Using bioidentical hormones that are chemically identical to what your body naturally produces, HRT helps you end bothersome menopause symptoms, reclaim energy, mental clarity, restful sleep, and overall vitality during perimenopause, menopause, and beyond. This isn't a band-aid approach; it's a comprehensive solution that addresses the root cause of hormonal imbalance, helping you feel confident and vibrant in your own skin again.
5805 Staples Mill Rd, Richmond, VA 23228
Call or Text 804-256-5115
5805 Staples Mill Rd, Richmond, VA 23228
Call or Text 804-256-5115
top richmond, va HRT provider
Women's Hormone Replacement Therapy (HRT)
Richmond, VA women's hormone replacement therapy
Feel like yourself again with expert-guided hormone optimization.
Concierge BHRT: A Proven, Personalized Path to Women’s Health
YOU DON'T HAVE TO JUST LIVE WITH IT.
BHRT TREATS
Hot flashes and night sweats
Loss of muscle mass and bone density
Brain fog and memory issues
Fatigue and low energy
Mood changes, anxiety, and irritability
Sleep disturbances and insomnia
Weight gain, especially around the midsection
Low libido and sexual dysfunction
Joint aches and pains
Hair thinning and skin changes
QUICK FACTS
Structurally identical to your body's natural hormones
Customized delivery methods
Pills, creams, patches, injections, and pellets to find what works best for you
Unlimited support
Proven protection against osteoporosis, cardiovascular disease, and cognitive decline
Get expert care with board-certified providers with specialized training in women's hormonal health
It's not just about hot flashes—your hormones impact everything.
Understanding Menopause & Perimenopause
Menopause is officially defined as going one full year without a menstrual period. The transitional phase leading up to it, called perimenopause, can begin as early as 10 years prior and is often when symptoms first appear.
Treating hormone imbalances during perimenopause is ideal. It helps prevent or reduce many of the most disruptive symptoms of menopause. But even if you’ve already reached menopause, it’s not too late. Hormone replacement therapy (HRT) can be safely and effectively started up to 10 years after menopause (or 1 year after your last period).
Estrogen, progesterone, and testosterone influence nearly every system in the body, so it makes sense that restoring hormonal balance can improve cognition, bone density, metabolism, muscle mass, cardiovascular health, and sexual wellness.
Hormones aren’t just about managing symptoms; they’re about preserving long-term health and helping you feel like yourself again.
Our providers use medical-grade products, industry-leading technology, and strict safety protocols to ensure every treatment is performed with care and precision. You’ll never be rushed or left with questions. We take the time to walk you through every option and make sure you feel confident in your plan.
WHAT DOES EACH HRT OPTION TREAT?
Benefits of Estrogen
- Hot flashes
- Night sweats
- Brain fog
- Mood
- Weight gain
- Texture of hair, skin, and nails
- Genitourinary symptoms of menopause
- Improve bone density
- Reduced risk of diabetes, heart disease, osteoporosis, and certain cancers
Benefits of Testosterone
- Mood
- Libido
- Weight loss
- Lean muscle mass
- Insulin sensitivity
- Reduced risk of osteoporosis
Benefits of Progesterone
- Protects against uterine cancer
- Sleep
- Mood
- Reduced risk of heart disease and osteoporosis
Hormone Support with Concierge-Level Care
Unlock Women's BHRT With Our Wellness Concierge Program
To ensure safe, personalized care, our women’s hormone treatments are provided exclusively through our Wellness Concierge Program. This allows us to closely monitor your progress, adjust treatment as needed, and stay connected throughout your journey, so you always feel supported and informed every step of the way.
for just $99/mo you'll get:
- Same or next-day appointments (in person or virtual)
- Unlimited texts and calls with your provider
- MIC metabolism injections and InBody body composition scans
- 20% off compounded GLP‑1 prescriptions
- 10% off Thorne supplements (online and in-office)
- 5% off all aesthetic services and retail
It’s a smart, effective way to manage your health, and one that makes your care feel easy, personal, and truly worth the investment.
aesthetics & wellness
HOW ARE WE different from YOUR OBGYN OR PRIMARY CARE?
