Hormone Replacement Therapy in McLean

Feel Like Yourself Again with Doctor-Led HRT

Take this 60-second quiz to learn if bioidentical hormone therapy for symptoms of peri-menopause is right for you.

Hormone Optimization at The Gajer Practice

Are Brain Fog, Low Energy, & Mood Swings Dragging You Down?

Brain fog, fatigue, and mood swings aren’t always just “part of menopause.” If you’ve been feeling off lately, your hormones may be out of balance.

With bioidentical hormone replacement therapy in McLean, Dr. Aleksandra Gajer can help you feel like yourself again.

As an internal medicine physician with a focus on metabolic health, Dr. Gajer uses in-depth labs to get to the root of your hormonal imbalance, not just treat your current symptoms.

With hundreds of glowing reviews and 20,000+ patients treated, she creates a personalized HRT plan to help you feel better now and stay well as you age.

Returning Patient? Book Your Next Visit.

“Her expertise has been so helpful to get me to reach my health goals.” — Hear From Our Patients

Understanding Bioidentical Hormone Replacement Therapy (BHRT)

Bioidentical hormone replacement therapy (BHRT) uses hormones that closely match the ones your body naturally produces, restoring balance when your hormone levels drop during menopause or perimenopause.

By restoring your hormones, such as estrogen and progesterone, to balance, BHRT can improve your energy, mood, sleep, and mental clarity, helping you feel sharper and more in control again.

Dr. Gajer uses in-depth lab testing and adjusts your custom hormone treatment based on your body’s response, helping you feel your best now and age well in the future.

Women's Health by The Gajer Practice
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Are Your Hormones Out of Balance?

If you haven’t felt like yourself lately, your hormones may be to blame.

Signs of hormonal imbalance include:

  • Constant fatigue, even after a full night of sleep
  • Brain fog or trouble focusing
  • Mood swings, irritability, or anxiety
  • Weight gain that’s difficult to control
  • Poor sleep or waking up throughout the night
  • Low libido or changes in sexual health
  • Hot flashes or night sweats


Sound familiar? Let’s talk.

Is BHRT Right for You?

BHRT may be right for you if:

  • You’re experiencing symptoms linked to a hormonal imbalance
  • You’re going through perimenopause or menopause and feeling off lately
  • You’re looking for long-term support, not a quick fix


BHRT may not be right for you if:

  • Your symptoms are caused by a condition unrelated to hormones
  • Certain medical conditions make hormone therapy unsafe for you (we’ll review this during your consultation)


During your first appointment, Dr. Gajer will discuss your symptoms and review your labs to determine whether BHRT may be right for you.

Depending on your needs, she may recommend other treatments, such as GLP-1 medical weight-loss, testosterone replacement therapy or peptide therapy, to help you feel your best again.

How HRT Can Help You Feel Like Yourself Again

Feel more energized, clear-headed, and in control of your health again.

Boost Energy, Cure Brain Fog, & Improve Sleep

Improve your energy, mental clarity, and sleep quality, and wake up refreshed and stay sharp throughout the day.

Safely Rebalance Natural Hormone Levels

Receive continuous oversight as you safely restore your hormone levels to their natural levels.

Support Long-Term Health & Age Well

Support your metabolism, cognitive function, and overall wellness as you progress through menopause.

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What To Expect At Every Stage of Your BHRT Process

From your first consultation to ongoing follow-ups, Dr. Gajer uses your lab data, your symptoms, and your medical history to adjust your HRT plan as needed and help you feel your best.

Here’s what you can expect during your BHRT treatment:

  • A telemedicine consultation to review your symptoms, medical history, and goals
  • In-depth lab testing to evaluate your hormone levels
  • A personalized treatment plan tailored to your body and needs
  • Prescription BHRT when appropriate
  • Regular follow-ups to track how you’re feeling and adjust your plan
  • Ongoing support to help you maintain results and feel your best long-term


Relief starts with your first appointment.

Why Patients Like You Come to The Gajer Practice

When your hormones are affecting your mood, energy, and vitality, you need clear answers and a plan that actually helps you feel better.

That’s why patients across McLean and Northern Virginia come to The Gajer Practice for hormone care that’s built around their needs, not a one-size-fits-all template:

  • 20,000+ patients treated with a focus on long-term wellness and prevention
  • Care led by an internal medicine physician with a deep understanding of metabolic and hormonal health
  • Personalized BHRT plans based on your labs, symptoms, and goals
  • Ongoing check-ins and adjustments so your treatment continues to work as your body changes
  • Hundreds of 5-star reviews from patients who feel their best after coming to us


Ready to get started? Let’s talk.

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Affordable Memberships

With our Hormones and Performance memberships, you can save up to 20% on treatments, medications, and follow-up visits. Instead of paying per appointment, you’ll get a full range of benefits to help you feel your best, month after month.

Here’s what you’ll get with your membership:

Tier 1: $197/month

Best for patients who are just getting started with hormone therapy.

  • Lab Testing as Prescribed
  • 10% Savings on other Services

Tier 2: $397/month

Includes medication and monthly wellness support.

  • Lab Testing as Prescribed
  • 1 Peptide Covered for Full Cycle
  • Compounded Hormone Medications Included ($120 Value)
  • 3 Body Scan and Analysis per 12 Weeks
  • 15% Savings on Additional Services

Tier 3: $797/month

Great for patients seeking hands-on support, coaching, and full-spectrum hormone care.

  • Unlimited Doctor Visits
  • 3 Peptides Covered for Full Cycle
  • GLP-1 Agonists Covered
  • Compounded Hormone Medications Included ($250 Value)
  • 4 Body Scans per 12 Weeks
  • 20% Savings on Other Services

Serving The Following Communities Throughout Virginia

HRT Questions We Hear From Patients Like You

Many patients notice improvements in their energy, mood, and focus within a few weeks, with continued progress as your plan is adjusted.

We are a private-pay practice and do not bill insurance directly. You may be able to use HSA or FSA funds, and we can provide receipts if you plan to submit a reimbursement request.

Some patients experience mild, temporary side effects as their body adjusts, but we closely monitor your treatment to keep you comfortable.

Possible side effects may include:

  • Mild fluid retention or bloating
  • Temporary acne or skin changes
  • Breast tenderness
  • Headaches
  • Mood fluctuations early in treatment
  • Injection site soreness (if applicable)

Your schedule depends on your personalized plan, but most patients follow a biweekly or weekly routine with regular check-ins.

SCHEDULE A FREE CONSULTATION

Your Best Self Starts Here. Book Your Telehealth Appointment Today!

 

Menopause or perimenopause doesn’t have to leave you exhausted, stressed, or constantly “off.” 

With personalized, physician-led hormone replacement therapy, Dr. Gajer will help you feel clear-headed, energized, and like yourself again, now and into the future.

Let’s get you feeling like you again.

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