Hormone Replacement Therapy in Annandale

Get Your Energy and Vitality Back with Doctor-Led BHRT

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

Leave Brain Fog, Mood Swings, & Fatigue in The Past

If menopause or perimenopause are making you feel exhausted, moody, or just off, bioidentical hormone replacement therapy in Annandale can restore your energy and mental clarity.

As an internal medicine physician, Dr. Aleksandra Gajer looks closely at your symptoms, hormone levels, and lab results to determine what’s really causing your symptoms, not just treat surface-level concerns.

With a track record of 20,000+ patients treated and a 4.9 Google rating, she creates a personalized HRT plan to help you feel better now and stay well through every stage of life.

Returning Patient? Book Your Next Visit.

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How Bioidentical Hormone Replacement Therapy Works

Bioidentical hormone replacement therapy uses hormones that closely match the ones your body naturally makes, correcting imbalances caused by menopause or perimenopause.

By restoring levels of estrogen, progesterone, and other key hormones, BHRT can improve your energy, sleep, mood, focus, metabolism, and sexual wellness.

Dr. Gajer uses your symptoms and lab results to create a treatment plan that works for your body, adjusting your plan over time to help you feel your best as you age.

Women's Health by The Gajer Practice
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Could Hormone Imbalance Be the Cause of Your Symptoms?

Hormone changes can affect everything from your mental clarity to your energy levels throughout the day. 

If you experience any of the following, your hormone levels may be out of balance:

  • Ongoing fatigue or low energy
  • Brain fog or trouble concentrating
  • Mood swings, irritability, or anxiety
  • Hot flashes or night sweats
  • Trouble falling asleep or staying asleep
  • Weight gain that feels harder to manage
  • Low libido or changes in sexual wellness
  • Feeling unlike yourself without knowing why


Sound familiar? Let’s talk.

Is BHRT Right For Your Needs?

BHRT may be the right option if your symptoms are linked to menopause, perimenopause, or another hormone imbalance.

You may be a good candidate if:

  • You’ve noticed changes in your energy, mood, sleep, or focus 
  • You’re experiencing hot flashes, night sweats, or low libido
  • You’re looking for ongoing support as your hormone needs change
  • Your medical history and lab results show that hormone therapy may be safe for you


You may not be a good fit if:

  • Your symptoms are caused by another issue unrelated to your hormones
  • You have a health condition that may make hormone therapy unsafe
  • You are pregnant, breastfeeding, or trying to become pregnant


Dr. Gajer will review your symptoms, medical history, and lab results before recommending treatment.

Depending on your needs, she may also suggest complementary wellness therapies like peptide therapy, testosterone replacement therapy, or GLP-1 medical weight loss to help you feel your best.

The Life-Changing Benefits of Hormone Replacement Therapy

When your hormones are balanced, you’ll feel more energized, focused, emotionally steady, and more like yourself again.

Here’s why so many women in Fairfax, McLean, and across Northern Virginia come to us to feel their best through menopause and beyond:

Reclaim Energy and Mental Clarity

BHRT can reduce fatigue, clear brain fog, improve sleep, and help you move through your day with more energy and focus.

Regulate Hormone Levels

Based on your lab results, Dr. Gajer creates a custom BHRT plan to restore your hormone levels to a healthier range, adjusting your treatment as your needs change.

Stay Healthy At Every Stage of Womanhood

Balanced hormones can support your metabolism, mood, cognitive health, sexual wellness, and overall vitality through every stage of life.

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Your HRT Process: What To Expect

Your HRT plan starts with a closer look at your symptoms, hormone levels, medical history, and goals so Dr. Gajer can determine what your body needs.

Here’s what your process may include:

  • A complimentary telemedicine consultation to discuss how you’ve been feeling
  • Lab testing to measure your hormone levels and other important health markers
  • A personalized treatment plan based on your symptoms, results, and history
  • Prescription bioidentical hormones when treatment is appropriate for you
  • Follow-up visits to track your progress and make adjustments as needed
  • Ongoing medical support as your symptoms, body, and goals change


Your treatment is never set in stone, and Dr. Gajer will continue to refine your plan to help you feel better and maintain your results over time.