Deep Expertise, Focused on You
Our Nurse Practitioner and Physician Assistant bring over 100 hours of advanced training in hormone therapy, menopause, perimenopause, and weight loss medicine. That’s far beyond what’s typically covered in medical school or even OBGYN residencies, most of which include fewer than 10 hours of menopause-specific education.
Direct Access, Real Conversations
Forget the frustrating back-and-forth with traditional doctor’s offices. As part of our concierge care model, you get immediate, direct access to your provider: no waiting, no hold music, no being brushed off. Just real support when you need it most.
Whole-Person Wellness, Not Just Numbers
We’re here to help you feel better, not just chase normal lab values. Hormone levels fluctuate (especially during perimenopause) so we look at the full picture: your symptoms, your lifestyle, your goals. Labs are a tool, not the whole story.
CANDIDATES
IS HRT right for you?
If you’re struggling with fatigue, mood changes, or feeling like you’re not quite yourself anymore., You might be experiencing the natural decline in hormones that happens as we age. HRT is designed for women who are done having children and ready to reclaim their energy, clarity, and confidence.
You’re a good candidate if you:
- Have finished having children
- Feel exhausted despite getting enough sleep
- Notice your mood isn’t as stable as it used to be
- Miss the mental sharpness and focus you once had
- Want to prevent the long-term health risks associated with hormone deficiency
- Believe you deserve to feel vibrant and healthy, not just “manage” symptoms
- Are experiencing vaginal dryness, hot flashes, night sweats, or joint pain
- Are over 40 years of age or have had a hysterectomy or family history of early menopause
- Had your last menstrual period eleven years ago or less
during your 1:1 consultation, we will help you discover which treatments are best for your goals.
how testosterone could improve your day-to-day
Why is Testosterone Important for Women?
While testosterone is typically thought of as the “male hormone”, a woman’s ovaries make testosterone every day! It plays a crucial role in women’s overall health, and below are a few reasons why it is important.
Mood & Mental Clarity
It’s linked to motivation, confidence, and mental sharpness. Low testosterone can contribute to brain fog, irritability, and even depression.
Sex Drive & Sexual Function
Testosterone helps regulate libido, arousal, and orgasmic function. Many women notice a drop in desire or satisfaction when testosterone levels decline, especially during perimenopause and menopause.
Muscle Mass & Strength
Helps maintain lean muscle, which supports metabolism and physical strength. It also aids in muscle recovery after workouts or injuries.
Bone Density
Alongside estrogen, testosterone supports bone health. Low levels can increase the risk of osteopenia or osteoporosis.
Body Composition & Fat Distribution
Supports fat metabolism and insulin sensitivity. Low testosterone can contribute to weight gain, especially around the midsection.
Overall Vitality
When balanced, testosterone can contribute to a sense of zest for life, energy, and resilience.
We're here to help you look and feel your best.
WHAT YOU CAN expect
TREATMENT
We begin with simple lab work and a consultation to understand your symptoms and goals. From there, a personalized plan is created to restore healthy hormone balance.
RESULTS
Most people start noticing more energy, focus, and balance within weeks, with full benefits building over time. The goal is steady, sustainable results that help you feel like yourself again.
FOLLOW UP
As a Wellness Concierge member, you'll get regular check-ins with providers, hormones adjusted at any time based on progression through menopause and symptoms, and unlimited visits with your provider.
LEARN MORE ABOUT THE AMAZING BHRT OPTIONS AT CASSIE LANE
why choose chadwick & natalie?
Meet Your hormone specialists
Chadwick, PA-C
Natalie, ACNP-BC
- Expertise and Specialization: Chadwick and Natalie are board-certified advanced practice providers with specialized training in women’s bioidentical hormone replacement therapy, ensuring expert care tailored to your needs.
