
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 sayWith 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.

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.
These symptoms can point to a hormone imbalance:
Because each of these can have more than one cause, the first step is finding out which one is yours.
Book My BHRT ConsultationPerimenopause, 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.
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.
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:
If you'd like to read up before booking, our menopause guide is free to download.
Here's how we get from your first visit to a plan that fits:
A little prep helps you get further in your first visit:
Bring that list to your consultation, and we'll start from there.
Book My BHRT ConsultationSeeing your hormones side by side shows whether one is low or several are out of balance. A panel can cover the following:
| For | What we can test |
|---|---|
| Women | Progesterone, estrogen, testosterone, thyroid, DHEA, and IGF-1, a marker of growth hormone |
| Men | Testosterone at the center, with thyroid, cortisol, estrogen, DHEA, and IGF-1 checked next to it |
Bioidentical hormones aren't only for women, and the care looks a little different for each:
For women, BHRT usually centers on perimenopause and menopause. If your symptoms don't fit neatly into either, our women's hormone balancing services also look at changes in energy, mood, sleep, and weight.
Men use bioidentical hormones too, usually testosterone, and only when testing confirms it's low. In that case, testosterone replacement therapy starts with early-morning labs, and men's health care near Charleston looks at the energy, strength, and mood changes around it.
Depending on your needs and medical history, BHRT can come in several forms:
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
It isn't right for everyone, and your consultation and labs show which side you're on:
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.
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.
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 ConsultationHormones 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.
From downtown Charleston, plan on about 26 minutes and 22.9 miles, mostly on I-64 West.
Set aside 30 to 60 minutes. The visit is private, and that includes the symptoms that can feel awkward to bring up.
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.
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.
Joining the Total Health Pros app puts $25 toward any service, and the app lists financing options too.
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
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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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