Hormone Replacement Therapy (HRT) for Women & Men

What is Hormone Replacement Therapy (HRT)?

Hormone Replacement Therapy (HRT) is a medical treatment designed to restore hormonal balance when your body is no longer producing optimal levels. It can help relieve symptoms caused by hormonal imbalances related to aging, stress, menopause, perimenopause, andropause, thyroid dysfunction, or metabolic changes.

Who is a candidate for HRT?

You may be a good candidate for HRT if you’re experiencing symptoms such as:

• Chronic fatigue or low energy

• Brain fog or poor concentration

• Weight gain or difficulty losing weight

• Mood changes, anxiety, or depression

• Sleep disturbances

• Low libido or sexual dysfunction

• Hot flashes or night sweats

At Vivash Medspa, candidacy is determined through a comprehensive medical evaluation—not just symptoms alone.

How does the HRT process work at Vivash Medspa?

HRT at Vivash Medspa begins with a full one-hour consultation with Casandra Way, FNP-BC. This visit includes:

• A detailed review of your medical history

• Discussion of current symptoms and lifestyle factors

• Comprehensive lab work to assess hormone levels and deficiencies

All lab work is typically submitted through insurance and performed at a local lab.

Is HRT one-size-fits-all?

No. Hormone therapy is highly individualized. Treatment plans are customized based on lab results, symptoms, age, health history, and personal goals. Dosages and therapies are adjusted over time to ensure safety and effectiveness.

What types of hormones are treated?

Depending on your needs, HRT may address:

• Estrogen

• Progesterone

• Testosterone

• Thyroid hormones

• Adrenal-related imbalances

Your provider will determine which hormones require support based on objective testing and clinical presentation.

How long does it take to feel results?

Many patients begin noticing improvements in energy, mood, sleep, and mental clarity within a few weeks, though full benefits often develop over 8–12 weeks as hormone levels stabilize. Results vary from person to person.

Is HRT safe?

When properly prescribed, monitored, and adjusted by a licensed medical provider, HRT is considered safe for appropriate candidates. Ongoing follow-ups and lab monitoring are essential parts of treatment to ensure optimal outcomes and minimize risks.

How often will I need follow-up visits?

Follow-up appointments are typically scheduled every few months, especially early in treatment, to:

• Review symptoms and progress

• Adjust dosing if needed

• Repeat lab work when appropriate

Your consultation fee includes a follow-up visit once labs are completed.

Is HRT covered by insurance?

• Lab work is usually covered by insurance, it is always best to check with your plan.

• Hormone medications and therapies are typically out-of-pocket

Monthly treatment costs generally range from $150–$600, depending on your personalized plan.

Do you offer telehealth for HRT?

Yes. Vivash Medspa offers telehealth consultations for hormone therapy when appropriate, providing flexibility and convenience for patients. Generally, it is best to have atleast your first appointment be in person. 

Can HRT help with weight management?

Hormonal imbalances can significantly impact metabolism, insulin sensitivity, and fat storage. While HRT is not a weight-loss program, optimizing hormones can support healthier weight regulation when combined with proper nutrition and lifestyle habits.

How do I get started?

Getting started is simple:

1. Schedule your consultation with Casandra Way, FNP-BC

2. Complete lab work through your insurance

3. Review results and begin a customized treatment plan

Our goal is to help you feel balanced, energized, and confident—inside and out.

We are a medspa that specializes in medical weight loss and offers treatment for COOLSCULPTING®, Morpheus 8®, Dermal Fillers, BOTOX®, Laser hair removal, CO2, Clear + Brilliant® and more. We are located in Putnam County, Mahopac, and Dutchess County, Beacon, New York. Call us to book your appointment today.