Meet Leah Elk, WHNP-BC
Women’s Health and Hormone Replacement Therapy
Leah is a board-certified Women’s Health Nurse Practitioner (WHNP-BC) with more than 20 years of experience in women’s health care and a special interest in helping women through perimenopause, menopause, and hormonal change. At Mountcastle Medical Spa & Laser Center in Ashburn, Virginia, she provides personalized care that helps patients feel informed, supported, and confident at every stage of life.
Leah treats the whole woman, recognizing that good health involves more than managing individual symptoms. She helps women understand the changes happening in their bodies and explore treatment options that support their overall health and quality of life.
She is especially passionate about the physical and emotional changes that can come with perimenopause and menopause. Leah believes every woman deserves individualized attention, clear information, and the chance to make informed decisions about her health. Her goal is a supportive environment where you can talk openly about your symptoms, ask questions, and explore care that fits your needs.
Learn more about her approach to perimenopause and menopause care, or Call 571-266-1776 Book Online
Women’s Hormonal Health in Ashburn, VA
Hormonal changes can affect your energy, sleep, mood, weight, sexual health, and overall quality of life. At Mountcastle Medical Spa & Laser Center in Ashburn, Virginia, we offer personalized women’s health services to help you navigate perimenopause, menopause, hormonal changes, and weight management.
Perimenopause & Menopause Treatment in Loudoun County
Perimenopause can begin several years before menopause, bringing hormone fluctuations and symptoms that interfere with everyday life. We evaluate your symptoms and build a personalized plan to improve your comfort and quality of life.
Symptom Management
Our award-winning, physician-led practice, under the direction of double board-certified plastic surgeon Dr. Timothy Mountcastle, provides individualized treatment plans built on safety, evidence-based medicine, and compassionate care. We proudly serve women throughout Ashburn, Leesburg, Sterling, Reston, Loudoun County, and Northern Virginia.
Want some background first? The Menopause Society offers patient guides on perimenopause and menopause symptoms. Ready to talk with us? Call 571-266-1776 Book Online
Women’s Hormone Replacement Therapy (HRT) in Ashburn, VA
Hormone replacement therapy (HRT), also called menopausal hormone therapy, can be an effective treatment for symptoms linked to declining estrogen during perimenopause and menopause.
Common symptoms include:
- Hot flashes and night sweats
- Difficulty sleeping or frequent nighttime awakenings
- Vaginal dryness and discomfort
- Painful intercourse
- Mood changes and irritability
- Changes in sexual desire
Our hormone therapy services include comprehensive symptom evaluations, medical history reviews, laboratory testing, individualized treatment recommendations, and ongoing monitoring. Options may include FDA-approved estrogen therapy, progesterone when appropriate, and other evidence-based hormonal or nonhormonal treatments.
Questions about risk? Read our guide, Is Hormone Replacement Therapy Safe?, or see The Menopause Society’s overview of hormone therapy. You can also explore our pages on menopause treatment and perimenopause treatment.
Bioidentical Hormone Therapy in Ashburn, VA
Bioidentical hormones are chemically identical to the hormones your body makes naturally. Several are FDA-approved, including certain estradiol and micronized progesterone products.
At Mountcastle Medical Spa & Laser Center, we prioritize FDA-approved hormone therapies when clinically appropriate and tailor recommendations to each patient. The Menopause Society explains the difference between custom-compounded and government-approved products in its MenoNotes series.
For women interested in hormone pellet therapy, we offer consultations to discuss the potential benefits, limitations, and risks. Compounded hormone pellets are not FDA-approved, and treatment decisions require careful medical evaluation and informed consent.
Learn more about bioidentical hormone therapy and hormone pellet therapy.
Medical Weight Loss & GLP-1 Treatment in Ashburn, VA
Weight management can become more challenging during perimenopause and menopause because of changes in body composition, sleep, metabolism, and other health factors. Our medically supervised weight-loss program offers individualized support to help eligible patients work toward sustainable goals.
- Medical weight-loss consultations
- Weight and metabolic health evaluations
- GLP-1 medication eligibility assessments
- Prescription weight-loss medication management
- Nutrition and lifestyle guidance
- Ongoing progress monitoring and long-term support
FDA-approved medications such as Wegovy (semaglutide) and Zepbound (tirzepatide) may be considered when clinically appropriate. Our approach emphasizes individualized medical care, realistic expectations, and long-term health rather than quick fixes.
Read more about menopause weight management, or Call 571-266-1776 Book Online
Combined Hormone Therapy & Medical Weight Loss
Mountcastle Medical Spa & Laser Center offers personalized hormone health and medical weight-loss care for women navigating perimenopause, menopause, and related weight changes. Hormonal shifts can affect sleep, energy, mood, and metabolism, which makes a tailored approach especially important.
Your Personalized Care Plan May Include:
- Hormone Evaluation: Review of your symptoms, medical history, and overall health.
- Hormone Replacement Therapy (HRT): Assessment for treatment to help manage menopause symptoms, including hot flashes and night sweats and sleep disturbances.
- Metabolic and Weight Assessment: Evaluation of your weight-management goals and contributing factors.
- Medical Weight Loss: Evaluation for GLP-1 medications, such as semaglutide or tirzepatide, when medically appropriate.
- Ongoing Monitoring: Follow-up visits to assess progress, monitor side effects, and adjust treatment as needed.
- Lifestyle Guidance: Recommendations for nutrition, physical activity, sleep, and long-term wellness.
Additional Women’s Wellness Services
We offer evaluation and management for:
- Low libido and sexual wellness concerns
- Vaginal dryness and discomfort
- Perimenopause and menopause-related sleep disturbances
- Fatigue and metabolic health concerns
- Female testosterone therapy evaluation when medically appropriate
- Nutritional concerns and lifestyle management
- Vitamin B12 deficiency and supplementation when indicated
Our goal is to identify contributing factors, address symptoms, and recommend appropriate treatments based on each patient’s needs.