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Read article →Menopause, perimenopause and low testosterone
Hormone Therapy in Woodbridge & Northern Virginia
Hot flashes, poor sleep, low energy or a fading sex drive are not things you just have to live with. Get a lab-guided plan from a nurse practitioner who listens, explains your options and keeps checking in.
- Nurse practitioner–led
- Visits from $85 or included in membership
- By video across Virginia · clinic in Woodbridge
Why patients choose us
Why choose WheelHouse for hormone therapy
Guided by your labs and symptoms
We look at how you feel and what your blood work shows, not a one-size protocol.
Every option, explained
Benefits, risks and alternatives in plain language, so the decision is truly yours.
Follow-up that actually happens
Regular check-ins and repeat labs to fine-tune your dose and keep you safe.
Mostly from home
Consultations and follow-ups by video, with labs drawn near you.
How it works
Your path to feeling like yourself
Most people start feeling a difference within weeks to a few months.
Consultation
A 45-minute first visit about your symptoms, health history and goals.
Lab work
Targeted blood tests, ordered at discounted cash-pay prices.
Your plan
If therapy is right for you, we choose the form and dose together.
Monitoring
Follow-ups and repeat labs to adjust safely over time.
Is it right for you?
Hormone care may help if you have
- Hot flashes or night sweats
- Trouble sleeping, or waking at 3 a.m.
- Mood changes, irritability or brain fog
- Irregular or changing periods in your 40s
- Vaginal dryness or discomfort
- Low sex drive
- Low energy, loss of muscle or erectile changes (men)
- Weight changes that do not respond to the usual efforts
Safety first
Who it suits, and who needs another route
Hormone therapy helps many people, but it is not right for everyone. We screen carefully.
Often a good fit
- Bothersome menopause or perimenopause symptoms
- Men with symptoms and confirmed low testosterone on repeat morning tests
- People who want a clear plan and regular monitoring
- Those who prefer to manage care mostly by video
May need a different approach
- A history of certain cancers, such as breast or endometrial cancer
- Past blood clots, stroke or heart attack
- Active liver disease
- Unexplained vaginal bleeding
- Plans to conceive soon (for testosterone therapy)
What it costs
Clear prices, before you start
Start with a consultation. Pay per visit from $85, or use a visit included in your membership. If you go ahead with treatment, we give you the full price first, including any medicine, infusion or product, so there are never surprise bills.
We do not bill insurance. Many patients pay with an HSA or FSA card.
Lydia M. Wheeler, NP-C
Board-certified nurse practitioner and founder. Every visit ends with a plan you understand.
Free tool
Know your numbers
Our preventive screening checklist shows what to keep up to date alongside hormone care.
Common questions
Hormone therapy questions
Still wondering about something? Call or text us Monday to Saturday, 9 AM to 5 PM.
Usually, yes. For men, low testosterone is confirmed with two early-morning tests. For women in menopause, symptoms often guide treatment and labs help rule out other causes.
For most healthy women under 60 or within 10 years of menopause, the benefits usually outweigh the risks. We review your personal risk factors in detail before recommending anything.
We explain the difference between regulated FDA-approved hormones and custom-compounded products, including the trade-offs, so you can make an informed choice.
Yes. Most visits happen by video, labs are drawn near you, and prescriptions are sent to your pharmacy.
Many people notice changes in sleep and hot flashes within a few weeks. Energy and mood can take two to three months.
Keep exploring
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Helpful reading
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Read article →Ready when you are
Ready to talk about hormone therapy?
Book online in a couple of minutes, or call or text us. New-patient visits are 45 minutes, so there is time for every question.