Vaginal rejuvenation
post care
instructions and FAQs

TRT is a medical treatment for men whose symptoms and lab results indicate low testosterone. Treatment is prescribed and monitored by a licensed provider. It is not appropriate for every man, which is why testing and a provider visit come first.

Before your first appointment with your Vitality provider, you will have had your first blood test drawn, completed your health history forms, and talked with a patient care coordinator to answer any questions you have and make sure we're the right fit for you. At your first appointment, you and your provider will discuss your labs, your symptoms, and your health history. You'll receive a treatment plan and recommendations for your personal health journey, as well as a plan for follow-up. If hormone therapy is the right option for you and you are a candidate, you will receive your first treatment at our office that day. Your provider will work with you to choose the right treatment option. This may include, but isn't limited to, pellets, injections, and creams.

Hormone therapy helps replace or supplement hormones that naturally change as women move through perimenopause and menopause. At Vitality, we look at the whole person, not just a hormone number. We consider your symptoms, health history, and goals to help determine whether hormone therapy may be right for you. For the right candidate, HRT can support healthy aging including brain function and heart health. It can also help relieve symptoms like hot flashes, night sweats, poor sleep, vaginal dryness, and other symptoms that affect how you feel day to day.

Our providers report that most patients experience meaningful improvement in their primary complaints by the 12-week mark. Fatigue is typically the first symptom to improve, often around week 4, with libido close behind. Individual results vary, and the timeline can depend on your treatment format. If you're not progressing as expected, we don't just adjust a dose — we investigate gut health and nutrient absorption, which can block progress.

Symptoms alone can't confirm it. The first step is a lab panel, followed by a visit to review your results alongside your symptoms and health history.

Hormone testing typically involves a blood test to measure hormone levels and may include other labs to help your provider see the full picture of your health and understand what's going on.A complete panel of testing at Vitality includes Vitamin D, 25-OH, Total, T3, Free, T4, FreeTSH, Testosterone, Free & Total W/SHBG, Comprehensive Metabolic Panel, CBC w/diff, Estradiol (E2), Vitamin B12, Thyroid peroxidase Abs, PSA, Total (mcr Scr), DHEA-s, Insulin Fasting, Hemoglobin Alc, Ferritin, GGT At Vitality, we look beyond a single hormone number. We consider your symptoms, age, medical history, medications, and overall health. Your provider can help decide which tests are useful for your situation.

Perimenopause is the transition. Menopause is the milestone.Perimenopause is the time leading up to menopause, when hormone levels begin to fluctuate. You may notice changes in your periods, sleep, mood, energy, weight, and even body temperature. It can last several years.Menopause is reached when you've gone 12 consecutive months without a menstrual period. It's a natural stage of life, not a disease, but the hormonal changes can bring symptoms that deserve attention.You don't have to wait until your periods stop to talk about your symptoms or explore treatment options.

Hormone testing typically involves a blood test to measure hormone levels and may include other labs to help your provider see the full picture of your health and understand what's going on.Depending on your symptoms and goals, testing may include hormones such as estrogen, progesterone, testosterone, thyroid markers, and other health markers.A complete Vitality Panel typically includes: Vitamin D, 25-OH, Total, TSH, Testosterone, Free & Total w/SHBG FSH, T3, Free, T4, Free, Comprehensive Metabolic Panel CBC w/Diff, Estradiol (E2), Thyroid peroxidase Abs, Vitamin B12, DHEA.s, Insulin Fasting, Hemoglobin A1c, Ferritin, GGTAt Vitality, we look beyond a single hormone number. We consider your symptoms, age, menstrual cycle, medical history, medications, and overall health.It's also important to know that hormone levels naturally fluctuate, especially during perimenopause. Your provider can help decide which tests are useful for your situation.

Testosterone therapy helps restore testosterone levels in men with clinically low testosterone who are experiencing related symptoms.Low testosterone can affect energy, muscle mass, mood, focus, sex drive, and sexual function. Because these symptoms can have many causes, proper testing and a thorough evaluation are important.At Vitality, we look at your symptoms, health history, and lab results to determine whether testosterone therapy may be appropriate for you. If treatment is recommended, your provider will help determine the right approach and dose for your individual needs.Testosterone therapy may be delivered through injections, topical medications, or pellets, depending on your treatment plan. Your levels and overall health are monitored throughout treatment so your care can be adjusted as needed.The goal isn't just to raise your testosterone number. It's to help you feel and function better with a treatment plan that's right for you.

