# Hormone Optimization & Sexual Health - Link: https://myorchidwellness.com/hormone/ - Published: 2026-03-27T21:41:37-05:00 - Author: Chelsea 👩🏾‍💻 Telehealth available in TX, NY, VA & DC, including **weekends & evening hours** at [telehealth.myorchidwellness.com](https://telehealth.myorchidwellness.com) [Home](https://myorchidwellness.com/)/Hormone Optimization Hormone Optimization & Sexual Health  •  Telehealth in TX, NY, VA & DC # Hormone Therapy In Person & by Telehealth:⏎ _Feel Like Yourself Again_ Personalized hormone therapy for women and men, by telehealth across Texas, New York, Virginia, and Washington, DC, or in person at our Carrollton, TX office. Your hormones. Your balance. Your life, back. [Book Your Consultation](https://myorchidwellness.com/hormone/#book) [See Treatment Options](https://myorchidwellness.com/hormone/#treatments) Female HRT Male HRT Pellet Therapy Testosterone Telehealth Available 🌸 Female HRT Perimenopause • Menopause • Hormone Balance Hot flashes Mood swings Fatigue Brain fog Low libido Sleep issues Weight gain ⚡ Male HRT Low Testosterone • Andropause • Vitality Low energy Muscle loss Brain fog Low libido Mood changes Weight gain Poor sleep $165 Hormone Consultation (self-pay) • In person or telehealth Insurance accepted where eligible 👩🏾‍⚕️  Led by **Chelsea Asante, FNP-C, APRN, MSN** 🌿  Medical oversight **included** in every treatment plan 📍  Carrollton, TX & **Telehealth** • TX • NY • VA • DC 💳  Cherry payment plans for **eligible patients** Is This You? ## Your Body Is _Trying to Tell You_ Something Hormone imbalance doesn't always announce itself clearly. It often shows up as fatigue, weight gain, or simply not feeling like yourself anymore. You deserve answers. 🌸 Women Perimenopause • Menopause • Hormonal Imbalance Hot flashes and night sweats that disrupt your sleep Mood swings, anxiety, or depression that feel new or worsening Persistent fatigue even after a full night's rest Brain fog, memory lapses, or difficulty concentrating Unexplained weight gain, especially around the midsection Decreased sex drive or vaginal dryness Hair thinning or skin changes you can't explain Irregular periods or changes in your menstrual cycle If several of these sound familiar, your hormones may be part of the picture. A consultation and labs can help you get answers. ⚡ Men Low Testosterone • Andropause • Vitality Loss Persistent low energy and fatigue even with adequate sleep Loss of muscle mass or difficulty building muscle despite exercise Increased body fat, especially around the abdomen Decreased sex drive or changes in sexual function Mood changes, irritability, depression, or lack of motivation Brain fog and difficulty with focus or memory Reduced bone density or joint discomfort Poor sleep quality or insomnia Low testosterone is common and treatable. A consultation and labs can confirm your levels. Treatment Options ## Five Delivery Methods.⏎ _One Right Fit for You._ Every patient's hormonal needs are different. During your consultation, Chelsea will review your labs, symptoms, and lifestyle to recommend the best delivery method for your body. Most Popular for Men 💉 Male Testosterone Injection A well-established option for men with confirmed low testosterone. Self-administered on a set schedule for consistent, measurable levels. Every plan includes an enclomiphene prescription, which may help your body keep making its own testosterone and support fertility. Includes enclomiphene prescription Predictable, stable hormone levels May help preserve fertility Medical oversight included Pricing reviewed at your consultation [Book →](https://myorchidwellness.com/hormone/#book) 🔬 Male & Female Pellet Therapy Tiny bioidentical hormone pellets placed just under the skin that release hormones steadily over time. No daily pills and no weekly injections. Insertions are done in person at our Carrollton office, and how often you need one varies by patient. Steady release between insertions In-office insertion in Carrollton, TX Bioidentical hormones Medical oversight included Pricing reviewed at your consultation [Book →](https://myorchidwellness.com/hormone/#book) 💊 Male & Female Oral HRT A convenient daily oral option for patients who prefer not to use injections or topical applications. Oral hormone therapy is well-established, easy to manage, and straightforward to adjust as your needs change. Simple daily routine Easy to adjust dosing No needles or topical application Medical oversight included Pricing reviewed at your consultation [Book →](https://myorchidwellness.com/hormone/#book) 🧴 Male & Female Topical Cream / Gel Applied directly to the skin for transdermal