Hormone Replacement Therapy in Alexandria

Get Your Energy & Vitality Back with 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

Are Brain Fog and Fatigue Slowing You Down?

You don’t have to keep pushing through poor sleep, low energy, or mood swings during menopause or perimenopause. 

Bioidentical hormone replacement therapy in Alexandria can rebalance your body and mind to help you feel your best again.

As an internal medicine physician, Dr. Aleksandra Gajer combines detailed lab testing with a careful review of your symptoms and health history to create a personalized HRT plan that fits your body’s needs.

With a 4.9/5-star rating from over 20,000 patients, Dr. Gajer goes beyond surface-level concerns to help you feel better, today and through every stage of womanhood.

Returning Patient? Book Your Next Visit.

“The Gajer Practice is a highly knowledgeable, professional, and courteous team! Highly recommend; the results speak for themselves!” — Real Patient Reviews

Understanding Bioidentical Hormone Replacement Therapy

BHRT uses hormones with the same chemical structure as those your body produces naturally, helping you manage symptoms associated with declining estrogen and progesterone levels during perimenopause and menopause.

By supplementing these hormones, BHRT can relieve hot flashes, improve sleep, and ease other symptoms that disrupt your daily life.

Dr. Gajer evaluates your symptoms, medical history, and lab results to determine the right treatment approach, then monitors your progress and adjusts your plan as your needs change.

Women's Health by The Gajer Practice
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Could Your Hormones Explain the Changes You’re Noticing?

As you move through perimenopause or menopause, shifting hormone levels can trigger symptoms that affect your comfort, daily routine, and overall well-being.

If you notice any of the following signs, your hormones may be out of balance: 

  • Feeling tired even after a full night’s sleep
  • Forgetfulness, brain fog, or difficulty staying focused
  • Increased irritability, anxiety, or unexpected mood changes
  • Waking up throughout the night or struggling to get restful sleep
  • Sudden hot flashes or sweating while you sleep
  • Unexplained weight changes or difficulty losing weight
  • Reduced sex drive or vaginal dryness
  • Feeling less motivated or energetic than you used to


Sound familiar? Let’s find out what’s going on.

Would BHRT Make Sense for Your Goals?

You may benefit from BHRT if:

  • Menopause or perimenopause symptoms are interfering with your daily life
  • Hot flashes or night sweats are making it difficult to rest comfortably
  • You’re experiencing vaginal dryness or discomfort during intimacy
  • You’re willing to attend regular check-ins to monitor your response to treatment


BHRT may not be recommended if:

  • Your symptoms have another medical cause that requires different treatment
  • You have a history of certain hormone-sensitive cancers
  • You’ve experienced blood clots, stroke, or certain cardiovascular conditions
  • You have unexplained vaginal bleeding that hasn’t been evaluated
  • You’re currently pregnant or breastfeeding


Dr. Gajer will assess your medical history, symptoms, and goals to determine whether hormone replacement therapy may be right for you.

When appropriate, she may also recommend other options such as peptide therapy, testosterone replacement therapy, or medical weight loss based on your individual needs.

How Hormone Therapy May Help You Feel Like Yourself Again

You deserve to enjoy your days without menopause symptoms getting in the way. With personalized BHRT, you may experience improvements in how you sleep, feel, and function every day.

Feel More Energized and Clear-Headed

By easing symptoms that disrupt your sleep, hormone therapy can reduce exhaustion and make it easier to stay focused throughout the day.

Support Healthier Hormone Levels

Dr. Gajer uses your medical history, symptoms, and lab findings to determine the appropriate hormone therapy and dosage for your body's changing needs.

Feel Your Best Through Every Life Stage

BHRT can help you manage uncomfortable symptoms during perimenopause, menopause, and beyond, so you can continue enjoying the activities and routines you love.

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What to Expect When Starting HRT

Your path to feeling better begins with a personalized evaluation, where Dr. Gajer gets to know your health concerns and determines whether BHRT is right for you.

Here’s how we’ll guide you through treatment:

  • Start with a free virtual consultation to talk about the changes you’ve noticed and what you’d like to improve
  • Evaluate your hormone health through blood work and other testing when needed
  • Explore your treatment options with recommendations tailored to your medical needs and personal goals
  • Begin your prescribed BHRT regimen with guidance on your medication, dosage, and treatment schedule
  • Check in with Dr. Gajer regularly to discuss symptom improvements, address concerns, and evaluate your response
  • Make changes as needed to keep your care aligned with your health and priorities over time


You’ll have direct access to Dr. Gajer throughout your treatment, so you can make informed decisions about your hormonal health at every step.

The Difference You’ll Find in Dr. Gajer’s Approach

When you’re concerned about your hormones, you need a physician who listens to your concerns, takes your symptoms seriously, and helps you make informed decisions about your care.

Here’s why women in Alexandria and throughout Northern Virginia choose The Gajer Practice:

  • 20,000+ patients treated since 1989
  • Physician-led hormone care from Dr. Aleksandra Gajer, an internal medicine physician focused on preventive health and long-term wellness
  • In-depth hormone and metabolic testing to identify potential imbalances and guide your treatment
  • Individualized BHRT plans that account for your symptoms, medical background, and personal health goals
  • Continued monitoring to assess your results and modify your treatment when necessary
  • 4.9/5-star Google rating from our happy patients 
  • Convenient telemedicine visits that let you connect with our team without unnecessary trips to the office


You’re more than a set of lab results. We’re here to help you make meaningful progress toward feeling your best.

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Membership Plans Designed Around Your Needs

Our Hormones and Performance memberships offer different levels of ongoing support.

With plans starting at $197 per month, you can access benefits like physician visits, lab work, health coaching, and eligible medications depending on your membership tier, with discounts of up to 20% on other services.

Explore your options below to find the level of care that best fits your needs, goals, and budget.

 
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

Proud to Serve Alexandria and Nearby Virginia Communities

What Patients Want to Know About HRT

We offer a free initial telemedicine consultation, followed by a $300 intake appointment, $250 hormone testing (if needed), and $200 follow-up visits. Additional lab work costs $250, and financing is available through CareCredit, Affirm, and our mobile app.

Some women notice better sleep, improved mood, and increased energy within a few weeks, although your timeline will depend on your symptoms and your body’s response. Dr. Gajer will track your progress and make adjustments to help you get the most from your treatment.

We’re a private-pay practice, so we do not submit claims to insurance companies, but you may qualify for reimbursement through your provider. We can supply the necessary paperwork, and you may also be able to pay using your HSA or FSA.

Some women experience temporary side effects such as:

  • Bloating
  • Headaches
  • Breast tenderness
  • Mild acne
  • Mood changes


Dr. Gajer will discuss potential risks with you and monitor your treatment to help manage any unwanted symptoms.

Your dosing routine will depend on the hormones prescribed, how they’re administered, and your individual response to therapy. Some treatments require weekly or biweekly dosing, while others are taken daily, with periodic appointments to reassess your needs.

 

SCHEDULE A FREE CONSULTATION

Ready To Feel Your Best Again?

You don’t have to keep struggling through menopause and perimenopause symptoms. 

Dr. Gajer will work with you to create a personalized hormone therapy plan and help you regain your energy, improve your daily comfort, and feel your best for years to come.

Take the first step toward feeling better with a free 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.