Hormone Therapy for Rockaway, NJ
For men and for women — testosterone, estrogen and progesterone, planned from your own labs and reviewed in person in Towaco.
The questions people put off
Men and women alike can let symptoms drift for a long time before asking about hormones, often because the questions feel awkward to say out loud. This page answers those ones first.
The program at Montville MedSpa & Pain Center treats both sexes. Men with low testosterone confirmed by blood work are offered testosterone replacement therapy (TRT). Women going through perimenopause, menopause or the years after are offered estrogen and progesterone. Either way, labs come first and nothing is prescribed from a questionnaire alone.
“Is a low sex drive a good enough reason to come in?”
Yes. Reduced libido and changes in sexual wellness are on the practice’s own list of signs worth a conversation, for men and for women, alongside fatigue, brain fog, irritability, poor sleep and, for women, hot flashes and night sweats. Saying it out loud in the consultation room is routine.
“Will it make me put on weight, or break out?”
Hormone therapy does not directly cause weight gain. A little water retention can show up early on and is generally short-lived. Estrogen-based therapy can set off acne during the adjustment period, which typically eases once levels steady and the dose is fine-tuned. Other early effects the practice lists are bloating, breast tenderness, mood swings while estrogen settles, mild swelling and, with injections, a reaction where the needle went in.
“Am I signing up for life?”
Not necessarily. Some people use therapy to get through one phase, such as menopause, and taper off later; others stay on it for the long term. Your plan is reviewed regularly either way.
“What will it cost, and will insurance pay?”
Injections and topical creams or gels are priced differently, and dose and frequency change the figure too, so the full cost is set out at your consultation. Coverage varies widely by plan, and there are payment options.
“Who is actually looking after me?”
Every plan is overseen in person by Dr. Donna D’Alessio, MD, board certified in Physical Medicine & Rehabilitation. Nurse practitioner Tanya Santoro, NP-C has specialized expertise in HRT with a particular focus on TRT. It is not a video service: you are seen in the office, with follow-up labs.
Who should not start
A personal or family history of hormone-sensitive cancer, blood clots or certain heart and circulation problems can rule hormone therapy out, which is why your history is reviewed before anything is recommended.
The drive for each review
Rockaway sits between Denville and Rockaway Township. From the borough, I-80 east and I-287 north bring you to Main Road in Towaco, about 14 miles and roughly 20 minutes without traffic.
Rockaway patients ask
Can I come after work? Tuesdays run until 7 pm.
How soon might I notice anything? Energy, mood and sleep often start to shift within two to four weeks; the fuller picture tends to take two to three months.
Read how the hormone therapy program works, or the main 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!
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