Restore Balance.
Reclaim You.

Additional recommendations may include targeted supplementation and adjunctive therapies, such as peptide treatments, when clinically appropriate. The goal of therapy is not simply to replace hormones, but to restore balance in a way that supports overall health and symptom improvement.

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Hormones influence nearly every system in the body — affecting metabolism, energy levels, mood, sleep, reproductive health, and overall wellbeing.

When hormone levels become imbalanced, women may experience a range of symptoms that impact daily life and long-term health.

At Vital Moon Wellness, we take a comprehensive, medically guided approach to evaluating hormonal health. Through detailed symptom assessment and laboratory testing, we determine whether bioidentical hormone replacement therapy (BHRT) or other treatments may help restore balance and improve how you feel.


Hormone Therapy for Women

Conditions We Commonly Address

Hormonal imbalances can occur at different stages of life and may present in many ways. Some of the concerns we commonly evaluate include:

  • Perimenopause and menopause symptoms
  • Polycystic ovary syndrome (PCOS)
  • Irregular or heavy menstrual cycles
  • Fatigue and low energy
  • Brain fog or difficulty concentrating
  • Mood changes or increased anxiety
  • Low libido
  • Sleep disturbances
  • Hormone-related weight changes
  • Digestive or gut health concerns


  • Estrogen
  • Progesterone
  • Testosterone
  • DHEA
  • Thyroid Replacement

Bioidentical hormone therapy uses hormones that are structurally identical to those naturally produced by the body.

When prescribed appropriately and monitored carefully, BHRT can help restore hormonal balance and improve symptoms related to hormone decline or imbalance.

When clinically appropriate, treatment may include prescription therapies such as:

Our Approach

What Is Bioidentical Hormone Therapy?

Hormone therapy should never be one-size-fits-all. At Vital Moon Wellness, treatment recommendations are based on:

  • Comprehensive laboratory evaluation
  • Detailed review of symptoms
  • Medical history assessment
  • Ongoing monitoring and follow-up

Because hormonal symptoms may overlap with thyroid dysfunction, metabolic changes, or other health concerns, a thorough evaluation helps ensure treatment decisions are safe, appropriate, and personalized.

Your hormones—including estrogen, progesterone, testosterone, thyroid, and cortisol—are closely interconnected and influence multiple systems throughout your body. To fully understand your symptoms, your evaluation includes thyroid function and metabolic health, as imbalances in these areas often contribute to overlapping concerns.

For additional questions about hormone therapy, treatment options, and what to expect, click here to visit our FAQ section.

The Process

Begin by scheduling New Patient Consultation: Female Health Optimization. When scheduling, you will be prompted to select your preferred option for completing blood work: insurance-based* labs or cash-pay labs. After scheduling, your lab order will be sent so testing can be completed prior to your appointment. Laboratory testing evaluates hormone levels, thyroid function, metabolic health, and other key markers that help guide treatment decisions.

Cash-pay lab options are not available for patients located in New Jersey.

Schedule Consultation & Choose Your Lab Option

01.

During your consultation, we will review your lab results in detail and discuss your symptoms, medical history, and health concerns. This allows for a comprehensive evaluation of factors that may be contributing to hormonal imbalance and changes in how you feel.*

60-Minute Medical Consultation

02.

If hormone therapy is clinically appropriate, a personalized treatment plan will be developed based on your symptoms, laboratory findings, medical history, and overall health profile.

Treatment recommendations may include bioidentical hormone therapy along with additional support for metabolic, thyroid, and overall wellness when indicated.

Ongoing follow-up visits and laboratory monitoring help ensure your treatment remains safe, effective, and appropriately adjusted over time.

Personalized Treatment Plan

03.

*Please note: Consultation fees cover medical evaluation and treatment planning only and do not guarantee prescriptions, medications, or specific treatments. All treatment decisions are made at the sole discretion of the medical provider based on clinical appropriateness and patient safety. Insurance coverage and reimbursement for laboratory testing cannot be guaranteed and are dependent on individual insurance plans and policies. If you have questions regarding laboratory coverage, benefits, or reimbursement, please contact your insurance provider directly.

Signs Your Hormones
May Be Out of Balance

Hormonal changes can present differently for every woman, but common symptoms may include:
A comprehensive evaluation helps determine whether hormonal imbalance may be contributing to these symptoms.

Persistent fatigue or low energy

Weight gain or difficulty losing weight

Brain fog or difficulty concentrating

Mood changes or irritability

Poor sleep or waking during the night

Hot flashes or night sweats

Low libido

Irregular menstrual cycles

Start your journey today and discover the difference personalized support can make in transforming your health and well-being. 

People who have a history of or who experience the following should consult their healthcare provider:
  • Breast cancer
  • Porphyria
  • Severe active liver disease
  • Undiagnosed vaginal bleeding

Transdermal estradiol in patch or gel form has not been shown to increase these risks just as bioidentical estradiol and micronized bioidentical progesterone have not been shown to increase breast cancer risk. 

What are Contraindications to BHRT?

One of the myths out there is that estradiol is dangerous and can cause cancer. Estradiol does not cause cancer. Estradiol is a natural hormone produced by the body, and its presence is essential for various physiological processes. There is no evidence that estradiol itself causes cancer. However, the context in which estradiol is used or levels should be discussed with a healthcare provider to ensure it aligns with an individual's health needs.

Does Estradiol Cause Cancer?

Most women will start to feel better within a few days, much better in a week or two, and generally reach maximum symptomatic relief for any given dose and formulation within 4-6 weeks. Keep in mind that it may take some time to identify the best dose for you and your symptoms. That said, some people experience relief from their symptoms as early as two days after they begin treatment.

How Soon Does BHRT Start to Work?

Hormones are chemicals produced by your endocrine glands that serve as messengers in your body. During perimenopause and menopause body goes through major hormonal changes as ovaries start to reduce and eventually stop producing hormones. That’s where hormone optimization therapy can be helpful. 
Bioidentical hormones are hormones that contain the same molecular structure as the hormones made by your body and those can include estrogen and progesterone. 
Bioidentical hormones can be created by a pharmaceutical company or a compounding pharmacy, and differ from the conjugated estrogen formulas used in older forms of hormone replacement therapy. 

What Are Bioidentical Hormones?

Frequently Asked Questions

What forms of hormone therapy do you offer?

Treatment options are personalized based on your symptoms, lab findings, medical history, preferences, and treatment goals. Depending on your needs, hormone therapy may include topical creams, transdermal formulations, oral therapies, or injectable medications for testosterone and estradiol when clinically appropriate.

How do I know if hormone therapy may be right for me?

Many women begin exploring hormone therapy when they notice symptoms such as fatigue, brain fog, low libido, mood changes, sleep disruption, hot flashes, weight changes, or feeling unlike themselves. The best way to determine whether hormone therapy may be appropriate is through a comprehensive evaluation that looks at your symptoms, health history, lifestyle factors, and lab work together — not just hormone levels alone.