Dr. Susan Hardwick-Smith

02/27/2026

Cypress women — Hormone Replacement Therapy is now available close to home. If you’re experiencing fatigue, brain fog, weight changes, sleep disruption, low libido, mood shifts, or hot flashes… it may not be “just stress.”

For many women in their 40s and 50s, these symptoms are related to hormonal changes — and they deserve thoughtful medical evaluation.

At Complete Midlife Wellness Center, we provide comprehensive Hormone Replacement Therapy (HRT) at our Cypress location.

Our approach includes:
• Detailed medical consultation
• Lab evaluation
• Personalized treatment plans
• Ongoing monitoring and adjustments
• A focus on long-term health — not just symptom relief

This is evidence-based, individualized care designed specifically for women navigating perimenopause and menopause.

You don’t have to drive into central Houston.
You don’t have to “push through.”
You don’t have to guess.

📍 Now seeing patients in Cypress
📞 Schedule your consultation
🔗 Link in bio

We’re thrilled to open the doors to our third Complete Midlife Wellness Center location—right here in Cypress, Texas!This expansion was inspired by so many o...

02/25/2026

Midlife strength starts at the center. 🤍

Your core is more than abs — it’s the foundation of how you move, stand, lift, and stay strong as you age.

This month, I’m joined by master personal trainer Kelley Workman for a focused 20-minute core workout created specifically for women in midlife.

Because at this stage of life, fitness isn’t about punishment or perfection.
It’s about building strength that supports you for decades to come.

A strong core helps:
✨ Protect your spine
✨ Improve posture
✨ Support balance and stability
✨ Make everyday movement easier
✨ Keep you active and independent long-term

We’re not training for appearance alone.
We’re training for longevity — for the woman you’ll be at 70, 80, and beyond.

Slow. Controlled. Intentional movement.

Press play and join us. 💪

🎥 Watch the full workout on Youtube - Link in BIO

02/25/2026

Midlife strength starts at the center. 🤍

This month, I’m joined by master personal trainer Kelley Workman (www.kelleymoves.com) for a focused, powerful 20-minute core workout designed specifically for women in midlife.

Yes — toned abs are a lovely bonus.
But today is about so much more than aesthetics.

Your core:
• Protects your spine
• Improves posture
• Supports every lift and daily movement
• Builds balance and stability
• Keeps you strong for the long road ahead

We’re training for your 70s, 80s… and your 90-year-old self.

This controlled, intentional circuit includes:

✔ 10 V-Ups
✔ 30 Bicycle Crunches
✔ 10 Leg Raises
✔ 30 Lying Toe Touches
✔ 30 Single-Leg V-Ups
✔ 30 Mountain Climbers

No rushing.
No throwing reps around.
Slow. Strong. Deliberate.

Because midlife doesn’t mean fragile.
It means focused.

Strong cores build strong women — and strong women build powerful futures.

Press play and train with us. 💪
KelleyWorkman







https://youtu.be/ZjDitJAJUAE?si=33exHq7sna-uTQVV

Midlife strength starts at the center. 🤍This month, I’m joined by master personal trainer Kelley Workman (www.kelleymoves.com) for a focused, powerful 20-mi...

02/23/2026

A Beginner’s Guide to Labiaplasty 💌 If you’ve ever wondered whether this procedure is right for you, education is the first step.

This is not about trends.
It’s about comfort, confidence, and personal choice.

Confidential, personalized consultations available.
Book through the link in bio.

02/20/2026

Cloudy morning. Golden afternoon. Both are invitations. 🌥️☀️

Midlife is not a dimming of light.
It is a different kind of radiance.

Your body is wiser now. It asks for strength, not punishment. It responds to movement with gratitude — building muscle, protecting bone, steadying mood, sharpening focus. Every step, every pedal, every breath outdoors recalibrates your chemistry.

You don’t have to chase exhaustion.
You don’t have to prove anything.
You simply have to show up.

Fresh air on your skin.
Heart rate rising.
Legs working.
Mind clearing.

