Women’s Health and Hormone Optimization
Personalized, physician-guided care designed to help you better understand changes in your hormones, metabolism, energy, sleep, sexual health, and overall well-being.
From perimenopause and menopause to metabolic and hormonal concerns throughout adulthood, we take an individualized approach to helping women feel and function their best.
A Personalized approach
care that starts with how you feel
Hormonal changes don’t always present as a single symptom. Changes in energy, sleep, mood, weight, body composition, sexual health, and menstrual patterns can overlap—and they can have many potential causes.
At Vega Vitality, we start by listening to what has changed and understanding the bigger picture. Your health history, symptoms, lifestyle, medications, and appropriate laboratory testing can all help guide the conversation.
Our goal isn’t simply to treat a lab value. It’s to understand what you’re experiencing and develop an individualized plan based on your health, goals, and the available medical evidence.
physician-guided care
Get answers and support when you need it.
In-Person or Virtual Follow-up Visits
Care that fits your schedule.
No membership required
You only pay for the treatments you need.
Ongoing support
A plan designed to adapt as your goals and needs change
Evidence-Based Options
women's Health through every stage
hormonal changes and menopause
Support for women navigating perimenopause, menopause, and other hormonal changes, including individualized evaluation and discussion of treatment options when appropriate.
metabolic health and body composition
A comprehensive approach to changes in weight, muscle, body composition, energy, and metabolic health that can occur throughout adulthood.
Sexual health and
well-being
A private, individualized approach to concerns involving libido, vaginal health, sexual function, and other changes that can affect quality of life.
understanding hormong health
Estrogen, progesterone, testosterone, thyroid hormones, and other signaling systems can influence many aspects of a woman’s health. Hormone levels also change naturally throughout life, particularly during the transition into menopause.
When symptoms suggest a hormonal component, we can evaluate the clinical picture and determine whether additional testing or treatment may be appropriate. Laboratory values can provide useful information, but they are considered alongside symptoms, health history, age, medications, and individual risk factors.
Perimenopause and menopause are clinical transitions—not simply abnormal laboratory results. Treatment decisions should be based on the individual woman, her symptoms, health history, risks, and goals.
Personalized Hormone Therapy
Hormone THerapy Options
Estrogen Therapy
For appropriately selected patients suffering from menopausal symptoms, estrogen therapy may be considered in a variety of formulations, including transdermal and oral options.
Progesterone
Progesterone may be an important component of hormone therapy for women with a uterus who use systemic estrogen and may be considered in other individual circumstances.
Testosterone
Testosterone may be discussed in select women when clinically appropriate. Treatment is individualized based on symptoms, evidence, risk, and appropriate monitoring.
Interested in Pellet Therapy?
Hormone pellet therapy is available at our Cary, North Carolina Location. Click the link below to learn more.
Additional tools for your success
supporting your body through
hormone imbalance
Hormonal changes can affect many aspects of your health and well-being. Beyond hormone therapy, we offer complementary services and treatments designed to support your energy, vitality, body composition, and overall wellness at every stage of life.
Frequently asked questions
What symptoms might indicate hormone imbalance?
Hormonal changes can affect women differently throughout life, particularly during perimenopause and menopause. Common symptoms include hot flashes, night sweats, sleep disturbances, vaginal dryness, mood changes, and changes in menstrual patterns. Some women also experience fatigue, reduced sexual desire, or difficulty maintaining their usual body composition.
Because these symptoms can have multiple causes, a comprehensive evaluation is important before determining whether hormone therapy or another treatment is appropriate.
How do I know if hormone therapy is right for me?
Hormone therapy may be an option for women experiencing bothersome symptoms related to perimenopause, menopause, or certain hormonal conditions. The decision depends on your symptoms, medical history, treatment goals, and individual risk factors.
At Vega Vitality, we take a personalized approach to evaluating your concerns and discussing available treatment options. Hormone therapy is not appropriate for everyone, and recommendations are based on your individual circumstances.
What is the difference between estrogen, testosterone, and progesterone therapy?
These hormones have different roles in women’s health.
Estrogen: Often used to manage menopausal symptoms such as hot flashes, night sweats, and vaginal dryness.
Progesterone: Commonly prescribed alongside systemic estrogen for women who have a uterus to help protect the uterine lining.
Testosterone: May be considered for carefully selected postmenopausal women with hypoactive sexual desire disorder following an appropriate clinical evaluation.
Not every woman needs all three hormones. Treatment is individualized based on symptoms, medical history, and clinical evidence.
What are the different ways that hormone therapy can be administered?
Hormone therapy is available in several formulations, including oral medications, transdermal patches, gels, creams, and vaginal preparations. Certain hormones may also be administered through injections or implanted pellets.
The most appropriate delivery method depends on the hormone being prescribed, your medical history, treatment goals, and personal preferences. Different formulations have different benefits, risks, and monitoring considerations.
Is hormone replacement therapy safe?
Hormone therapy can be an effective treatment for appropriate patients, but its benefits and risks vary based on age, time since menopause, medical history, hormone formulation, dose, and route of administration.
For many healthy women younger than 60 or within 10 years of menopause onset, the benefits of systemic hormone therapy for bothersome menopausal symptoms may outweigh the risks. However, certain conditions, including some hormone-sensitive cancers, unexplained vaginal bleeding, and a history of blood clots or stroke, may make systemic hormone therapy inappropriate.
A thorough medical evaluation helps determine whether treatment is suitable for you.
Will I need lab testing?
Not necessarily. For women experiencing typical symptoms of perimenopause or menopause, diagnosis and treatment decisions are often based primarily on symptoms, age, and medical history rather than hormone levels alone.
Laboratory testing may be appropriate when symptoms suggest another medical condition, the diagnosis is uncertain, or a particular treatment requires baseline testing and monitoring.
At Vega Vitality, testing recommendations are individualized rather than based on a standard hormone panel for every patient.
How long does it take to notice results of hormone therapy?
The timeline varies depending on the symptoms being treated and the type of therapy prescribed. Some women notice improvements in hot flashes or night sweats within the first few weeks, while the full benefit may take several months.
Follow-up appointments help assess symptom improvement, review side effects, and determine whether adjustments are needed. Treatment goals and expectations are discussed as part of your individualized care plan.
Does Vega Vitality offer hormone pellet therapy?
Yes. Hormone pellet therapy is available at our Cary, North Carolina location for appropriately selected patients.
Pellets are implanted beneath the skin and release hormones over time. However, pellet therapy is not necessarily preferable to FDA-approved hormone formulations, and dosing can be more difficult to adjust after insertion.
Our team can discuss the potential benefits, limitations, and alternatives to help determine whether this approach is appropriate for your individual needs.