absorption. Topical hormone therapy offers flexible dosing and avoids the digestive system. Available through Orchid Wellness or through your pharmacy using insurance for potentially lower out-of-pocket costs. Flexible, adjustable dosing Insurance may cover pharmacy option No injections required Medical oversight included Pricing reviewed at your consultation [Book →](https://myorchidwellness.com/hormone/#book) 🩹 Male & Female Hormone Patches Hormone patches deliver a steady dose through the skin over several days. Discreet, easy to use, and changed on a simple schedule. Available through Orchid Wellness or through your pharmacy using insurance. Steady, continuous hormone release Insurance may cover pharmacy option Discreet and easy to manage Medical oversight included Pricing reviewed at your consultation [Book →](https://myorchidwellness.com/hormone/#book) 🏥 #### Insurance & Pharmacy Options For topical creams, gels, and patches, patients have the option to fill their prescription through their personal pharmacy using insurance, which may reduce out-of-pocket costs significantly. Chelsea will write your prescription and you choose what works best for your budget. Clinic-dispensed options are also available. 🔬 #### A Note on Labs Lab work is required before starting HRT and at regular intervals to monitor your hormone levels and ensure your treatment is working safely and effectively. Labs are ordered by Chelsea but paid for separately by the patient, through insurance or a cash-pay lab service. She will guide you through exactly what is needed at your consultation. The Process ## Getting Started Is _Simpler Than You Think_ Four steps from feeling off to feeling like yourself again. 01 📋 #### Book a Consultation Meet with Chelsea to review your symptoms, health history, and goals. She listens first and recommends second. $165 or insurance 02 🔬 #### Get Your Labs Done Chelsea orders a comprehensive hormone panel. You complete labs at a location convenient for you, billed separately through insurance or a cash-pay lab. Insurance or cash-pay 03 💊 #### Start Your Protocol Once labs are reviewed, Chelsea prescribes your personalized HRT protocol with the delivery method that fits your life. Personalized plan 04 📈 #### Monitor & Optimize Regular follow-ups and labs ensure your hormones stay balanced. Dosing is adjusted as your body responds. Ongoing care Sexual Health at Orchid Wellness ## Sexual Health Is _Whole-Person Health._ Sexual health and hormone health are deeply connected. Low testosterone, estrogen shifts, perimenopause, and chronic stress all affect libido, function, and intimacy. At Orchid Wellness, these conversations are welcome, clinical, and without judgment. ### Erectile Dysfunction ED is common and treatable. Chelsea evaluates vascular, hormonal, and lifestyle contributors to help restore function and confidence. A combination of testosterone optimization, lifestyle guidance, and targeted treatment options is available. ### Low Libido Evaluation Low sex drive affects both men and women and is rarely just psychological. Hormone levels, sleep quality, stress, medications, and relationship factors are all evaluated. Treatment is personalized to the cause, not just the symptom. ### Vaginal Dryness & Atrophy Declining estrogen during perimenopause and menopause causes vaginal tissue changes that affect comfort, moisture, and sexual function. Localized estrogen therapy, lubricants, and systemic hormone options are all available at Orchid Wellness. ### Sexual Pain Painful intercourse is not something you have to accept or push through. Chelsea evaluates the underlying hormonal, structural, and inflammatory causes of sexual pain and develops a clinical plan to restore comfort and quality of life. ### STI Screening Routine and comprehensive STI screening is available for patients of all ages and relationship structures, without judgment. Screening can be done at your wellness visit, annual exam, or as a standalone appointment. Results and next steps are discussed with care and discretion. A note from Chelsea Sexual health is an integral part of whole-person wellness and I treat it with the same clinical rigor and personal respect as every other area of care. If you have been hesitant to bring these concerns to a provider, I want you to know this is a safe, judgment-free space. These conversations are welcome here. **One consultation is all it takes to start.