This is how we age powerfully.
This is how we protect our future.
This is how we remember that vitality is not reserved for youth — it is cultivated with intention.

Midlife is not the beginning of the end.
It is the beginning of depth, resilience, and strength. 💗

Go outside. Move your body.
Claim this season fully.

02/19/2026

Not every woman wants an injection.
And not every woman needs one.

I’ve just released a new video:
Oral Semaglutide for Midlife Weight Optimization — What Women Need to Know

In this video, I walk you through:

• How oral GLP-1 medications work
• How absorption differs from injections
• Realistic weight expectations
• Costs, dosing, and limitations
• Who is a strong candidate — and who may benefit from a different approach

At Complete Midlife Wellness Center, we believe weight optimization in midlife should be thoughtful, personalized, and medically guided.

That’s why our 12-Week Holistic Medical Weight Optimization Program includes:

• Metabolic lab assessment
• One-hour personalized strategy consultation
• Six 30-minute physician check-ins (every two weeks)
• Weight-loss medication
• Customized nutrition and movement plan
• Body composition monitoring
• Mindset coaching with structured accountability and ongoing support
• Direct access to a dedicated weight loss nurse for ongoing guidance and questions
• Discounted access to TruSculpt Flex®

Because in midlife, physiology matters — and everything works together.

$2,000 | Complete 12-Week Medical Program
Includes all visits and medication with sublingual semaglutide

$2,500 | Complete 12-Week Medical Program
Includes all visits and injectable semaglutide

$2,800 | Complete 12-Week Medical Program
Includes all visits and injectable tirzepatide

🎥 Watch the new video to better understand your options. Link in bio.

📍Now enrolling in Texas (in-person and remote) and in California via telemedicine.

If you’re ready for a structured, supportive, medically supervised approach — we’re here.

At Complete Midlife Wellness Center, many women ask us if there is a GLP-1 option that doesn’t involve injections.In this video, I walk you through what trul...

02/19/2026

Not every woman wants an injection.
And not every woman needs one.

I’ve just released a new video:
Oral Semaglutide for Midlife Weight Optimization — What Women Need to Know

In this video, I walk you through:

• How oral GLP-1 medications work
• How absorption differs from injections
• Realistic weight expectations
• Costs, dosing, and limitations
• Who is a strong candidate — and who may benefit from a different approach

At Complete Midlife Wellness Center, we believe weight optimization in midlife should be thoughtful, personalized, and medically guided.

That’s why our 12-Week Holistic Medical Weight Optimization Program includes:

• Metabolic lab assessment
• One-hour personalized strategy consultation
• Six 30-minute physician check-ins (every two weeks)
• Weight-loss medication
• Customized nutrition and movement plan
• Body composition monitoring
• Mindset coaching with structured accountability and ongoing support
• Direct access to a dedicated weight loss nurse for ongoing guidance and questions
• Discounted access to TruSculpt Flex®

Because in midlife, physiology matters — and everything works together.

$2,000 | Complete 12-Week Medical Program
Includes all visits and medication with sublingual semaglutide

$2,500 | Complete 12-Week Medical Program
Includes all visits and injectable semaglutide

$2,800 | Complete 12-Week Medical Program
Includes all visits and injectable tirzepatide

🎥 Watch the new video to better understand your options. Link in bio.
📍Now enrolling in Texas (in-person and remote) and in California via telemedicine.

If you’re ready for a structured, supportive, medically supervised approach — we’re here.

02/19/2026

Shifts in hormones can leave intimate tissue feeling dry, delicate, or unfamiliar. It can happen gradually, and many women simply try to live with it.

Renewal is possible ✨

💗 Juliet laser therapy stimulates natural collagen, supporting moisture, elasticity, and day-to-day comfort.
💗 The O-Shot promotes circulation and sensitivity, helping many women experience a more vibrant connection to their bodies.

Beautiful on its own. Exceptional alongside hormone optimization.

