Wellness

Hormone replacement therapy, measured before it is prescribed.

Hormones drift with age, and the symptoms rarely announce themselves as hormonal — you are simply tired, or short-tempered, or not sleeping through the night. We test before we treat, and we treat what the labs actually show. For women and men both.

A consultation room at SMooth Solutions Medspa Naperville & Oswego
Treatment spec Overseen by our licensed medical team
Starts with
Lab work drawn before anything is prescribed
Suited to
Women & men protocols differ by person
First changes
4–6 weeks with labs rechecked as you go
Consultation
Free no cost, no commitment
A provider talking with a client at SMooth Solutions Medspa

The method, plainly stated.

Hormone therapy is a prescription, not a supplement. That means bloods before anything is written, a provider who reads them against your history rather than against a symptom questionnaire, and repeat labs to confirm the dose is doing what it should. If your numbers come back unremarkable, we will tell you that too — and look elsewhere for the cause.

What it is
Prescription hormone therapy, dosed to your own lab results
Who it is for
Women through perimenopause and menopause, and men with low testosterone
How it is given
Injection, topical or oral — the options are discussed at your consultation
Before you start
A blood panel and a review of your medical history
First changes
Commonly four to six weeks, with sleep and energy usually shifting first
Follow-up
Repeat labs to confirm the dose, then periodic monitoring
Who prescribes
Licensed medical providers, under physician oversight
Straight answers

Who this is for — and who it isn’t

Most clinics only publish the first list. Both matter.

A good fit if

  • Your symptoms have run for months rather than a bad fortnight
  • You are in perimenopause or menopause and want to talk through the options properly
  • You are a man with flat energy, low libido or muscle you cannot hold onto despite training
  • You would rather know your numbers than guess at them
  • You are willing to repeat labs and adjust over time instead of setting and forgetting

Consider something else if

  • You want a prescription the same day, without testing
  • You are pregnant, breastfeeding or trying to conceive
  • You have a personal history of hormone-sensitive cancer — that needs your oncologist in the conversation first
  • You are after a performance dose rather than a corrective one
  • Your picture points elsewhere — thyroid, iron and sleep apnoea are all worth ruling out

If hormones are not your answer, we would rather say so at the consultation than sell you a course of them.

What actually happens

Your first months, start to finish

  1. Consultation

    Your history, your symptoms and what you are hoping to change. Free, and nothing is prescribed at this visit.

  2. Lab work

    A blood panel, so that what follows is based on your numbers rather than a questionnaire.

  3. Your plan

    Your provider walks you through what the labs show, which delivery options suit you, and what it costs — before you commit to anything.

  4. Review

    You start, then repeat labs confirm the dose is right. Adjusted if it is not.

Investment

What it costs to start.

Dosing is individual, so the therapy itself is quoted at your consultation rather than published on a menu. What we can post is what it costs to find out whether hormone therapy is right for you.

Start here
Consultation & evaluation $200
Forty-five to sixty minutes with the prescriber, credited toward your program if you start one.
Comprehensive hormone panel $300–400
The range reflects optional adrenal and cortisol testing.
Follow-up labs & review $125
Provider fee. Laboratory charges are billed separately.
Pellet therapy — women At consultation
Repeated every three to four months.
Pellet therapy — men At consultation
Repeated every four to five months.
Injectable testosterone At consultation
Monthly, including medication, supplies and quarterly labs.
Bio-identical estrogen & progesterone At consultation
Monthly, oral or topical.
Enclomiphene At consultation
A fertility-sparing option for men.

The consultation and evaluation fee is credited in full toward your program. Ongoing therapy is quoted in writing after your labs, before anything is prescribed.

Transparency

The terms explained.

Perimenopause
The years of fluctuating hormones before periods stop for good. Symptoms often begin here, while routine tests can still read as normal.
Menopause
Twelve consecutive months without a period.
Oestrogen
The hormone most associated with hot flushes, night sweats and vaginal and skin changes when it falls.
Progesterone
Prescribed alongside oestrogen where the uterus is intact, and often helpful for sleep in its own right.
Testosterone
Present and relevant in both sexes. Low levels in men typically show as flat energy, low libido and lost muscle.
Body-identical
A preparation with the same molecular structure as the hormone your body makes. Ask your provider which preparation they recommend for you, and why.
Hormone panel
The blood test that measures your levels. Timing within the menstrual cycle can matter, so you may be given a window to book it in.
Titration
Adjusting a dose gradually, guided by repeat labs and how you feel, rather than starting at a target and hoping.
Good questions

Frequently asked questions

What will it cost?

It depends on the preparation and dosing your provider recommends, which is not known until your labs are back. You are quoted in full at that point, before anything is prescribed.

How soon would I feel different?

Most people notice sleep and energy first, commonly inside four to six weeks. Mood and libido often take longer. If nothing has moved by your follow-up labs, then the dose or the diagnosis needs revisiting — not more time.

Would I be on this forever?

Not necessarily. Some people use it through a symptomatic stretch of perimenopause and come off. Others stay on longer. It is reviewed at every follow-up rather than renewed automatically.

Is hormone therapy safe?

It carries real benefits and real risks, and the balance differs with your age, your history and the preparation used. Talking that through properly is part of the consultation, and it is the reason we require labs and ongoing monitoring rather than prescribing on symptoms alone.

Do you test before prescribing?

Always. A blood panel comes first, and we will not write a prescription off a symptom list.

Will you work with my own doctor?

Yes, and we would encourage it. We are happy to share your panel and your treatment plan with your GP or specialist.

Our difference

Why patients choose us

Oversight
Prescribed by licensed medical providers, under physician oversight.
Labs first
A blood panel and a review of your history before anything is written; repeat labs confirm the dose.
Approach
If another treatment suits you better, we'll say so — including when that means a less expensive one.
Follow-up
Repeat labs to confirm the dose, then periodic monitoring. Adjusted if it is not right.
Pricing
Labs and consultation prices are posted; the therapy itself is quoted at your consultation, before you commit.
Locations
Naperville and Oswego — choose your location when you book.
Not sure it’s right for you?

Ask first — from your couch.

Describe what's changed — sleep, mood, weight, energy, libido — and a provider will tell you whether hormone testing is the right next step, what the evaluation involves, and what it would cost. Free, no obligation.

The virtual consultation tool shown on a phone

Start with a conversation, not a booking.

Consultations are free and nothing is prescribed at them. We'll tell you honestly whether hormone therapy is the right tool, what we would test first, and why.

Hormone replacement therapy is a prescription medical treatment provided only after consultation, examination and laboratory testing, and it is not appropriate for everyone. Statements on this page have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure or prevent any disease. Individual results vary. Discuss the risks and benefits with your provider.