Hormone Therapy for Men and Women in Northern Virginia
Physician-led hormone care from Dr. Minnie Cruz-Tolentino, double board-certified in Family Medicine and Obesity Medicine. Every plan starts with a full evaluation and lab testing, and continues with regular monitoring.
Testosterone Replacement Therapy
Low energy, low drive, and stubborn belly fat can be signs of low testosterone.
Hormone Replacement Therapy (HRT)
Hot flashes, poor sleep, and mood changes are common as hormones shift.
Low Testosterone Treatment in Northern Virginia
Restore your energy, drive, and confidence.
Medically supervised Testosterone Replacement Therapy (TRT), based on proper testing and ongoing monitoring, not a one-size-fits-all protocol.
Signs of low testosterone
Many men in their late 30s to 60s notice a slow decline. Common signs include:
- Tired even after a full night's sleep
- Low or missing sex drive
- Harder to build or keep muscle
- More fat around the belly
- Irritable, moody, or "flat"
- Brain fog or poor focus
- Harder workouts, slower recovery
- Less motivation and confidence
For many men, these changes come from a real, measurable drop in testosterone. We listen, test properly, and treat you as a whole person, not just a lab number.
What is Testosterone Replacement Therapy (TRT)?
Testosterone Replacement Therapy (TRT) restores testosterone to a healthy range in men whose levels are confirmed low by blood tests.
Testosterone affects energy, sex drive, muscle, fat distribution, bone strength, mood, and focus. When levels fall too low, replacing it can ease these symptoms.
Testosterone Replacement Therapy (TRT) is prescribed only after a full evaluation, because symptoms of low testosterone overlap with other conditions such as thyroid problems, sleep apnea, and depression. Once you start, we monitor your levels and safety markers regularly.
What you get with our Testosterone Replacement Therapy (TRT) program
A structured, long-term plan to help you feel your best, safely.
In-depth consultation
Time with Dr. Cruz-Tolentino to review your symptoms, history, medications, and goals.
Comprehensive labs
Total and free testosterone, related hormones, blood counts, and metabolic markers.
Personalized treatment
The right form of testosterone, dose, and schedule for your body and lifestyle.
Lifestyle guidance
How sleep, nutrition, exercise, stress, and weight affect your hormones.
Follow-up and repeat labs
We track your response, adjust your dose, and monitor safety markers over time.
A responsive care team
Questions between visits? Reach our team directly.
Testosterone Replacement Therapy (TRT) Frequently Asked Questions
Is testosterone replacement therapy safe?
For men with confirmed low testosterone, testosterone replacement therapy is generally safe when it's prescribed and monitored by a physician. A large 2023 study of men with low testosterone and heart risk factors found no increase in major heart events. It can raise red blood cell levels, cause acne or fluid retention, and lower sperm production, so we check your labs regularly and adjust as needed.
How long does testosterone replacement therapy take to work?
Many men notice better sex drive, mood, and energy within a few weeks. Changes in muscle, body fat, and strength usually take 3 to 6 months or longer.
Do you offer testosterone replacement therapy outside of Leesburg, VA?
Yes. We see men from across Loudoun County and Northern Virginia.
Hormone Replacement Therapy for Women in Northern Virginia
Fatigue, hot flashes, brain fog, and mood swings aren't "just aging."
Signs your hormones are changing
These are common during perimenopause and menopause, and you don't have to live with them.
- Hot flashes or night sweats
- Trouble sleeping
- Mood swings or anxiety
- Fatigue or brain fog
- Low libido
- Weight gain around the middle
What is Hormone Replacement Therapy (HRT)?
Hormone Replacement Therapy (HRT) replaces the estrogen and progesterone your body makes less of during perimenopause and menopause.
We tailor your therapy to your lab results, medical history, and goals. It can help with:
Estrogen and progesterone balance
Replaces hormones that decline in perimenopause and menopause.
Fewer hot flashes, better sleep
Eases night sweats and the sleep disruption they cause.
Better mood and libido
Can steady mood swings and improve sexual well-being.
Bone, muscle, and metabolism support
Helps protect bone density and supports a healthier metabolism.
How Hormone Replacement Therapy (HRT) works
Labs and consultation
A full history, comprehensive labs, and a map of your symptoms.
Personalized plan
Estrogen and progesterone options, plus lifestyle support for sleep, stress, protein, and strength training.
Ongoing optimization
Dose adjustments, follow-ups, refills, and side-effect monitoring.
Hormone Replacement Therapy (HRT) Frequently Asked Questions
Is hormone replacement therapy safe?
Your personal and family history matter, so Dr. Cruz-Tolentino reviews your risks before recommending treatment and monitors you over time.
Who should avoid hormone replacement therapy?
Hormone therapy usually isn't recommended for women with a history of breast or uterine cancer, blood clots, stroke, heart attack, active liver disease, or unexplained vaginal bleeding. Other options can help with symptoms if hormone therapy isn't right for you.
Pills, patches, or creams: which is best?
Estrogen can be taken as a pill, patch, gel, spray, or vaginal cream. Patches and gels go through the skin and carry a lower risk of blood clots than pills. Women who still have a uterus also need progesterone to protect the uterine lining. We'll help you choose the form that fits your health and routine.
Will hormone replacement therapy help with weight gain?
Hormone replacement therapy isn't a weight loss treatment, but it can ease the sleep problems, fatigue, and hormone shifts that make weight harder to manage in midlife. Because Dr. Cruz-Tolentino is also board-certified in obesity medicine, she can address hormones and weight in one plan. Learn about Obesity and Weight Loss Management.
How long does hormone replacement therapy take to work?
Many women notice fewer hot flashes and better sleep within a few weeks.
Can I get hormone replacement therapy through telemedicine in Virginia?
Many follow-up visits can be done by telemedicine for patients in Virginia.
Ready to feel like yourself again?
Leave your name and number. Our care team will reach out to answer your questions and help you book a hormone consultation.
- Straight answers about visits and cost
- In person in Leesburg or by telemedicine anywhere in Virginia
- No obligation to book
Request a call back
It takes less than a minute.