✨ 3 Juliet sessions + complimentary O-Shot
Now $3,000 (regularly $3,500)
$500 savings

If feeling like yourself again sounds good, start at the link in bio.

02/16/2026

With Louise Newson, Aoife O’Sullivan and Jill Chmielewski 🤍

ISSWSH hosts an incredible annual meeting of diverse professionals dedicated to advancing women’s sexual wellness. Of the many topics discussed, my biggest takeaway was from Dr. Newson’s studies regarding the cognitive benefits of testosterone.

Her patient data in England (which includes more than 2,000 patients every month) has shown that testosterone replacement significantly reduces symptoms of depression, anxiety, and even suicidality in perimenopausal and menopausal patients with testosterone deficiency, and allows patients to reduce or discontinue antidepressants that were often misprescribed for menopausal symptoms.

Louise is a tireless clinician and researcher fighting to educate patients, physicians, and the public about the many benefits of menopausal hormone therapy, including testosterone. She is the founder and developer of the Balance app, which is an ever-growing and remarkable resource for menopausal women and physicians.

.chmielewski

02/13/2026

6 Emsella sessions + 1 O-Shot | $1,500 💌 Laugh. Lift. Love Again.

When pelvic weakness or changes in sensation begin to affect daily life, confidence can quietly slip away.

Emsella rebuilds strength and coordination throughout the pelvic floor, improving control and stability. The O-Shot supports circulation and tissue vitality, helping many women experience greater sensitivity and arousal.

💗 A thoughtful combination designed to help you feel present, secure, and connected again.

Now $1,500 (regularly $2,000)
$500 savings

Ready to feel more like yourself? Book today.
Link in bio.

02/12/2026

Changes in intimacy are one of the most common concerns I hear from women moving through perimenopause and menopause.

In this episode, I explain how we evaluate a drop in desire, what may be driving it, and which treatments truly make a difference.

You might hear the medical term Hypoactive S*xual Desire Disorder (HSDD) — used when a persistent change creates personal distress or affects a relationship. Diagnosis starts with a careful conversation, a review of your health history, and sometimes a validated screening tool.

Why desire shifts is rarely just one thing. It can involve:

✔️ changing levels of estrogen, progesterone, and testosterone
✔️ brain chemistry and stress load
✔️ sleep and fatigue
✔️ emotional or partnership dynamics
✔️ medical issues or medications

I also walk through five treatment paths, blending published science with decades of caring for midlife women, and share what tends to work best in real life.

Here’s the most important part ❤️
If desire matters to you, you are not expected to simply accept losing it. There are evidence-based ways to help.

🎥 Watch the full conversation through the link in bio.
📚 You’ll also find my book S*xually Woke there.
💻 Appointments can be requested via the same link.

02/11/2026

Decreased sexual desire is the most common concern I hear about changing sexuality during perimenopause and menopause.In this video, I discuss how we diagnose low libido, what may be contributing to it, and the treatment options that can genuinely help.

You may hear the term Hypoactive S*xual Desire Disorder (HSDD). This is a medical diagnosis used when a persistent drop in desire creates distress for a woman or strain within a relationship. Evaluation involves a thoughtful clinical conversation, review of health history, and often the use of a validated tool such as the Decreased S*xual Desire Screener (DSDS).

The reasons desire changes are rarely simple.

They often include a combination of:
✔️ hormonal shifts involving estrogen, progesterone, and testosterone
✔️ changes in brain chemistry and stress pathways
✔️ sleep and energy disruption
✔️ relationship or emotional dynamics
✔️ medical conditions or medication effects

I walk you through five categories of treatment, combining published science with what I’ve learned from caring for thousands of midlife women — including which approaches tend to work best in real life.

Most importantly, low desire is not something you are required to accept as an unavoidable part of aging. If it matters to you, there are meaningful, evidence-based ways to make it better.

💻 Interested in booking an appointment? Click the link in bio

Decreased sexual desire is the most common concern I hear about changing sexuality during perimenopause and menopause.In this video, I discuss how we diagnos...