Why Patients Like You Come to Dr. Gajer

You deserve hormonal care that looks beyond your symptoms and gives you a plan built around your body.

Here’s why women across Annandale and Northern Virginia trust Dr. Gajer:

  • 20,000+ patients treated with a focus on prevention, wellness, and long-term vitality
  • Internal medicine physician with experience in hormonal and metabolic health
  • In-depth lab testing to pinpoint the cause of your symptoms
  • Ongoing follow-ups and treatment adjustments as your needs change
  • 4.9 Google rating from patients like you
  • Telemedicine consultations that make it easier to get started

Ready to feel your best, now and for years to come?

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Membership Plans to Keep Your Treatments Accessible

Our unbeatable Hormones and Performance memberships can help you save up to 20% on treatments, medications, and follow-up visits. 

Instead of paying per appointment, you’ll get a range of benefits to keep you strong and healthy as you progress through perimenopause or menopause.

Here’s what you’ll get with each membership tier: 

 
Tier 1
$197/month
Tier 2
$397/month
Tier 3
$797/month
Doctor Visit & Labs
Doctor visit and labs every 3 months
Value: $175
Doctor visit and labs every 2 months
Value: $263
Unlimited doctor visits and 1 monthly lab draw
Value: $525
Medications & Tests
Self-pay all meds and tests
Value: $0
Compounded hormone med cost covered, other meds and tests self-pay
Value: $120
All compounded meds covered, GLP-1 agonists covered, one specialty test per quarter covered
Value: $500
Peptides
Self-pay peptides
Value: $0
1 peptide covered for full cycle
Value: $500
3 peptides covered for full cycle
Value: $1,500
Health Coaching
Targeted health coaching every 3 months
Value: $50
Targeted health coaching every month
Value: $100
Monthly health coaching with weekly sessions if necessary
Value: $600
Wellness Injections
Self-pay (NAD+, B12, tri-immune, lipo-amino)
Value: $0
1 free wellness injection up to 2x monthly
Value: $150
Unlimited wellness injections, up to one per week
Value: $325
Body Composition Scan
2 body scans per 12 weeks
Value: $100
3 body scans per 12 weeks
Value: $200
4 body scans per 12 weeks
Value: $400
Discounts
10% off all other offers
Value: $150
15% off all other offers
Value: $200
20% off all other offers
Value: $300
Monthly Cost
$197/mo
vs. $475/mo retail value
$397/mo
vs. $1,533/mo retail value
$797/mo
vs. $4,150/mo retail value

Serving These Cities & Neighborhoods Throughout Virginia

Frequently Asked Questions About Hormone Replacement Therapy

Your first telemedicine consultation is complimentary, while the intake visit is $300 and optional hormone lab testing is $250.

Follow-up visits are $200, additional labs are available for $250, and we offer flexible financing plans with CareCredit, Affirm, and our mobile app.

You may feel improvements in your energy, sleep, mood, and mental clarity within the first few weeks of treatment.

Your results will continue to build as Dr. Gajer monitors your progress and adjusts your plan over time.

The Gajer Practice is a private-pay clinic and does not bill insurance directly.

You may be able to use HSA or FSA funds, and we can provide documentation for you to submit to your insurance provider for possible reimbursement.

You may experience temporary side effects as your body adjusts, including:

  • Bloating
  • Headaches
  • Breast tenderness
  • Mild acne
  • Mood changes
  • Soreness at the injection site


Dr. Gajer will monitor your response and adjust your treatment if needed.

Your treatment schedule depends on your symptoms, lab results, and the type of hormone therapy included in your plan.

You may follow a weekly or biweekly routine, along with regular follow-up visits to track your progress and update your care plan.

SCHEDULE A FREE CONSULTATION

Relief Starts with Your First Appointment. Book Today!

Brain fog, low energy, and mood swings aren’t just “part of aging.” You deserve care that takes your concerns seriously.

With physician-led hormone replacement therapy, Dr. Gajer will help you restore balance, feel more like yourself again, and support your health through every stage of life.

Relief starts with a virtual consultation.

Submit a contact form to be contacted by our team!

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👋 Have a question?
Assistant The Gajer Practice
General info only — not medical advice. For anything urgent, call 703-866-4144.