Hormone Replacement Therapy Near Me in Rockville, MD & Reston, VA

Hormone replacement therapy at HITx addresses the fatigue and brain fog that drain your day, along with the stubborn weight gain that settles around the midsection. These are the symptoms that bring most women to our clinics. We use bioidentical hormones tailored to your labs, your body and your life. Whether you prefer creams, patches, injections, or pellets, we’ll find the delivery method that fits your routine. The plan adjusts as your needs change. The process starts with lab work (80+ biomarkers), a Longevity Lab visit and a consultation where we map out your personalized treatment plan. Ongoing care is built into the Ascend membership, so you’re never managing this alone.

Who Needs Hormone Replacement Therapy?

Most women describe the same pattern: fading energy and trouble focusing at work, with weight creeping on despite no diet or exercise changes. Perimenopause and menopause shift hormone levels. These shifts show up as fatigue, brain fog, and stubborn fat accumulation around the midsection, along with impacts on libido and sleep. Hormone replacement therapy addresses the gap between where your hormones are and where they need to be for you to feel like yourself again. We treat women in Maryland and Virginia through our Rockville, MD and Reston, VA locations, plus virtual care across CO, DC, FL, MA, MI, NY, NC, PA, SC, TN, WV, GA, CA and NJ. Once treatment begins, patients typically report more energy and better libido, with body composition changing over time.

What Hormone Replacement Options Does HITx Offer?

HITx offers injections, patches, creams, capsules and pellets. Each is chosen based on your lifestyle and consistency. Some women prefer the convenience of a patch. Others want the control of a cream or the simplicity of an injection. Pellets last three to five months and require no daily routine, but they do require a minor in-office insertion procedure. Our preferred protocol for best results is testosterone injections, an estradiol patch and oral progesterone, but your consultation will determine what fits your life and aligns with your goals, backed by your lab results. All our estradiol and progesterone options are bioidentical, meaning they match the molecular structure of the hormones your body produces.

The HRT Process: Intake to Ongoing Care

Your HRT journey begins with an intake form, followed by lab work that covers more than 80 biomarkers: hormone panels and metabolic markers that track inflammation and nutritional status. You’ll complete a Longevity Lab session that includes an FDA-cleared cognitive assessment (Cognivue Clarity), an InBody 580 body composition scan and grip strength testing, all rolled into one score with a plan to improve it. Then you’ll meet with our medical team for a consultation. We review your results and goals, then build your personalized treatment plan based on what we find. Once you start medication, the Ascend membership covers unlimited consultations and medication management, plus two annual at-home lab panels. Your care extends beyond the prescription: we monitor labs and adjust doses throughout treatment.

Tell us how you feel

Start with an intake form about your symptoms and goals. Fatigue, brain fog and weight gain around the middle are the most common reasons women come in.

Get the full picture

Comprehensive labs check more than 80 biomarkers: hormones, cholesterol, inflammation, vitamins and minerals. Your first visit also includes our Longevity Lab.

Build your plan

Your provider goes over your results with you and picks options you’ll stick with. Often that’s a testosterone injection, an estradiol patch and oral progesterone.

Adjust as you go

Your Ascend membership covers ongoing consultations and two at-home lab panels a year, so your doses change as your numbers do.

How Much Does Hormone Replacement Therapy Cost?

Hormone replacement therapy at HITx starts with a $99 intake fee covering the initial consultation, the first Longevity Lab visit and a personalized treatment plan. After intake, you’ll pay the Ascend membership ($69.99 a month for local patients in Maryland and Virginia, or $49.99 a month for out-of-state patients) plus the cost of medication. Testosterone for women typically costs $134 for five months’ supply. Estradiol cream costs $195 for about two to three months’ supply. Injectable estradiol cypionate costs $175 for six months’ supply. Hormone pellets for women cost $499 and last three to five months. Estradiol patches and oral progesterone are usually sent to your local pharmacy so you can use your insurance; we’ll coordinate that for you. The Ascend membership is HSA/FSA eligible.

