Menopause & Hormone Replacement Therapy

Did you know? Nearly 1.3 million U.S. women enter menopause each year, yet countless cases go untreated, allowing symptoms—and health risks—to persist.
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Real Patient Experience

Hear our doctors, staff, and patients share what makes our care special.

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What Is Menopause & Hormone Replacement Therapy?

Menopause occurs when estrogen and progesterone levels plunge—often dropping 90 % within 12 months of the final period—triggering hot flashes, weight gain, sleep loss, and mood swings. Hormone replacement therapy (HRT) adds back bio-identical estrogen, progesterone, and sometimes testosterone to restore balance.

 

Most women feel cooler nights and steadier moods within 2–3 weeks, with full benefits—including denser bones and improved cognition—by six months. Evidence shows the best window to start is before age 60 or within 10 years of menopause for maximum protection and minimal risk.

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Ideal for: Women in perimenopause or menopause who have bothersome symptoms or wish to guard heart, brain, and bone health under physician supervision.ab-confirmed low testosterone and persistent symptoms who want a safe, physician-monitored solution.

How the Therapy Works

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Comprehensive prep

fasting bloodwork, mammogram review, Pap history, and personal risk assessment.

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Personalized delivery choices

Sub-cutaneous pellets under local anesthetic offer 3–5 months of steady estrogen ± testosterone; custom-compounded in an FDA-registered 503B pharmacy.

Transdermal patches, gels, or sprays for daily, needle-free dosing. Oral or sublingual capsules (often progesterone) to protect the uterus and improve sleep.

Vaginal creams, rings, or suppositories for localized dryness relief with minimal systemic absorption.

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Quick visits

most appointments last 20 minutes; pellet patients avoid heavy exercise for 3–4 days, topicals have no downtime.

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Doctor-guided follow-up

labs at 4–6 weeks, then every 3–6 months to fine-tune dosing and monitor breast, uterine, and cardiovascular health.

Benefits of Testosterone Therapy

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Cool, comfortable days

hot flashes and night sweats fade dramatically.

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Sharper mood & mind

fewer mood swings, clearer thinking, better sleep.

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Stronger bones & muscles

estrogen and testosterone help maintain bone density and lean mass.

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Vibrant intimacy

improved vaginal comfort, libido, and sexual satisfaction.

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Why Leva Medical?

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Board-certified physicians at every step
Your surgery is performed by a board-certified surgeon, with non-surgical enhancements managed by our aesthetic specialist.

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Family-run since 1986
Warm, transparent care in English or Spanish.

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Tailored plans & natural-looking results
We craft a hand-in-glove treatment that fits your unique anatomy—never a one-size-fits-all template.

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12-month doctor-guided follow-up
Complimentary visits keep healing on track.

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Transparent, easy-to-understand pricing
Clear quotes upfront with zero surprise fees.

Is This the Right Treatment for Me?

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Frequent hot flashes, disrupted sleep, weight gain, or mood changes affecting daily life.
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Little to no downtime fits busy family and work commitments.
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Non-hormonal medications, lifestyle coaching, or targeted nutraceuticals can be explored if preferred.
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Non-hormonal medications, lifestyle coaching, or targeted nutraceuticals can be explored if preferred.
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FAQs

What are hormone pellets?
Rice-sized cylinders of bio-identical estradiol or testosterone implanted under the skin to release steady hormones for months.
Are bio-identical hormones safer than synthetic ones?
Yes. Their molecular match to your own hormones reduces side effects and shows no proven link to increased cancer risk when properly monitored.
Is pellet insertion painful?
A local anesthetic numbs the area; most women feel only light pressure during the brief procedure.
How soon will I feel relief?
Hot flashes often ease within two to three weeks; energy, sleep, and mood keep improving over three to six months.
How long do pellets last for women?
Most dissolve in 3–5 months, so expect three to four insertions per year for seamless relief.
Pellets vs. patches, pills, or creams—what’s the difference?
Pellets deliver months of steady hormone without daily upkeep, while other methods can create hormone highs and lows if doses are missed or absorbed unevenly.
Are there side effects?
Temporary breast tenderness, slight bloating, or skin breakouts may occur as levels stabilize; small dose adjustments typically resolve these quickly.
Why choose Leva Medical?
Enjoy physician-led care by board-certified doctors, direct consults, doctor-guided follow-ups, and transparent practices trusted since 1986.

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Location*

Doctor*

Queens Office

94-06 59th Ave, Suite E9
Queens, NY 11373

Northport Office

320 Laurel Rd, Northport, NY 11768

Staten Island Office

1441 South Ave suite 707

Phone

929-531-7078

Email

drleva@drleva.com

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Dr Jean-Paul Leva

Board-Certified Cosmetic & General Surgeon, FACS

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Dr. Jacquelline Leva
Dr. Jacquelline Leva

Triple Board-Certified Aesthetic Physician

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Dr. Ginny Leva
Dr. Ginny Leva

Founder & Master Injector

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Disclaimer: Individual results may vary. Patient testimonials and before-and-after images are provided for illustrative purposes only and do not constitute a guarantee of any particular outcome or experience.