Hormone Replacement Therapy
Feel like you again.
BHRT Program in Annapolis & Towson Maryland
Bio-Identical Personalized Hormone Replacement Therapy (BHRT) restores energy, mood, sleep, and sexual wellness—designed around your unique biology.
Is this you?
- Low energy or afternoon crashes
- Irritability, anxiety, or low mood
- Brain fog and reduced focus
- Hot flashes / night sweats (or temperature changes)
- Low libido or sexual dysfunction
- Trouble sleeping / waking unrefreshed
These can be related to hormone changes.
We'll test first, than tailor a plan.
What We Offer:
Personalized HRT for: women in perimenopause/menopause/andropause.
Typical components (customized)
- Estrogen and progesterone (when indicated)
- Testosterone (when indicated)
- Thyroid optimization and vitamin/nutrient support (as appropriate)
Your exact plan depends on your medical history, labs, and goals.
How it works
Comprehensive symptom, history, and lifestyle review
Tailored plan addressing your personal goals and concerns
Advanced lab testing to identify key hormonal and metabolic factors
Medication management with FDA- approved options and expert oversight
Ongoing support from a dedicated menopause-trained provider
While some commercially available prescriptions may be covered by your health insurance, compounded medications are not typically covered. We’ll help you navigate these details so you can make the best choice for your needs.
Rediscover your energy, balance, and confidence—our team is here to support you every step of the way.
Frequently asked questions
What if I've had recent bloodwork done?
What if I've had recent bloodwork done?
If you’ve had recent blood work within the last three months, we may be able to use it during your BHRT consultation. Because our approach is highly personalized, standard labs sometimes miss key hormone markers. If needed, we’ll order additional testing to ensure we have a complete picture—allowing us to treat to optimal levels, not just “normal” ranges.
Does insurance cover this?
Insurance doesn’t typically cover preventative or optimization-based care like Bioidentical Hormone Replacement Therapy (BHRT). At Meg Fox Aesthetics, we focus on helping you feel your best—not just meeting “normal” lab ranges. Because many bioidentical and compounded therapies aren’t mass-produced medications, they fall outside insurance coverage, allowing us to personalize your treatment safely and effectively.
How do I know if I need BHRT?
If you’re noticing changes like fatigue, brain fog, weight gain, disrupted sleep, mood shifts, or low libido, your hormones may be out of balance. At Meg Fox Aesthetics, we take a comprehensive, personalized approach—looking at both your lab results and how you feel to determine whether Bioidentical Hormone Replacement Therapy (BHRT) is the right fit for you.
How quickly will I see the results from BHRT?
Most patients start to notice improvements within a few weeks, with benefits building over 3–6 months and full results often taking up to a year as the body reaches balance. Consistency is key—we adjust and fine-tune along the way to ensure your plan is working effectively. This is why our program spans one full year before transitioning into maintenance—because lasting, optimized results take time.
Is BHRT Safe?
Yes — when prescribed and monitored appropriately, BHRT is both safe and highly beneficial. Much of the confusion around hormone therapy comes from the outdated Women’s Health Initiative (WHI) study, which used synthetic—not bioidentical—hormones and has since been debunked.
Current research shows that properly dosed bioidentical hormones can actually help protect against bone loss, cardiovascular disease, cognitive decline, and certain cancers by restoring balance and supporting long-term wellness.
At Meg Fox Aesthetics, we follow the latest evidence-based protocols to optimize your hormones safely and effectively—with a focus on longevity, vitality, and quality of life.
Do I have to be in Menopause to start BHRT?
No! Many patients begin Bioidentical Hormone Replacement Therapy (BHRT) in their late 30s or early 40s, during perimenopause—when hormone levels start to shift but periods are still present. Starting therapy earlier can help ease the transition, prevent severe symptoms, and support bone, brain, and metabolic health long-term.
Meet the Provider: Kathy Mackey
CRN-P, Certified Menopause Provider
With over 24 years of nursing experience and nearly two decades as a nurse practitioner, Kathy brings deep expertise in women’s health, sexual wellness, and menopause care to Meg Fox Aesthetics.
Her career began in the Emergency Department at BWMC before transitioning into Urology, where she spent almost twenty years specializing in female sexual function and recurrent UTIs.
A certified Menopause Practitioner, Kathy trained directly under Dr. Rachel Rubin, a nationally recognized leader in sexual health and menopause medicine. Her practice philosophy blends clinical precision with compassion—helping women restore balance, confidence, and vitality at every stage of life.
Outside the clinic, she enjoys an active family life with her husband and three sons, often found cheering from the hockey and lacrosse sidelines, skiing, or relaxing at the beach.
Patient Testimonial
"Immense relief to hear and see that Kathy has modern training, empathy, and the office has technical support through the portal that will help me deal with my long term menopausal symptoms. She was patient with my pentup “backlog” of negative treatment experiences. Very knowledgeable and kind. Much appreciated! I feel like an example of the Before Treatment and hope to regain my sleep, health, and some zest for living so I can have improved quality of life After Treatment."
Timeline
- Before Your Appointment: Discovery Call + Intake Questionairre
- Week 0-2: Lab Work & Intake Review
- Week 3–4: Plan review and start therapy
- Month 2–3: Follow-up and dose refinement
- Ongoing: Maintenance and wellness monitoring every 3–6 months
Benefits You Can Expect:
- More stable mood and improved focus
- Better sleep and energy levels
- Restored libido and sexual comfort
- Reduction in hot flashes and night sweats
- Renewed confidence and sense of self
Appointment Availability:
- Annapolis In Person Visits: Monday, Thursday, Friday
- Towson In Person Visits: Tuesday
- Virtual Appointments Available
