Feel Like Yourself Again—with Personalized Hormone Therapy in Leesburg, VA

When prescribed and monitored by a board-certified physician, hormone replacement therapy is considered safe and effective for many women. At My Wellness Physicians, we conduct a comprehensive review of your medical history, hormone lab panels, and individual risk factors before recommending any treatment. Current evidence from the North American Menopause Society (NAMS) supports HRT for most healthy women under 60 without contraindications.

HRT may not be appropriate for women with a history of hormone-sensitive cancers such as breast or uterine cancer, active or recent blood clotting disorders, uncontrolled cardiovascular disease, or unexplained vaginal bleeding. Dr. Cruz-Tolentino will thoroughly review your personal and family medical history during your consultation to determine whether HRT is safe and appropriate for you.

We offer multiple HRT delivery methods including oral pills, transdermal patches, topical creams and gels, and vaginal preparations. The best option depends on your hormone levels, symptom profile, health history, and personal preferences. Transdermal options are often preferred for patients with cardiovascular concerns, as they bypass first-pass liver metabolism. We'll choose the right approach together at your consultation.

Hormonal changes during perimenopause and menopause — particularly declining estrogen — directly contribute to midsection weight gain and slower metabolism. Restoring hormonal balance can support healthier body composition, better sleep, and muscle preservation. HRT works best alongside proper nutrition and resistance training, and Dr. Cruz-Tolentino integrates lifestyle support into every hormone therapy plan.

Yes — collaborative care is our standard. We regularly communicate with patients' OB-GYNs and other specialists to ensure your hormone therapy is coordinated with your overall gynecological and primary care. We can provide visit summaries and lab results directly to your other providers upon request.

Most patients notice improvements in sleep and mood within 2–4 weeks of starting HRT. Hot flash relief typically follows within 4–8 weeks. Full optimization — including energy, libido, and body composition improvements — generally takes 3–6 months as Dr. Cruz-Tolentino adjusts your dosage based on follow-up lab results.

Yes. We serve women throughout Loudoun County including Ashburn, Sterling, Purcellville, and Middleburg, as well as Fairfax County and the broader Northern Virginia area. Telemedicine follow-up visits are available for established patients in Virginia.