here are some of the benefits of using bioidentical hormones in HRT at La Boussole:

Personalized Treatment

One of the primary advantages of bioidentical hormones is their ability to be customized to meet each individual's specific hormonal needs. Unlike synthetic hormones, which come in standardized doses, bioidentical hormones can be tailored to address the unique hormone levels and symptoms of each patient.

Natural Ingredients

Bioidentical hormones are derived from plant sources, making them a natural alternative to synthetic hormones, which are typically derived from animal sources or produced in a lab. Many people prefer bioidentical hormones because they are considered more natural and may have fewer side effects.

Mimics the Body's Hormones

Since bioidentical hormones are structurally identical to the hormones produced by the human body, they are more readily recognized and utilized by the body's hormone receptors. This can result in more effective symptom relief and a reduced risk of side effects compared to synthetic hormones.

Balanced Hormone Levels

Hormonal imbalances can lead to a wide range of symptoms, including hot flashes, night sweats, mood swings, and fatigue. Bioidentical hormones help restore hormonal balance, alleviating these symptoms and improving overall quality of life.


As women, we are all too familiar with the rollercoaster of hormonal fluctuations. Puberty, pregnancy, postpartum, and peri- and post-menopause are phases that offer both opportunities and challenges. While youth provides resilience through most of these transitions, menopause can introduce drastic hormonal changes just when we are grappling with other life changes, such as aging. Symptoms like hot flashes, night sweats, insomnia, mood swings, and weight gain can significantly impact a woman's quality of life. This period can be a source of frustration and overwhelming. That's where expert care in hormonal health becomes invaluable.


It's crucial to remember that men experience and are impacted by hormonal fluctuations, often referred to as male menopause or andropause. Surprisingly, 40% of men aged 45 and older have low testosterone, and 1 in 4 men over 30 also have inadequate testosterone levels. Despite these statistics, healthcare providers often hesitate to address this pressing issue, with many even dismissing it as a concern before the age of 65. This lack of attention has led some men to seek illegal testosterone treatments.

Whether you're a man or a woman, our goal is to help you be the best version of yourself by optimizing your hormonal health. We're excited to welcome our new practitioner to the La Boussole team and invite you to explore the benefits of Hormone Replacement Therapy with us.

Call 417-434-4449 to Schedule.

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Boussole Ridge, LLC.
5594 W Junge Blvd. Joplin, MO 64804