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Hormone care for Charleston

Bioidentical Hormone Replacement Therapy (BHRT) near Charleston, WV

Maybe it's the hot flash that hits in the middle of a meeting, or waking up soaked at night, or moods that just don't feel like your own anymore.

BHRT may help. We'll start by finding out what's really behind those changes, so anything we suggest fits your body instead of a guess.

Book My BHRT Consultation Patients rate us 5.0 on Google Read what they say
To talk through BHRT before booking, call (304) 382-2080.

What Is BHRT?

With BHRT, you take prescription hormones whose molecules match the ones your own body makes. The ones used most are estrogen (often estradiol), progesterone, and sometimes testosterone. At Total Health Pros, your symptoms and any lab results guide the dose.

Dr. Darrin A. VanScoy, founder of Total Health Pros

Short Nights Are Common Around Charleston

Night sweats hit harder when sleep is already short, and short sleep is common here. CDC estimates suggest about 4 in 10 adults in Kanawha County get less than seven hours a night, a bit more than the national rate.

Two of our team live nearby. Our founder, Dr. Darrin A. VanScoy, lives near Charleston, and other medical professionals respect his knowledge of women's hormone health around menopause. Jennifer Ranson, a family nurse practitioner, lives in St. Albans.

When Hormones Might Be the Reason

These symptoms can point to a hormone imbalance:

  • Hot flashes or night sweats can throw off your sleep and your workday, and they're one of the clearest signs worth testing.
  • Waking at 3 AM night after night drains everything else in your day.
  • Irritability or low moods that seem to come out of nowhere can follow hormone shifts.
  • A lower sex drive is common, and it's worth bringing up at your consultation.
  • Fatigue or stubborn weight gain often has company, like poor sleep or a stressful stretch at work.

Because each of these can have more than one cause, the first step is finding out which one is yours.

Book My BHRT Consultation

Perimenopause, Menopause, and After

Perimenopause, the stretch leading up to menopause, can last for several years. Along the way, you might notice changes in your periods, hot flashes, trouble sleeping, vaginal dryness, mood changes, or bladder issues. Sometimes several show up at once.

Perimenopauseoften starts in your 40s
Menopause12 months after your last period
Afterthe years that follow

Most women reach menopause somewhere between 45 and 55. Where you are in that stretch shapes what your lab results mean and what your plan should do, so we start by mapping your timeline.

What Can Help Before Your Visit

The National Institute on Aging's advice on hot flashes points out that they can last for many years. So it's worth easing them where you can while you find out what's causing them. These steps come from that advice:

  • For night sweatsTurn the bedroom temperature down, layer your bedding so you can pull some off, and keep a fan running. A few sips of cold water before bed can help too.
  • During the dayWear layers you can take off when a hot flash starts. A small fan in your bag or on your desk helps when one hits.
  • At the tableAlcohol, spicy food, and caffeine can make symptoms worse. Try cutting back on one at a time to see which matters for you.
  • On paperJot down what seems to set off each hot flash and how much it bothers you. After a week or two, patterns start to show.

If you'd like to read up before booking, our menopause guide is free to download.

Our BHRT Process

Here's how we get from your first visit to a plan that fits:

  1. At your consultation, you tell us what's changed, when it started, and what you've tried so far.
  2. Then we go through your health history, medications, and symptoms, and screen for anything that would make hormone therapy unsafe for you.
  3. If testing will help, we order it through our hormone lab testing. Then we walk you through the results in plain language.
  4. If BHRT is right for you, we choose a form together and set up your follow-up checks.

What to Bring to Your Consultation

A little prep helps you get further in your first visit:

  • Your symptom notes, including when each one started and anything that makes hot flashes better or worse.
  • Every medication and supplement you take, with the doses if you have them.
  • Any recent lab results. Even older ones help show how things have changed.
  • Your family's health history, as best you know it.
  • If you still have periods, any changes in timing or flow. They help show where you are in perimenopause.
  • The questions you most want answered, like which labs make sense for you or which form might suit your routine.

Bring that list to your consultation, and we'll start from there.

Book My BHRT Consultation

Which Hormones Your Labs Can Cover

Seeing your hormones side by side shows whether one is low or several are out of balance. A panel can cover the following:

ForWhat we can test
WomenProgesterone, estrogen, testosterone, thyroid, DHEA, and IGF-1, a marker of growth hormone
MenTestosterone at the center, with thyroid, cortisol, estrogen, DHEA, and IGF-1 checked next to it

For Women and Men

Bioidentical hormones aren't only for women, and the care looks a little different for each:

Pick a Form That Suits Your Life

Depending on your needs and medical history, BHRT can come in several forms:

  • Pills
  • Patches
  • Creams or gels
  • Injections
  • Implanted pellets

Your routine matters here as much as your labs. If you already take a pill every morning, one more may be the easiest fit. If you travel a lot or tend to forget daily doses, tell us, because some forms ask less of your day than others.

"My hormones are in check. I'm not exhausted. I feel better in my own skin."Jessica D.Read Jessica's review on Google

Is BHRT Right for You?

It isn't right for everyone, and your consultation and labs show which side you're on:

It can be a good fit when

Your symptoms line up with a hormone shift, and your labs back that up. It also helps if you're ready to tell us honestly how each change feels, good or bad.

It may not be right when

Your results point to a different cause, or BHRT isn't a safe match for you. Either way, we'll talk through what to work on next.

What Your Follow-Ups Look Like

Think of your first dose as a starting point. At each follow-up, we'll go over how your symptoms have changed and adjust the dose, the timing, or the form you're using. When labs would help, we repeat them. That way, you're not left doing trial and error on your own.

Find out whether BHRT is the right fit for you.

Book My BHRT Consultation

Sleep, Food, and Stress Matter Too

Hormones work better when the rest of your routine supports them, so your plan also covers sleep, food, stress, and movement. That might mean functional nutrition counseling to steady your energy through the day.

When stress keeps you up at night, stress reduction and mind-body coaching teaches you practical ways to wind down. And if weight gain came along with your hormone changes, a 3D body composition scan tracks your fat and lean mass as the plan settles in.

Directions From Charleston

From downtown Charleston, plan on about 26 minutes and 22.9 miles, mostly on I-64 West.

26 minfrom downtown Charleston
22.9 mimostly on I‑64 West
Exit 39WV-34 South
  1. Get on I-64 West from US-60 West and Washington Street East.
  2. Take exit 39 from I-64 West for WV-34 South.
  3. Follow WV-34 South to Chase Drive and Chase Park.
  4. Arrive at 206 Chase Pk, Hurricane, WV 25526.
Get Directions in Google Maps

BHRT Questions

How long is the first visit, and is it private?

Set aside 30 to 60 minutes. The visit is private, and that includes the symptoms that can feel awkward to bring up.

Do I have to be in menopause to start?

No. Many women first notice symptoms during perimenopause, while they still have periods. You don't have to wait for your periods to stop before asking about hormone care.

I tried hormone therapy somewhere else. Can you still help?

Yes. Bring what you were prescribed and how it went. Knowing what didn't work, or what side effects you had, helps us choose a different form or dose.

Are there ways to save or spread out the cost?

Joining the Total Health Pros app puts $25 toward any service, and the app lists financing options too.

Start With a Conversation

One consultation is enough to learn whether BHRT makes sense for you, and what else could help if it doesn't.

Book My BHRT Consultation
Or call (304) 382-2080 with any questions about hormone therapy.
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Ascent Elite Health - Total Health Pros

Address: 206 Chase Pk, Hurricane, WV 25526

Phone: (304) 382-2080

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