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.

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.

Women’s Hormone Replacement Therapy (HRT) in Ashburn, VA

Hormone replacement therapy (HRT), also called menopausal hormone therapy, can be an effective treatment for women with 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 women’s hormone therapy services include comprehensive symptom evaluations, medical history reviews, laboratory testing when indicated, individualized treatment recommendations, and ongoing monitoring. Options may include FDA-approved estrogen therapy, progesterone when appropriate, and other evidence-based hormonal or nonhormonal treatments.

Perimenopause & Menopause Treatment in Loudoun County

Perimenopause can begin several years before menopause, bringing hormonal fluctuations and symptoms that interfere with everyday life. We evaluate your symptoms and develop a personalized plan designed to improve comfort and quality of life.

Not every woman requires hormone therapy. We help you understand your options and choose treatments based on your symptoms, medical history, and preferences.

Bioidentical Hormone Replacement Therapy

Bioidentical hormones are chemically identical to hormones naturally produced by the human body. FDA-approved bioidentical options include certain estradiol and micronized progesterone formulations.

At Mountcastle Medical Spa & Laser Center, we prioritize FDA-approved hormone therapies when clinically appropriate and tailor recommendations to each patient. For women interested in hormone pellet therapy, we offer consultations to discuss potential benefits, limitations, and risks. Compounded hormone pellets are not FDA-approved, and treatment decisions require careful medical evaluation and informed consent.

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 focuses on individualized medical care, realistic expectations, and long-term health rather than quick fixes.

Additional Women’s Wellness Services

Beyond hormone therapy and medical weight loss, we offer evaluation and management for:

Our goal is to identify contributing factors, address symptoms, and recommend appropriate treatments based on each patient’s needs.

Combined Hormone Therapy & Medical Weight Loss

For women facing both menopause symptoms and weight-management challenges, our team can coordinate hormone therapy and medical weight-loss care. A combined plan may include symptom and hormone evaluation, individualized HRT recommendations, metabolic assessments, GLP-1 evaluation when appropriate, medication monitoring, and lifestyle guidance.

Hormone replacement therapy is not itself a weight-loss treatment, but coordinated care can help address multiple health concerns at once.

Meet Your Women’s Health Provider

Leah Elk, WHNP-BC

Leah is a board-certified Women’s Health Nurse Practitioner with a background in obstetrics and gynecology. She provides personalized women’s health care to patients in Ashburn and across Northern Virginia.

Read Leah’s Bio

What to Expect at Your First Women’s Health Appointment

1. Initial consultation. Your provider reviews your symptoms, medical history, medications, lifestyle, and treatment goals.
2. Laboratory evaluation. Testing may be recommended based on your symptoms and history. Hormone testing is not routinely necessary for every menopause diagnosis.
3. Personalized treatment plan. Your provider explains appropriate options, expected benefits, possible risks, and recommended follow-up.
4. Ongoing monitoring. Follow-up visits let us assess your response, adjust treatment when needed, and track your progress.

Why Choose Mountcastle Medical Spa & Laser Center?

• Care overseen by double board-certified plastic surgeon Dr. Timothy Mountcastle
• Personalized women’s hormone therapy and menopause care
• Evidence-based treatment options
• Medically supervised weight-loss programs
• Individualized treatment planning and ongoing follow-up
• Convenient care in Ashburn, Virginia

We believe women deserve thoughtful evaluations, clear explanations of their options, and personalized care at every stage of life. Explore our other services, including
medical spa treatments,
CO2 laser treatments, and
cosmetic and plastic surgery.

Serving Women in Ashburn, Leesburg, Sterling, Reston & Loudoun County

All services require an appropriate medical evaluation. Treatment eligibility, recommendations, and results vary by patient. This page is for general information only and is not a substitute for professional medical advice.