Hormone Replacement Therapy (HRT) for Men & Women in Westchester, NY

Bellava MedAesthetics & Plastic Surgery Center offers hormone replacement therapy (HRT) for men and women at our office in Bedford Hills, New York, serving all of Westchester County. Men are treated for low testosterone with testosterone replacement therapy (TRT); women are treated with estrogen and progesterone therapy for perimenopause, menopause and post-menopause. Every plan begins with lab work and an in-person consultation, and is overseen by Bellava’s medical director, Donna D’Alessio, MD.

What Is Hormone Replacement Therapy?

Hormone replacement therapy, usually shortened to HRT, is a medical treatment that restores hormones your body no longer makes in sufficient amounts. For women that typically means estrogen and progesterone; for men it mainly means testosterone. When levels fall below the range your body works best in, the effects reach well beyond one symptom: fatigue, mood changes, broken sleep, weight that will not move, lower libido and a loss of mental sharpness.

HRT replaces what is missing in steady, measured doses. The goal is not the highest number a lab can report — it is bringing your levels back into a normal, functional range where you feel like yourself again. At Bellava, that range is set from your own blood work and your history, not from a standard protocol.

HRT for Women: Perimenopause and Menopause

Perimenopause, menopause and the years after change estrogen and progesterone levels, and the effects go far past hot flashes. Women commonly come to us with:

• Hot flashes, night sweats or broken sleep
• Fatigue and brain fog that rest does not fix
• Mood changes, anxiety or irritability that feel hormonal
• Weight gain around the middle and muscle tone that is slipping
• Low libido and changes in sexual wellness
• Perimenopause, menopause or post-menopause symptoms

With consistent, monitored treatment, many women notice better sleep, steadier energy and mood, clearer thinking and renewed confidence.

HRT for Men: Low Testosterone (TRT)

Testosterone falls gradually, so most men put the symptoms down to work, age or stress for years before anyone measures it. Testosterone replacement therapy (TRT) may help if you are dealing with:

• Flat energy, poor stamina and afternoon crashes
• Muscle mass falling away despite training
• Low libido and reduced sexual performance
• Irritability, low mood or a short fuse
• Brain fog and trouble concentrating
• Low testosterone confirmed by lab testing

TRT is dosed to bring testosterone back into a healthy range, then rechecked and adjusted, so the result feels natural rather than overshot.

How Hormone Therapy Works at Bellava

1. Consultation, in person. You come in to our Bedford Hills office and tell us what has changed: the sleep, the energy, the weight, the mood, the sex drive. We take a full health history in the room.
2. Lab work first. Hormone levels are measured before anything is prescribed, and the numbers are read alongside your symptoms — two people with the same result do not always need the same thing.
3. A plan written for you, overseen by a physician. What to use, at what dose and in what form, and what to expect in the first months, under the oversight of Dr. D’Alessio.
4. Recheck and adjust. Follow-up labs and visits, with the dose adjusted on evidence. If hormone therapy turns out not to be right for you, we say so.

Treatment Options

Hormone therapy is prescription-based, and the delivery method is matched to how you live:

• Injections: precise, adjustable dosing for close control of your levels
• Topical therapy: creams or gels applied to the skin for flexible, daily use

Your provider will go through which option suits your schedule and preferences at the consultation.

Benefits of HRT

• More energy and better focus
• Improved mood and sleep
• Restored libido and sexual wellness
• Easier weight management and better muscle tone
• A greater sense of well-being and confidence

Is HRT Right for You?

Hormone replacement therapy may be worth discussing if you recognize several of the symptoms above, if menopause or perimenopause is affecting your daily life, or if a blood test has already shown low testosterone. The only way to know is to measure: the consultation and lab work tell you whether your symptoms are hormonal, and what to do about them if they are.

HRT Side Effects and Safety

HRT is well tolerated by most patients when it is prescribed and monitored by a qualified medical provider. Some temporary effects can occur in the first weeks while your body adjusts:

• Mild bloating, breast tenderness or mood swings, particularly while estrogen levels settle in women
• Acne or skin changes early in treatment, which usually ease as the dose is fine-tuned
• Fluid retention or mild swelling
• Soreness or redness at an injection site

HRT is not appropriate for everyone. A personal or family history of hormone-sensitive cancers, blood clots or certain cardiovascular conditions may rule it out, which is why a full health history and lab evaluation come before any prescription, and why treatment is followed up with regular testing.

Why Choose Bellava for HRT in Westchester

• Physician-led care: every hormone plan is overseen by Bellava’s medical director, Donna D’Alessio, MD, board certified in Physical Medicine & Rehabilitation.
• Seen in person, not over a screen: a real office in Bedford Hills with a team you meet, not a questionnaire and a shipped protocol.
• Lab-based dosing: treatment is driven by your own results and reviewed with follow-up testing.
• Men and women: testosterone therapy for men and menopause hormone therapy for women, under one roof.
• The rest of your care in one place: Bellava also offers physician-supervised semaglutide weight-loss injections, aesthetic treatments and plastic surgery.

Hormone Replacement Therapy Near You in Westchester County

Bellava is at 182 Rte 117 Bypass Rd, Bedford Hills, NY 10507, a short drive from Mount Kisco, Katonah, Bedford, Yorktown, Somers, Ossining, Mount Pleasant, Cortlandt, Peekskill, North Castle and White Plains. Patients come to us for hormone therapy from across Westchester and the surrounding area.

Call (914) 864-2140 or book a consultation online to find out whether hormone replacement therapy is right for you.