Hormone Therapy for Women

Vital Moon Wellness is the women-first hormone and metabolic practice for women who want a real plan, not just a prescription.

Have questions about hormone therapy or what to expect? Read the FAQ below.

Your hormones — estrogen, progesterone, testosterone, thyroid, and cortisol — are closely connected, and a shift in one affects the others. That's why your evaluation always includes thyroid and metabolic health, not hormones alone. It's the only way to see the full picture.

We start with a full evaluation, not a prescription. Sometimes the plan is hormone therapy. Sometimes it isn't, and we'll tell you why.

From there, your care follows a clear course. We decide what needs attention first. Every treatment has a reason. And at each follow-up, how you're responding decides what happens next

Hormone therapy should never be one-size-fits-all. Every recommendation we make is based on:

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

Hormonal symptoms overlap with thyroid and metabolic issues all the time, which is exactly why a thorough evaluation matters — it's how treatment stays safe, accurate, and built for you specifically.

What Is Bioidentical Hormone Therapy?

Our Approach

Bioidentical hormones are structurally identical to the ones your body makes on its own. Prescribed carefully and monitored over time, they can ease the symptoms that come with hormonal decline or imbalance.

But hormone therapy isn't only estrogen, and it isn't a single number on a lab sheet. When it's the right fit, your plan may include:

  • Estrogen
  • Progesterone
  • Testosterone
  • DHEA
  • Thyroid Replacement
Hormonal changes can show up at any stage of life. Some of what we commonly evaluate:

  • 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


Conditions We Commonly Address

First, we find out if it's your hormones.

Your hormones influence nearly everything — your energy, your mood, your sleep, your weight, your libido. When they shift, the effects show up across your whole life, and they're easy to write off as stress or age.

We take a thorough, medically guided look at what's actually happening. Through a detailed symptom review and the right lab work, we determine whether bioidentical hormone therapy, thyroid support, or other treatment is right for you.


Your plan may also include patient-specific therapies and targeted supplementation. The goal isn't just to replace what's low — it's to get the whole system working together so you actually feel the difference.

Justyna Wozniak, FNP-BC, hormone specialist in Stroudsburg, PA

*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.

03.

Personalized Treatment Plan

If hormone therapy is the right fit, we build your plan together — based on your labs, your symptoms, your history, and your goals. That may include bioidentical hormone therapy alongside thyroid or metabolic support when it's needed. From there, we monitor and adjust over time, so your treatment stays safe and effective as your body changes.

02.

60-Minute Medical Consultation

A full hour on your labs, your symptoms, and your history. We go through what your results show, what they don't, and what deserves attention first. You'll leave knowing what we'd focus on and why.

01.

Schedule Consultation & Choose Your Lab Option

Vital Moon Wellness
Book your New Patient Consultation (Women). While booking, you'll choose how you'd like your bloodwork done — through your insurance, or cash-pay through our partner lab network. Your lab order is sent to you afterward, so testing is complete before we meet. Your bloodwork evaluates hormone levels, thyroid function, and metabolic markers — the full picture behind how you feel.

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

What to Expect

Tired no matter how much you sleep

Weight creeping up, especially around the middle

Foggy, forgetful, losing your words

Wired, anxious, or shorter-tempered than usual

Waking at 3am and not getting back down

Hot flashes or night sweats

Sex drive that's gone quiet

Cycles that changed on you

Signs It Might Be Your Hormones

The sooner you know what's driving your symptoms, the sooner you can do something about them.


You don't have to guess. A full evaluation can tell you whether your hormones are part of the picture.
If several of these sound familiar, it's worth looking closer:

Start With a Real Evaluation

You don't have to accept feeling this way as a normal part of aging. The first step is a 60-minute consultation — your labs reviewed, your symptoms heard, and a clear picture of what we'd focus on first.
Blood work is done beforehand, so your evaluation is personalized and data-driven from the start.

What Are Bioidentical Hormones?

Hormones are chemicals produced by your endocrine glands that serve as messengers in your body. During perimenopause and menopause, the body goes through major hormonal changes. 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 Contraindications to BHRT?

Hormone therapy isn't right for everyone. If any of the following apply to you, it's important we discuss it before considering treatment:
  • Active breast cancer
  • Porphyria
  • Severe active liver disease
  • Undiagnosed vaginal bleeding
A personal history of hormone-sensitive cancer doesn't automatically rule out treatment, but it does mean a more careful conversation and, often, coordination with your oncologist.
It's also worth knowing that not all hormone therapy carries the same risk profile. Research suggests transdermal estradiol (patch or gel) and micronized progesterone carry a lower risk than older synthetic combinations. How a hormone is delivered matters, and that's part of what we discuss when building your plan.

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.

Does Estradiol Cause Cancer?

This is one of the most common fears we hear, and the honest answer has a few parts. Estradiol is a hormone your body makes naturally, and for many women the benefits of therapy outweigh the risks. But the details matter. If you have a uterus, estrogen is paired with progesterone to protect the uterine lining, and your personal and family history shape what's appropriate. We go through your individual risks before starting anything.

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.

How Soon Does BHRT Start to Work?

Some women notice changes within the first few weeks. The full effect of a given dose usually takes 4 to 6 weeks, and it often takes some adjusting to find the right dose for you. Everyone responds differently.

Frequently Asked Questions