Medically guided hormone care for women navigating perimenopause and menopause: sleep disruption, night sweats, mood changes, brain fog, weight changes, and low libido. Care begins with a comprehensive evaluation and follows a staged plan matched to your labs, your symptoms, and your stage of life. Comparing hormone care options across the Richmond area? See our hormone replacement therapy for women in Richmond, VA page.
The evaluation is the first step for our hormone, weight, and longevity programs. Looking for everyday primary care? Direct Primary Care members enroll online, no evaluation needed.
Perimenopause is the transition leading up to menopause. You may still be cycling, but dealing with sleep disruption, mood changes, or cycle irregularity. Menopause is reached once you’ve gone 12 months without a period.
Under 50 and not sure? Take the two-minute early symptom check: cycle changes, worse PMS, night sweats, brain fog, and slower recovery come long before hot flashes.
Hormonal health in women is complex and highly interconnected. Shifts in estrogen, progesterone, testosterone, thyroid signaling, and stress hormones can influence mood, cycles, energy, sleep, metabolism, cognition, skin, and overall well-being. Evaluating early gives us a clearer baseline to work from.
Hormone replacement therapy is not a one-size-fits-all solution. Hormone signaling, receptor responsiveness, metabolism, and tissue response all occur on different timelines. Introducing support too quickly, or focusing on a single hormone without context, can lead to incomplete results or unwanted side effects.
That’s why hormone care at Venture Wellness follows a staged framework, allowing your body time to stabilize before optimizing.
Hormone care here is not about chasing perfection or suppressing symptoms. It’s about restoring balance, resilience, and quality of life.
Bioidentical hormone replacement therapy (BHRT) uses hormones structurally identical to those produced by the human body: estradiol, progesterone, and in some cases testosterone. More about bioidentical hormone therapy.
We use bioidentical formulations and match the delivery method to your labs, symptoms, and history. Options include injections, patches, oral forms, creams, and a vaginal ring.
We monitor your labs and symptoms and fine-tune your dose as you progress.
Testosterone and androgen balance, thyroid, and cortisol patterns are evaluated alongside estrogen and progesterone.
Your new patient evaluation includes a detailed intake, a medical history review, and comprehensive lab work. We go through your personal and family history together and discuss what the current evidence supports. From there we build a plan designed to support how you feel now and how you age over the next few decades.
For women who benefit from continued care, we offer structured ongoing care plans that support monitoring, education, and long-term hormone health. The appropriate level of care is determined after your evaluation and reviewed clearly before moving forward.
All care is individualized and provided by a licensed medical provider. Results vary based on individual factors.
Our office is in Midlothian. Patients come to us from Richmond, Short Pump, Glen Allen, and the West End, Chesterfield, Chester, Bon Air, and Powhatan, and from further out across central Virginia. Once you’re an established patient, follow-up visits can be done by video.
Many of our patients arrive already on treatment: from a telehealth-only clinic, a practice that has closed or changed hands, a provider who never adjusted the dose, or a pellet clinic they’ve outgrown. Switching is routine for us, and there is no gap in your care.
We transition patients off pellets regularly. Pellets release hormone gradually, so the best time to make the change is close to when your next insertion would be due. Book your evaluation a few weeks ahead of that date so your new plan is ready when the pellet wears off.
No. Many of the women we see are in perimenopause: still cycling, but dealing with sleep disruption, mood changes, or cycle irregularity. Hormone shifts often begin years before periods stop, and evaluating early gives us a clearer baseline to work from.
Sleep and mood often shift within the first few weeks. Energy, libido, and cognitive clarity typically take longer, commonly six to twelve weeks. We monitor your labs and symptoms and fine-tune your dose as you progress. Results vary from person to person.
Bioidentical hormones are structurally identical to what your body produces: estradiol, progesterone, and in some cases testosterone. Traditional HRT has historically used synthetic or animal-derived versions. We use bioidentical formulations and match the delivery method to your labs, symptoms, and history.
Safety depends on your individual history, which is why we start with a full medical review and comprehensive labs rather than a standard protocol. We go through your personal and family history together, discuss what the current evidence supports, and monitor on an ongoing basis.
Often, yes. We work with many women who feel “off” despite being told their labs are normal. We look at estrogen, progesterone, testosterone, thyroid signaling, and stress hormones together, and at how they relate to your symptoms.
The new patient evaluation is $155. The comprehensive lab panel is billed to your insurance by the lab, or $195 self-pay. Ongoing care starts as low as $160 a month; the appropriate level is determined after your evaluation and reviewed clearly with you before moving forward.
We care for patients from Midlothian, Richmond, Chesterfield County, Bon Air, Powhatan, and Chester, and across the greater Richmond area. Visits are in person at our Midlothian office, and by telehealth when it’s clinically appropriate.
Updated September 2026
