Comprehensive Menopause Treatment in Columbus and Cincinnati
You’re not imagining it. The brain fog, weight gain around your midsection, sleepless nights, and mood changes aren’t signs you’re losing your mind—they’re symptoms of hormonal changes during perimenopause and menopause.
At BB Aesthetic & Wellness, we help women in their late 30s through 50s and beyond reclaim their vitality, mental clarity, and quality of life through evidence-based menopause treatment in Cincinnati and Columbus, and we can treat patients anywhere in Ohio.
Our physician-supervised approach combines advanced lab testing, bioidentical hormone replacement therapy, and a holistic view of your wellness to create personalized treatment plans that actually work.
Why Choose BB Aesthetic & Wellness for Menopause Treatment in Cincinnati and Columbus
- Physician-Supervised Care: Every patient’s labs are personally reviewed by Dr. Terrill Burnworth, our medical director with over 25 years of experience and LMH’s 2024 Physician of the Year.
- Comprehensive Lab Testing: We’ve integrated progesterone and prolactin markers into our women’s lab panels—critical markers your PCP typically won’t test. Our panels assess testosterone, estradiol, progesterone, thyroid, vitamin D, B vitamins, metabolic health, and more.
- Bioidentical Hormones: We use bioidentical hormone replacement therapy in Columbus and Cincinnati—hormones molecularly identical to what your body originally produced.
- Individualized Treatment Plans: Your treatment is tailored based on your lab values, symptoms, and goals. We adjust medications based on how you feel, not just lab numbers.
- Statewide Virtual Access: Our HRT for menopause in Columbus and Cincinnati is available to anyone with an Ohio address through virtual telehealth. Get labs drawn at any LabCorp near you, have phone consultations, and get medication shipped to your home.
- Ongoing Medical Monitoring: Regular blood draws (typically three times per year, based on the patient) and check-ins ensure your treatment remains optimized as your body changes.
“Many women have been told for years that if you take testosterone, you’re increasing your risks for stroke, breast cancer, and other health conditions–we now know that’s not true. Testosterone therapy is safe and beneficial for women when properly prescribed and monitored.”
––Brittney Burnworth, MSN, APRN, FNP-C
The Impact of Perimenopause and Menopause
Menopause represents the loss of ovarian hormone production—primarily estradiol, progesterone, and testosterone. This isn’t a cosmetic issue—it’s a biological endocrine change that affects every major organ system in your body.
Research shows that menopause actually begins 7-10 years before you even know you’re entering it. The average age of menopause is 51, but symptoms can start as early as your late 30s. That’s why getting preventative perimenopause treatment in Columbus and Cincinnati can help you avoid or significantly reduce symptoms.
Common Symptoms We Treat
Our experienced team provides the physician-supervised, evidence-based care you need—whether you’re in perimenopause and want to get ahead of symptoms, or you’re already experiencing the full effects of menopause.
- Brain fog and memory issues
- Sleep disturbances, including waking at 3 AM when cortisol spikes
- Mood changes including anxiety, depression, and irritability
- Fatigue and low energy that doesn’t improve with rest
- Low libido and decreased sex drive
- Vaginal dryness
- Chronic UTIs
- Hot flashes and night sweats
- Weight gain and bloating, especially around the midsection
- Joint and muscle pain
- Dry skin and loss of elasticity throughout the body
- Heart palpitations
- Bone density loss
How to Get Started With HRT for Menopause in Columbus and Cincinnati
1. Schedule Your Consultation
We offer in-person visits at our Columbus or Cincinnati locations, or you can do a completely virtual appointment online. Book your consultation today.
2. Get Comprehensive Lab Testing
Get blood drawn at our office or any LabCorp location. Our women’s panel includes progesterone, prolactin, testosterone, estradiol, complete thyroid, vitamins, and more.
3. Physician Lab Review
Dr. Terrill Burnworth personally reviews every lab. You’ll receive a phone call to discuss results, symptoms, and treatment options.
4. Begin Treatment
Prescriptions are called in or medication shipped to your home. We provide detailed training for any at-home injections or treatments.
5. See Results
You may notice improvements from estrogen within a week, while testosterone typically takes 3-4 months. Most women see meaningful improvement around the 6-month mark as we fine-tune your treatment.