We don't just increase a dose. Our providers investigate other causes, including gut health, malabsorption, and micronutrient deficiencies, which can prevent you from feeling better. The 3-month VBL test helps identify absorption issues. This is part of what a functional medicine approach adds: we treat the whole picture, not just the hormone number.

Yes. We regularly see men who started testosterone without medical oversight and are now concerned about side effects, symptoms, or their overall health. Getting labs, getting a provider's evaluation, and getting onto a supervised protocol can help you understand what's actually happening in your body and manage risks properly. We'll meet you where you are — no judgment, just care.

Hormone therapy comes in several forms, and the right option depends on your symptoms, health history, and goals. Common options include:Estrogen:  Can help reduce hot flashes and vaginal dryness. Can also promote brain, bone and heart health for women who are appropriate candidates.Progesterone: Can help patients fall asleep or stay asleep better and promotes a more relaxed feeling.Testosterone: Available as a pellet, cream, patch, or injection. Can support healthy libido, energy, mental clarity, and muscle retention. Your provider can help you understand the differences, benefits, and risks of each option.

Unlike online clinics, we're upfront about our pricing. And while it may appear to be more at first, after digging into hidden fees elsewhere, you'll find we're fairly priced - we're just honest about what it's going to cost from the beginning.$199 to get started, which covers your blood work and new patient office visit. After that, you choose your program: the At-Home Program is $225/month, the In-Office Injection Program is $300/month, and the Pellet Program is $250/month. Each program includes your medication, labs, quarterly provider check-ins, and an extended annual visit.

Hormone pellets may be an option for some women, but they're not right for everyone.Pellets are small implants placed under the skin that release hormones over time. Some women appreciate the convenience of not having to remember a daily medication.The important thing is finding an approach that fits your body and your goals. Your provider should review your symptoms, health history, hormone needs, and treatment options with you.At Vitality, we don't take a one size fits all approach. We believe you deserve to understand your options and feel confident in your care plan.

Your $199 starting fee covers comprehensive blood work and your new patient office visit. Your monthly program fee covers testosterone therapy medication, quarterly labs with provider check-ins, an extended annual visit with your provider, and treatment adjustments as your labs and symptoms change.

Membership is a 12-month commitment. If you have an issue or a question at any point, you speak with a person on our team.

We accept HSA and FSA payment and self-pay. We do not bill insurance.

Your blood work and new patient visit happen in-office. After that, it depends on your program. At-Home Program members self-inject with medication mailed to their door. In-Office Injection Program members come in for provider-administered injections. Pellet Program members come in for pellet insertion and follow-ups. Quarterly labs can be done in our office or at an outside lab we send your order to.

Three programs: the At-Home Program ($225/month) with self-injection and medication delivered to your door, the In-Office Injection Program ($300/month) with provider-administered injections during office visits, and the Pellet Program ($250/month) with long-lasting pellet therapy. Your provider will recommend the right fit based on your labs and lifestyle.

Both can be legitimate options. Online programs prioritize convenience, while an in-office program lets you have your labs drawn and results reviewed in person, with a local team that knows you. Many men choose Vitality because they want both: the option to have medication mailed, and a local care team behind it.

Powell: 3751 Attucks Dr, Powell, OH 43065, 614-717-1767. Mansfield: 625 Lexington Ave Suite 6, Mansfield, OH 44907, 419-989-4342. We serve men throughout Richland County and the Greater Columbus area.

While Vitality is not primary care, it definitely knows the value of primary care. Vitality is specialized care that works with you and your primary care provider to help you achieve optimal wellness. We are not available for same-day emergency appointments.

Vitality’s holistic approach to medicine frequently goes unrecognized by insurance companies. Because our focus is on your wellness, not an insurance company’s bottom line, we do not participate in any insurance networks. We will give you an itemized receipt which is typically sufficient for HSA and Flexible Spending Accounts.

Yes, you may opt to have an outside source that accepts insurance run your lab work for you. We are happy to provide you with a lab order for this process. Please note that we have worked diligently to negotiate competitive lab rates and are able to draw the Vitality Baseline Panel in the office. Patients are typically billed up to $3000 for this panel when run through their insurance at a lab or hospital. It is important that you check with your insurance company to see what labs they will cover if you have them drawn at a lab/hospital.

As a fully functioning medical practice, Vitality does accept HSA cards. Please talk to your Health Savings Account Manager about any coverage questions.

Please allow 2-3 days for our office to process any prescription refill request. Requests can be sent through your patient portal, through our HIPPA compliant texting service or by calling our office. To text or call each office, use the following phone numbers: Mansfield: 419.989.4342 Columbus: 614.717.1767

You deserve the very best. To assist you in financing your treatment, we offer Care Credit.