- Personalized Care: Our licensed medical providers take the time to understand every aspect of your health, managing your individualized care with meticulous attention to detail to ensure nothing is overlooked.
- Unlimited Support: With our program, you have access to unlimited appointments and check-ins. Chadwick and Natalie are readily available to answer your questions and provide ongoing support.
- Comprehensive Treatment Options: At Cassie Lane, we offer a range of treatment options, including pills, creams, patches, injectables, and pellets. Our in-person procedures and follow-ups ensure you receive the most effective care from a trusted provider.
- Local Expertise: In the specialized field of hormone therapy, precise dosing is crucial to avoid negative side effects. Chadwick and Natalie, dedicated local experts, are passionate about helping women achieve optimal health.
cassie lane has the only bhrt program in richmond, va that offers all the options: creams, pellets, patches, pellets, and at-home or in-office shots. we can fully customize your treatment!
YOUR treatment options
BHRT can be administered in many different forms. The method of administration will vary based on the specific hormones being used and individual preferences. You and your provider will have shared-decision making on which method will work best for your needs and your health. There are many different combinations we can try and we will make sure we get the exact right dosing for you. Some application methods are daily, while others are administered every few weeks to months.
- Estrogen: Patches, Creams, Pills, Pellets
- Testosterone: Creams, BiWeekly Injections, Pellets
- Progesterone: Pills
TESTIMONIALS
Women's HRT FAQ
What are the hormones commonly used in BHRT?
The hormones used typically include bioidentical forms of estrogen, progesterone and testosterone. This can be in the form of pellets, pills or creams.
How is BHRT different from traditional hormone replacement therapy?
BHRT uses hormones that are structurally identical to those naturally produced by the body, while traditional HRT often uses synthetic hormones. BHRT is often considered more customizable, as doses can be tailored based on individual hormone levels. Synthetic hormones can be pro-inflammatory and cause adverse effects.
What should I know about hormone pellets?
Pellets are a long-acting form of hormone replacement that are inserted under the skin and typically last 3–4 months. They dissolve naturally, so there’s no need for removal unless rare complications occur. While some mild side effects like bruising, tenderness, or mood shifts can happen initially, most patients adjust well. We monitor your response closely and adjust timing or dosing as needed to keep you feeling your best.
Why are in-person treatments better than online-only options?
In-person visits allow our healthcare providers to conduct a thorough physical examination. In-person care also offers many more treatment options. Additionally, we genuinely value the deeper connection and support when we can see you in our office. Our program offers unlimited office appointments with PA Chadwick. Ongoing care with a consistent provider leads to a better understanding of your unique clinical picture.
How long will I need to stay on hormone replacement? What happens if I stop?
You can safely stay on hormone therapy long term—many people feel better, stronger, and more vibrant as they age. There’s no need to stop unless you choose to, and if you do, your levels will return to baseline and symptoms may return.
his & hers hormone replacement therapy
We also offer Testosterone Replacement Therapy for men!
JOIN OUR Concierge Wellness Program
Concierge wellness program
Monthly Program Pricing - $99/mo
Includes monthly MIC injections + InBody scans
20% off compounded GLP-1
10% off Thorne supplements (in-office & online)
5% off aesthetic services and retail at Cassie Lane
Concierge Wellness Bank + Save
Monthly Program Pricing - $179/mo
All the benefits of the Wellness Concierge Program
$100/mo banked for aesthetic services and retail at Cassie Lane
NOTE: If you will be using your own insurance, there will be a one-time setup fee of $250.
NATIONWIDE TRAINER WITH INJECTABLES EDU
5-STAR GOOGLE REVIEWS
5,000+ Clients served since 2020
NATIONWIDE TRAINER WITH INJECTABLES EDU
5-STAR GOOGLE REVIEWS
5,000+ Clients served since 2020
SCHEDULE YOUR APPOINTMENT
Ready to get started? Use our simple online booking tool to choose a time that works for you. We can’t wait to see you!