A shorter fuse than you used to have
Hormone changes are usually described through hot flashes or a flagging sex drive. For many people the first thing that shifts is mood: patience runs out sooner, worry arrives from nowhere, and evenings feel flat for no reason anyone can name. Montville MedSpa & Pain Center offers hormone replacement therapy to men and to women, and mood changes that feel hormonal are among the reasons the practice lists for getting tested.
How it tends to look
In women, the years of perimenopause, menopause and after can bring anxiety, irritability and mood swings, often alongside broken sleep, brain fog and a lower libido. Estrogen and progesterone therapy is offered through all of those stages.
In men, low testosterone often shows as irritability, a low mood or a temper that snaps more easily, together with fatigue, fading drive and muscle that slips away despite training. Testosterone replacement therapy (TRT) is offered once lab work confirms the level is low.
Why a blood test comes before any prescription
Stress, sleep, work and grief can all change how a person feels, so a mood complaint on its own proves nothing. At the consultation in our Towaco office you describe what has changed and when, a full history is taken in the room, and your hormone levels are measured. The results are then read beside your symptoms. If hormones turn out not to be the cause, you are told so plainly, and low mood that is deep or lasting deserves attention whatever is behind it. In a crisis, the 988 Suicide and Crisis Lifeline answers calls and texts.
A personal or family history of hormone-sensitive cancer, blood clots or certain heart and circulation problems can make therapy unsafe, so those questions are asked early.
If treatment suits you
You choose an injection, which allows precise doses that are easy to adjust, or a cream or gel applied daily. Mood, energy and sleep are often the first things to change, usually within two to four weeks; libido, body composition and mental clarity tend to take two to three months. In the first weeks some women notice mood fluctuations while estrogen levels settle, which generally ease as the dose is fine-tuned. Repeat labs and in-person reviews keep the plan matched to your numbers.
Who looks after it
Every plan is overseen by Dr. Donna D’Alessio, MD, the physician who owns the practice and is board certified in Physical Medicine & Rehabilitation. Nurse practitioner Tanya Santoro, NP-C specializes in hormone therapy with a particular focus on testosterone, and her background includes emergency medicine, cardiology and primary care.
The drive for follow-ups
Hormone care means coming back for labs and reviews. From Verona, Route 23 and then Route 202 through Lincoln Park lead to 624 Main Road, roughly twelve miles and about 21 minutes without traffic.
Verona patients ask
Is this a women’s program? No. It treats men and women alike, each with their own history, labs and plan.
Is any of it done by video? No. Consultations and reviews happen face to face.
Will my insurance help? Plans vary widely: some cover lab testing and certain prescription hormones, while compounded preparations often are not covered.
When can I come in? Monday to Saturday, with Tuesday appointments until 7 pm.
Try the 30-second hormone quiz, or read how our in-office hormone program works.
Testimonials
What Our Patients Say About Us
★★★★★
Shannon from the MedSpa is absolutely amazing! She took the time to really understand my skin and helped me figure out exactly what it needs. She recommended products that feel incredible on my skin and made the whole experience feel personalized. The room was so relaxing, and everything about the appointment was perfect. I’m someone who usually pushes off getting facials, but after finally getting one done, it was 100% worth it. Overall a 10/10 experience!
★★★★★
Amy is exceptional at gentle transformations. Amy’s ability to identify how the slightest aesthetic change can make a youthful impact is truly remarkable. Between her keen artistic eye and her precise injections, Amy’s technique is my secret weapon to aging with grace.
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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.
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