Men and women, one standard
Hormone replacement therapy at Montville MedSpa & Pain Center is offered to both men and women. Men whose low testosterone is confirmed by lab testing are treated with testosterone replacement therapy (TRT). Women receive estrogen and progesterone therapy, whether they are in perimenopause, in menopause or in the years beyond it. The rules are the same for both: labs before any prescription, a physician overseeing the dose, and follow-up testing for as long as you are on it.
Getting ready for the first visit
The first appointment is a conversation in the office, and it goes further when you arrive prepared. It helps to jot down:
- What has changed, and roughly when — sleep, energy, mood, weight, focus or sex drive.
- Your family history. Hormone-sensitive cancers, blood clots and certain heart and vascular conditions, in you or close relatives, can make hormone therapy unsuitable, so you will be asked.
- How you would rather take it, if you have a preference. Injections allow precise dosing that is easy to adjust, while creams and gels are applied to the skin every day.
- Your questions about cost. Injections and topical therapy are priced differently, and the dose and how often you are treated matter too, so the full figure is set out at the consultation.
Lab work follows, and your results are read next to your symptoms before anything is decided.
How the months usually unfold
Energy, mood and sleep are often the first things to shift, typically within two to four weeks. Libido, body composition and mental clarity tend to take two to three months, as your levels settle into a stable range. Repeat labs and follow-up visits carry on after that, and the dose moves when the numbers do. Some people stay on therapy long term; others use it through one phase of life, such as menopause, and later taper off.
The clinicians
Every plan is overseen by Dr. Donna D’Alessio, MD. Board certified in Physical Medicine & Rehabilitation, she earned her medical degree at St. George’s University School of Medicine, after undergraduate work at The College of New Jersey, and completed her residency at Mount Sinai Hospital in New York City. Tanya Santoro, NP-C, who holds a Master of Science in Adult Health Nursing from Fairleigh Dickinson University, specializes in hormone replacement therapy with a particular focus on testosterone. Tanya is also one of the practice’s injectors, so your skin and your hormones can be looked after by the same provider.
Boonton Township patients ask
How do I get there? Head for Rockaway Valley Road, which becomes Taylortown Road over the Montville line, then turn left on Main Road for the last couple of miles to number 624. It is roughly 15 minutes without traffic from the middle of the township.
Are there side effects early on? Some people notice mild bloating, breast tenderness, skin changes, fluid retention or a reaction at the injection site in the first weeks; these usually settle as the dose is fine-tuned.
Is there a quick way to check my symptoms first? Try the 30-second hormone quiz before you book.
When can I come in? Monday to Saturday, with Tuesday appointments running until 7 in the evening.
Read how our in-office hormone program works, or the full HRT page.
Testimonials
What Our Patients Say About Us
★★★★★
I have been to see Dr. D'Alessio over the past 5 years. I especially drive for over an hour, she and her whole office are simply the BEST! She has done my leg veins, Botox and now I see her for my GLP weight loss treatments, she is truly AMAZING and CARING! She will work with your insurance and help you find the best course of treatment to bring the cost down, if possible. She is always conservative, attentive, kind and has so much patience when listening to your exact needs. I would never go anywhere else. I trust her and her staff fully!
Testimonial 1 of 1
Start Your Transformation Today
Ready to feel confident, refreshed, and renewed? Whether you’re curious about a specific treatment or simply want expert guidance, the team at Montville MedSpa is here to help.
Get In Touch

