Hormone Therapy for New Castle, NY

Hormones change in stages

Hormone replacement therapy at Bellava is for men and for women. For both, the first question is where you are in the slow change your hormones go through, because the answer shapes what gets measured, what is prescribed and how closely you are followed afterwards.

For women

Bellava treats women with estrogen and progesterone at each of three stages: perimenopause, menopause and post-menopause. The effects of shifting levels reach well past hot flashes. Among the symptoms women bring in:

• night sweats and broken sleep
• fatigue and brain fog that rest does not clear
• anxiety, irritability or mood changes that feel hormonal
• weight gathering around the middle as muscle tone slips
• lower libido and changes in sexual wellness

Some women use hormone therapy through one phase and then taper off; others carry on for longer. The plan is reviewed at regular intervals, and the decision rests with you, made with your own numbers in front of you.

For men

Testosterone declines gradually rather than all at once, so many men put the signs down to age, stress or work for years before anyone tests it. Testosterone replacement therapy (TRT) comes into the conversation when the pattern fits — poor stamina, afternoon crashes, muscle disappearing despite training, low libido, a short fuse, trouble concentrating — and a blood test confirms that testosterone is low. The dose aims for a healthy range, then is rechecked and adjusted, so the result feels natural rather than overshot.

The same four steps at any stage

1. An in-person consultation at the Bedford Hills office, with a full health history taken in the room.
2. Lab work before any prescription, read alongside your symptoms, since two people with the same result do not always need the same treatment.
3. A plan overseen by a physician, the medical director Donna D’Alessio, MD, board certified in Physical Medicine & Rehabilitation. It sets the hormone, the dose and the form: injections for close, adjustable control, or creams and gels on the skin for daily use.
4. Follow-up testing, with the dose changed on evidence. If hormone therapy turns out not to suit you, you are told so.

How you will know it is working

Energy, mood and sleep often begin to shift within a few weeks. Libido, body composition and mental clarity usually take two to three months, as levels settle into a steady range, and the follow-up labs confirm what you are feeling.

Those follow-ups are easier when the office is close. Chappaqua’s station is on the Harlem Line, and if your working day ends on a train, Bellava’s Monday and Thursday hours run until 7 pm. By car, central Chappaqua is about 15 minutes away without traffic.

New Castle patients ask

Can the whole thing be done remotely? No. Bellava sees you in person, in its own office, rather than handing your care to a prescriber you never meet.

What will it cost? That depends on the hormones you need, the form, the dose and how often you are seen. The full cost is set out at the consultation, before anything starts, and financing is available.

Is there anyone it is not suitable for? Yes. A personal or family history of hormone-sensitive cancers, blood clots or certain heart and blood-vessel conditions can rule it out, which is why the history and labs come first.

How do I start? Press Book Now to schedule a consultation online, or read the main hormone therapy page.