What matters	Injections, patch + capsule	Estradiol cream	Hormone pellets
What it is	Testosterone shot, estradiol patch and oral progesterone: HITx's usual plan for best results	Estradiol rubbed into the skin	Small pellets placed under the skin
Your routine	A small shot at home, a patch on the skin and a capsule by mouth	Applied at home	✓ One clinic visit every 3–5 months
Changing the dose	✓ Each part can be adjusted after your labs	✓ Adjusted after your labs	Waits until the next insertion
Where it happens	✓ At home after we teach you	✓ At home	In the clinic
Price	✓ $134 for five months of testosterone; patch and capsule go to your local pharmacy so insurance can help	$195 for about two to three months	$499 per insertion

How Hormone Therapy Pairs with Other Treatments

Hormone replacement therapy often pairs with GLP-1 weight-loss medication or peptides, depending on your goals. Some women come to us already managing weight loss but still struggling with energy and focus. Adding HRT addresses the hormonal piece that diet and exercise can’t fix. Others start with HRT and later add weight-loss support once energy improves and they’re ready to move more. We do not prescribe thyroid hormone unless your labs show it is needed, and we look for root causes before layering treatments. Your consultation will clarify what combination makes sense for you, and the plan can evolve as your body responds and your priorities shift.

What to Expect Once You Start HRT

Once treatment begins, patients typically report more energy and better libido. Over time, body composition changes as hormones stabilize and you’re able to exercise and recover more effectively. The timeline varies because everyone starts from a different baseline, but the Ascend membership means we’re rechecking labs and answering questions throughout. You’re not guessing whether it’s working. We track body composition alongside how you feel, then adjust the plan accordingly. Some women need dose tweaks in the first few months; others find their protocol quickly and stay stable.

Who Prescribes and Manages Your HRT

Hormone replacement therapy at HITx is prescribed and managed by Ravi Dahiya, MD, AAFPRS (Medical Director) and Esther Kang, MSN, APRN, CPNP-PC (Lead Nurse Practitioner), both of whom hold DEA licenses and specialize in regenerative medicine and hormone optimization. You’ll work with the same care team throughout, so they know your full history and current labs. The Ascend membership includes unlimited consultations, which means you can reach out with questions, report side effects or request a dose adjustment without waiting for your next scheduled visit. This is personalized medicine, not a one-size protocol handed out and left alone.

Frequently Asked Questions

Will testosterone cause facial hair or make me too muscular or masculine?

Testosterone prescribed for women is dosed to bring levels into a healthy physiological range, not to masculinize. We watch for unwanted effects like facial hair or voice changes and adjust your dose if they appear. The goal is to restore energy, libido and muscle tone, not to push testosterone beyond what your body would naturally produce in a healthy state.

Does estrogen cause cancer?

It’s an important question, and the honest answer depends on your personal and family history. We review your personal and family history and discuss breast and uterine health before deciding whether HRT is right for you. There is no one-size answer. Your consultation will cover your individual risk factors, and we’ll decide together whether HRT is appropriate for you.

Is hormone replacement therapy natural?

Bioidentical hormones match the molecular structure of the estrogen, progesterone and testosterone your body makes, which is why they’re called bioidentical. They are compounded or manufactured to that identical structure, but they still require a prescription and medical oversight. “Natural” is a marketing term more than a clinical one. What matters is that the hormones fit your receptors the way your own would, and that we dose and monitor them safely.

Can I switch from patches to injections or try a different option later?

Your delivery method is not locked in. If a patch irritates your skin, or you find the cream inconvenient, or you want to try pellets, we adjust the plan. The Ascend membership gives you the flexibility to make changes without starting over or paying a new consultation fee.

Do I need to come to the clinic for ongoing visits, or can I do labs at home?

The Ascend membership includes two at-home lab panels per year, so you can complete most monitoring without a clinic visit. You’ll come in for your initial consultation and Longevity Lab, and we recommend periodic in-person check-ins, but much of the ongoing care happens virtually or through at-home labs shipped to you.

Book Your HRT Intake at Rockville or Reston

Many patients discover that normal lab ranges don’t account for how they actually feel. Hormone replacement therapy at HITx addresses the gap between numbers and symptoms. The $99 intake covers your first consultation, Longevity Lab visit and personalized treatment plan, so you’ll know exactly what your body needs and what the ongoing cost and care will look like before you commit. Our Rockville, MD and Reston, VA clinics are staffed by the same medical team, and the Ascend membership works at both locations. Schedule your intake consultation and we’ll start with your labs and symptoms, guided by your goals.

Rockville, MD

Serving: Rockville, Bethesda, Gaithersburg, North Bethesda, Potomac, Silver Spring, Germantown, Montgomery County, Fulton, Clarksville, Ellicott City.

Reston, VA

Serving: Reston, Herndon, Chantilly, Hattontown, Vienna, Tysons, Great Falls, Sterling, Ashburn, Oak Hill, Fairfax, McLean, Leesburg, Loudoun County, Washington, DC.