Hormone Replacement Therapy in Fairfax

Reclaim Your Energy & Focus with A Physician-Led HRT Plan

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

Don’t Let Brain Fog or Low Energy Control Your Days Anymore

When menopause or perimenopause leaves you feeling drained, moody, and just not like yourself, bioidentical hormone replacement therapy in Fairfax can restore balance to your body and mind.

As a hormone specialist, Dr. Aleksandra Gajer uses in-depth lab testing to uncover what’s really driving your symptoms and create an HRT plan to address imbalances at the source.

With a track record of 20,000+ successful treatments, she goes beyond temporary fixes to help you feel your best, now and through every stage of life.

Returning Patient? Book Your Next Visit.

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

How Does Bioidentical Hormone Replacement Therapy (BHRT) Work?

Bioidentical hormone replacement therapy (BHRT) replenishes hormone levels that may drop or fluctuate as your body goes through menopause and perimenopause.

Dr. Gajer uses hormones that mirror your body’s natural production, bringing your estrogen, progesterone, and other hormone levels back into balance.

She starts with detailed lab work to assess how your hormone levels are affecting your energy, focus, sleep, mood, metabolism, and sexual wellness.

From there, she creates and monitors your HRT plan, adjusting your care as needed to support your evolving needs and long-term health.

Women's Health by The Gajer Practice
Profile Side Photo Of Young Handsome Bristle Man Confident Look

Signs Your Hormones May Be Out Of Balance

Hormone changes during menopause and perimenopause can affect the way you feel, think, sleep, and move through your day.

You may be dealing with a hormone imbalance if you notice:

  • Ongoing fatigue or low energy
  • Brain fog or difficulty concentrating
  • Mood changes, irritability, or anxiety
  • Trouble falling asleep or staying asleep
  • Hot flashes or night sweats
  • Weight gain that feels harder to manage
  • Lower libido or changes in sexual wellness

Sound like you? Let’s talk.

Is BHRT The Right Step for You?

BHRT may be a good fit if you want more than temporary symptom relief. This treatment is designed for women who want clear answers, lab-guided care, and ongoing medical support as their hormones shift during perimenopause or menopause.

BHRT may be worth considering if you:

  • Feel like your body has changed in ways that are hard to explain or manage on your own
  • Want to better understand whether hormones are contributing to changes in your energy, mood, sleep, weight, or sexual wellness
  • Are looking for a personalized plan based on your symptoms, health history, and lab results
  • Prefer physician-led care instead of guessing with supplements, lifestyle changes, or short-term fixes
  • Want support that can evolve with you as your body and goals change


During your consultation, Dr. Gajer will review your symptoms, medical history, and lab results to determine whether BHRT is a safe and appropriate option for you. If another treatment is a better fit, she may recommend related options such as peptide therapy, testosterone replacement therapy, or GLP-1 medical weight loss to support your energy, metabolism, and overall wellness.

The Life-Changing Benefits of HRT

When your hormones are working in harmony again, you’ll feel more energized, emotionally balanced, mentally sharp, and connected to yourself as menopause changes your body.

Improve Energy, Sleep Better, & Leave Brain Fog Behind

BHRT can help you sleep more soundly, think more clearly, and get through your day with the energy and focus you’ve been missing.

Restore Your Body’s Natural Hormone Levels

Dr. Gajer customizes your treatment plan around your lab results and symptoms to bring your hormone levels back into a healthier range.

Stay Healthy As You Age

Balanced hormones can support your metabolism, cognitive function, mood, and overall wellness, helping you feel better now and age well in the future.

I Hope You Packed The Champagne. Shot Of A Couple.

Your BHRT Process, Step By Step

Starting BHRT should feel clear and personalized, not overwhelming. Dr. Gajer takes time to understand your symptoms, review your labs, and build a plan around what your body needs.

Your process may include:

  • Complimentary telemedicine consultation to discuss your symptoms, health history, lifestyle, and goals
  • Advanced lab testing to evaluate hormone levels and other key health markers
  • Personalized treatment planning based on your symptoms, lab results, and medical history
  • Prescription hormone therapy when BHRT is safe and appropriate
  • Follow-up care to monitor your progress and adjust treatment as your body responds


BHRT is not a one-size-fits-all prescription. Your plan can evolve over time based on how you feel, how your body responds, and what your long-term wellness goals look like.

Why 20,000+ Patients Like You Have Trusted Dr. Gajer

Patients across Fairfax, McLean, and Northern Virginia trust Dr. Gajer to help them feel healthier, stronger, and more energized through menopause, perimenopause, and beyond.

Here’s what sets us apart:

  • 20,000+ patients treated with a focus on prevention, wellness, and long-term vitality
  • Care led by Dr. Aleksandra Gajer, an internal medicine physician with a background in metabolic health
  • Advanced lab testing to uncover the root cause of your hormone-related symptoms
  • Ongoing follow-ups and treatment adjustments as your body changes
  • 4.9/5 Google rating with hundreds of positive patient reviews 
  • Telemedicine appointments available for your convenience


Ready to feel like yourself again?

Focused Middle Aged Caucasian Man Making Some Notes While Sitting

Our Affordable Membership Options

Our 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 your body balanced as you go through perimenopause or menopause.

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

Here's how our Hormones and Performance membership tiers work:

 
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 Patients in The Following Communities

Everything You Should Know Before Starting HRT

Your first telemedicine consultation is free, while intake visits are $300, and optional hormone lab testing is available for $250.

Follow-up appointments are $200, additional labs can be added for $250, and we offer flexible financing through CareCredit, Affirm, and our mobile app.

Many women going through menopause or perimenopause notice improvements in their energy, sleep, mood, and mental clarity within the first few weeks of BHRT treatment.

Your results continue to build as Dr. Gajer adjusts your plan based on your symptoms and lab work over time.

The Gajer Practice operates as a private-pay clinic, so we do not bill your insurance company directly.

You may still be able to use HSA or FSA funds for your care, and we can provide documentation if you want to request reimbursement through your insurance provider.

Some women experience mild side effects early in treatment while their body adapts to changing hormone levels, though these symptoms are usually temporary.

Possible side effects may include bloating, headaches, breast tenderness, mild acne, mood changes, or soreness at the injection site.

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

Most patients follow a weekly or biweekly routine with regular follow-up visits to monitor progress and make adjustments when needed.

SCHEDULE A FREE CONSULTATION

Ready To Feel Like Yourself Again?

You don’t have to keep pushing through exhaustion, brain fog, sleep issues, and mood changes.

With physician-led hormone replacement therapy, Dr. Gajer will balance your body, improve your energy, and help you feel more like yourself.

Ready to feel your best again?

Submit a contact form to be contacted by our team!

Special

SUMMER SAVINGS SALE!

25% off Everything in the app.

July 2nd - July 6th, 2026

CODE: SUMMER26

The Peptide Revolution

Reserve your seat now for the 30-Minute Webinar & take the first step toward next-level performance