6. Ongoing Monitoring
Follow-up labs typically 8 weeks after starting, then around 3 times per year. Dosages are adjusted based on both lab values and how you feel—because optimal wellness is about more than just numbers.
Menopause and Perimenopause Treatment: Available Therapies
Estrogen Therapy
Estrogen is cardioprotective and neuroprotective. We offer Estrogen Patches (transdermal, changed twice weekly) and Vaginal Estradiol Cream for localized relief from dryness, atrophy, painful intercourse, and chronic UTIs.
Progesterone Therapy
Micronized Progesterone taken at bedtime (100-200 mg) helps with sleep quality, anxiety, mood regulation, and protects the uterine lining. This bioidentical form has a safer profile than synthetic progestins.
Testosterone Therapy for Women
Testosterone injections (typically 4 units twice weekly, administered at home) address brain fog, low libido, fatigue, and loss of lean muscle mass. When properly dosed and monitored, there are no unwanted masculinizing effects.
Vitamin and Supplement Evaluation
Our lab panels assess critical vitamins including vitamin D (linked to depression, hair loss, and energy), vitamin B complex (essential for energy and metabolism), and other key nutrients impacting your symptoms.
Women's Total Wellness Consult
A comprehensive consultation that builds a roadmap for healthy aging—covering hormonal balance, metabolic health, longevity strategies, nutrition, exercise, stress management, and sleep quality.
Additional Therapies for Menopause Treatment
GLP-1 Weight Loss Medications
Medically supervised GLP-1 programs work synergistically with hormone therapy to address metabolic changes and weight gain linked to insulin resistance during menopause.
Peptide Therapy
Targeted peptides support muscle preservation, improve sleep quality, enhance skin elasticity, and support overall skin and muscle health.
Advanced Skincare & Aesthetic Treatments
We support visible skin improvements with medical-grade skincare, BBL and MOXI lasers, Botox, fillers, and other aesthetic treatments to complement hormone therapy.
FAQs About Bioidentical Hormone Replacement Therapy in Columbus and Cincinnati
Will I have to stay on hormone therapy forever?
For most women, yes—if you want to continue feeling good. Current medical consensus supports that women can safely take bioidentical hormones for life when properly monitored. Untreated menopause accelerates chronic disease and worsens quality of life.
Is long-term hormone therapy safe?
Yes, when prescribed appropriately. Modern bioidentical hormone replacement therapy, when started in perimenopause or early menopause, has been shown to be safe and beneficial. The original Women’s Health Initiative study studied older women using outdated hormone formulations—subsequent research has corrected these misconceptions.
Will I grow facial hair or develop a deep voice on testosterone therapy?
When kept in physiological ranges with proper medical supervision, most women don’t experience significant masculinization. Some may notice minor facial hair growth, which is easily managed. The benefits of restored energy, mental clarity, and improved quality of life typically far outweigh minor cosmetic concerns.
How long until I feel better?
Estrogen can provide relief within days to weeks. Testosterone requires 3-4 months. Most women notice meaningful improvement around 6 months as their body adjusts and we fine-tune dosages.
Will HRT help protect my bone health and prevent osteoporosis?
Yes. Declining estrogen and testosterone significantly impact bone density. Starting hormone therapy before age 40 or early in perimenopause can dramatically reduce your risk of developing osteoporosis. Even if you’re already postmenopausal, hormone therapy can help slow or stop further bone loss.
Do you prescribe to women throughout Ohio?
Yes! As long as you have an Ohio address, you can access our menopause and perimenopause treatment through virtual telehealth. Labs at any LabCorp, phone consultations, and medications shipped to you—it’s that simple.
What makes you different from online services?
Every single lab is personally reviewed by our medical director, Dr. Terrill Burnworth. Many online services have AI reading your results. We provide actual phone calls with medical providers. Our care is personalized, providers are accessible, and we don’t have hidden fees.
Investment & Payment Information
Menopause treatment and hormone replacement therapy are considered elective wellness services and generally not covered by traditional insurance. BB Aesthetic & Wellness accepts HSA and FSA payments.
We recommend verifying eligibility with your benefits administrator before scheduling. Our team provides detailed receipts and documentation to support your claims. Treatment costs vary based on your individualized plan.