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Hormones shift as we age—and so do we. In women, perimenopause (the years before your period stops) and menopause can bring hot flashes, night sweats, sleep disruption, brain fog, mood swings, weight gain, vaginal dryness, and a dip in libido as estrogen, testosterone, and progesterone fluctuate or fall. In men, low testosterone can mean stalled energy, lower drive, irritability, loss of muscle and strength, increased body fat, and performance changes. Thyroid function slows, metabolism stalls—and motivation often follows. Let our expert, Sheila K. Rohe, CRNP, FNP-C at Bloom Aesthetics & Wellness in Frederick, MD help you optimize your hormones so you can feel like yourself again.
Pricing 450+
What is bioidentical hormone therapy?
Bioidentical hormones are molecules that match the ones your body makes. We personalize dosing using your story, symptoms, and labs. When possible, we use FDA-approved medications (for example, transdermal estradiol patches, oral micronized progesterone). Compounded options are considered only when clinically necessary and sourced to strict standards.
Who this helps
• Perimenopause/menopause symptoms: hot flashes, night sweats, sleep disruption, brain fog, mood changes, irritabilty, anxiety, mood changes, vaginal dryness, low libido
• Androgen changes: low drive, reduced stamina, loss of lean mass, flat mood
• Metabolic drift: stubborn weight gain, carb cravings, afternoon crashes
• Thyroid concerns: only when clinically indicated and confirmed by labs
Benefits you may notice
Better sleep, steadier mood, clearer focus, improved vaginal comfort and sexual function, fewer hot flashes, more consistent energy, easier weight management support, and long-term benefits for bone and metabolic health when appropriately prescribed.
How your Bloom plan works
Comprehensive consult: medical exam, history intake, symptom mapping, medication review, vitals
Targeted labs: Liver function, Kidney function, Glucose, Lipid panel, Thyroid panesl, CBC, Vitamin deficencies, Hormones, plus other testing as appropriate
Personalized plan: which hormone(s), route, and dose—no one-size-fits-all
Start low, go smart: gradual titration to the lowest effective dose
Follow-ups: symptom check-ins with Sheila and ongoing lab monitoring
Maintenance: steady dosing with periodic reassessment as your life and goals evolve
Treatment formats we may use
Patches, creams/gels, capsules, dissolvable tablets/troches, or injections; pellet therapy may be an option for select patients. We’ll choose the route that best fits your health profile, preferences, and lifestyle.
Safety
Hormone therapy isn’t for everyone. We screen for contraindications (for example, certain cancers, unexplained vaginal bleeding, uncontrolled blood pressure, history of clot/stroke) and coordinate routine screening (mammogram and Pap). Women with a uterus using estrogen need progesterone for uterine protection. For testosterone, we monitor hematocrit, lipids, PSA, and symptoms. You’ll get clear risks/benefits and informed consent—no surprises.
Why Bloom
Evidence based care, transparent pricing, realistic timelines, and a provider who understands and listens. We optimize for how you feel and function—not just what a lab number says.
Ready to feel like yourself again?
Call Bloom Aesthetics & Wellness or book online. We’ll review your symptoms and labs, design a personalized hormone plan, and support you through the transition back to better energy, mood, sleep, and drive. HSA/FSA often apply.