Hormone therapy.
Thoughtfully tailored to you.
Make sense of changing symptoms with a physician who takes time to listen. Explore hormone therapy in Rochester, NY, through individualized evaluation, shared decisions, and ongoing care at Rochester HealthSpan Medicine.
Your symptoms deserve a thoughtful conversation
Hot flashes, disrupted sleep, changes in sexual health, or persistent fatigue can affect how you feel day to day. Hormones may play a part, but similar symptoms can have many causes. The first step is a careful assessment, not an automatic prescription.
At Rochester HealthSpan Medicine, we review your symptoms, medical history, medications, and goals in the context of your overall health. We discuss appropriate testing, treatment options, and whether hormone therapy offers a reasonable balance of benefits and risks for you.
If you are looking for hormone therapy doctors near you in Rochester, our Pittsford practice offers a personal physician relationship through our concierge medicine programs, with time for questions and follow-up.
Meet the physicians behind your care
Dr. Laura Petrescu brings experience in internal medicine, lifestyle medicine, and menopause care. Your care begins with an individual assessment and a conversation about what matters to you.
Founder & CEO · Internal Medicine & Lifestyle Medicine
Meet Dr. Petrescu
Family Medicine, Sports Medicine & Lifestyle Medicine
Meet Dr. Covey
Hormone care for different stages of life
We consider your symptoms and health history together, then discuss treatment or referral when appropriate.
Perimenopause & menopause
Discuss hot flashes, night sweats, vaginal discomfort, and other changes during the menopausal transition. Depending on your needs, options may include systemic or local hormone therapy, nonhormonal treatment, and lifestyle support.
Men’s hormone health
Changes in libido, energy, or strength deserve evaluation. Testosterone treatment is considered for appropriate patients after assessment and confirmation of deficiency, rather than prescribed simply because of age or a single symptom.
Targeted endocrine evaluation
Testing is guided by your history, symptoms, examination, and treatment decisions. We consider other explanations for your symptoms and coordinate specialist evaluation when a condition requires additional expertise.
Lifestyle & metabolic support
Nutrition, physical activity, sleep, and stress support remain part of your care. If weight is a concern, we connect you with an individualized weight management approach rather than treating hormone therapy as a weight loss shortcut.
What to expect from your hormone consultation
01 / Listen & evaluate
We discuss when symptoms began, how they affect you, your health history, medications, and priorities. Your physician considers hormonal and nonhormonal causes.
02 / Test with purpose
When testing will help answer a clinical question, we explain what is being checked and why. A broad hormone panel is not necessary for every patient.
03 / Decide together
Review expected benefits, possible side effects, alternatives, and costs. If therapy is appropriate, your plan reflects your medical needs and preferences. A consultation does not guarantee a prescription.
04 / Review & adjust
Follow-up assesses symptom response, side effects, and any monitoring needed for your treatment. We periodically revisit whether the plan remains right for you.
A balanced approach to benefits & risks
Hormone therapy can be helpful for specific indications, but it is not right for everyone. Your options depend on the treatment, your age and medical history, and your individual goals. We discuss alternatives as part of the decision.
For menopause care, the type of hormone, route, and whether you have a uterus can affect the treatment plan. Personal histories such as certain cancers, blood clots, cardiovascular conditions, or unexplained bleeding may change which options are suitable.
For men considering testosterone, evaluation includes appropriate confirmation of low levels, the cause of deficiency, fertility goals, and a monitoring plan. Treatment is not a substitute for investigating other causes of symptoms.
Our aim is appropriate care and meaningful symptom improvement, with clear expectations. Hormone therapy is not presented as a way to prevent cancer, reverse aging, or guarantee weight loss.
Hormone therapy questions, access & costs
How do I know whether I need hormone replacement therapy?
Start with a medical evaluation. Symptoms such as fatigue, poor sleep, weight changes, or low libido do not by themselves establish a hormone deficiency. Your physician reviews the pattern of symptoms, medical history, and appropriate tests before discussing treatment options.
Do all menopause symptoms require hormone blood tests?
No. Hormone testing is not automatically needed for every menopause consultation. Your physician decides whether tests will help clarify the diagnosis, investigate another cause, or guide a specific treatment decision.
How is testosterone deficiency assessed?
In men, assessment combines relevant symptoms and signs with consistently low testosterone levels measured using appropriate tests. Confirmation generally involves repeat morning testing. Your physician also considers the cause, other medical conditions, fertility plans, and whether treatment is suitable.
Can hormone therapy help with weight loss?
Hormone therapy is not a general weight loss treatment. A diagnosed endocrine condition may need treatment as part of your overall care, but weight concerns deserve their own assessment. We can discuss nutrition, activity, sleep, and medical weight management when appropriate.
Are bioidentical hormones automatically safer?
No. The word bioidentical does not guarantee safety or effectiveness. FDA-approved products and custom-compounded preparations are different. Your physician can explain the options, evidence, and why a particular formulation may or may not be appropriate.
Is hormone therapy covered by insurance or my membership?
Our practice does not bill insurance for membership-covered primary care services. Ask which hormone consultations and follow-up services are included in your agreement. Medications, laboratory testing, imaging, and specialist services may carry separate costs. Coverage depends on your insurer, pharmacy, and outside providers. Membership is not health insurance.
How does concierge access work?
Membership supports an ongoing relationship with your physician and time for individualized care. Appointment availability, communication arrangements, and included services follow the current membership agreement. Ask us about these details during your meet and greet.
Will I need ongoing monitoring?
Monitoring depends on the therapy and your medical circumstances. Follow-up reviews symptom response, side effects, and any indicated tests. Treatment dose, formulation, and duration may change as your needs evolve.
Further reading: ACOG’s guide to menopause hormone therapy · Endocrine Society’s guide to low testosterone
Hormone care within your broader health plan
We consider hormone concerns alongside lifestyle medicine, medical weight management, and preventative care. This keeps your symptoms, daily habits, and longer-term health priorities in the same conversation.
When specialist care is needed, we help you understand the next steps. Each patient’s treatment remains individualized, with decisions made around their own health history and goals.
Explore hormone therapy in Rochester, NY
Schedule a free meet and greet to discuss your concerns, learn about our concierge approach, and see whether Rochester HealthSpan Medicine is the right fit for your care.
Rochester HealthSpan Medicine
30 Office Park Way, Pittsford, NY 14534
Personalized healthcare serving Rochester and surrounding communities.