** Questions Answered ## What Patients _Ask Us Most_ New to HRT? Here are the questions we hear most before a first consultation. The best way to know is a symptom review plus lab work. If you have persistent fatigue, mood changes, brain fog, low libido, or unexplained weight gain, your hormones may be a factor. A consultation with Chelsea is the first step to getting answers. When properly prescribed and monitored, HRT can be a safe option for many patients, but it isn’t right for everyone. Chelsea reviews your health history, labs, and risk factors, such as a history of certain cancers, blood clots, or stroke, before prescribing. She uses the lowest effective dose and monitors your response over time. Injections are self-administered on a regular schedule and offer precise, adjustable dosing. Pellets are inserted once and release hormones steadily over several months with minimal maintenance. Both are effective. The right choice depends on your lifestyle, preferences, and hormone needs discussed at your consultation. Enclomiphene is a medication that may help your body keep producing its own testosterone during therapy. This matters for men who want to preserve fertility and testicular function. It is included with every testosterone injection plan as part of a more complete approach to male hormone care. Most commercial insurance and Medicare are accepted for in-person and qualifying Texas telehealth visits. Topical creams, gels, and patches can be filled at your own pharmacy using insurance, which may lower costs, and labs may be covered depending on your plan. See [Payments and Insurance](https://myorchidwellness.com/payment-and-insurance/) for details. Yes. Hormone consultations, follow-ups, and prescription management are available by telehealth in Texas, New York, Virginia, and Washington DC. Chelsea will confirm which therapies can be prescribed by telehealth in your state. Labs can be completed at a draw site near you, and pellet insertions require an in-person visit at our Carrollton, TX office. Many patients notice changes in energy, sleep, and mood within about 4 to 6 weeks. Finding your best balance often takes 3 to 6 months as your plan is fine-tuned. Pellet patients may notice effects within a few weeks of insertion. Everyone responds differently. Yes. Payment plans are available through Cherry, with a soft credit check to apply and 0% APR options for eligible patients. Ask at your consultation or visit our [Cherry payment plans](https://myorchidwellness.com/cherry/) page. Payment plans are offered through Cherry and are subject to approval. Rates range from 0% to 35.99% APR based on eligibility. Cherry is not the lender. Related Care ## Care that works _together._ Hormone health connects to the rest of your care. Explore related services at Orchid Wellness. ### Women’s Health Exams, contraception, perimenopause, and menopause care for every season of life. [ ### Men’s Health Preventive screenings, testosterone care, and ED treatment for men at every stage. [ ### DUTCH Complete Test A detailed look at sex hormones, metabolites, and cortisol rhythm from a home kit. [ ### Medical Weight Loss Clinician-led weight care that works alongside your hormone plan. ⌊Chelsea Asante, FNP-C, hormone therapy provider at Orchid Wellness in Carrollton, TX⌉ Get Started ## You Don’t Have to Keep⏎ _Feeling This Way._ Hormone imbalance is real, measurable, and treatable. Book your consultation and take the first step toward feeling like yourself again. $165 Hormone Consultation (self-pay) In person in Carrollton, TX or by telehealth • Insurance accepted where eligible Book your first available appointment at [app.myorchidwellness.com](https://app.myorchidwellness.com), or call or text [(469) 892-0194](https://myorchidwellness.com/hormone/4698920194). Have your **legal first and last name, email, and phone number** ready. Book your consultation by state [Texas](https://www.optimantra.com/optimus/om/patientaccess/servicesallV2?pid=ZWRjbjgzRk1UUnRFMVZhZFVwakkwdz09&lid=NEtyNXJFcWwvWnEvYks5OXlSQzFOdz09) [New York](https://www.optimantra.com/optimus/patient/patientaccess/servicesall?pid=cjFCNFRrQmRlckNDNm5mUEh2eEFqUT09&lid=ZDVvU3VZNC9qVHVXcVAxRFp1b0lXZz09) [Virginia](https://www.optimantra.com/optimus/patient/patientaccess/servicesall?pid=UFZocmhtVWk0Rlp0a1pva01lci9vZz09&lid=eDVUNVNUcXFkODFXWTQ2ajAyK0RMUT09) [Washington, DC](https://www.optimantra.com/optimus/patient/patientaccess/servicesall?pid=WlNRUjU0VEIzcW95b0pKdnAxZ1BlQT09&lid=YWxUSlNNRlZZamxXUFFJeU4zNUZmQT09) [Extended Telehealth Hours](https://telehealth.myorchidwellness.com) · [Payments and Insurance](https://myorchidwellness.com/payment-and-insurance/)· [Cherry Payment Plans](https://myorchidwellness.com/cherry/) Most commercial insurance and Medicare accepted for in-person and qualifying Texas telehealth visits. Labs are billed separately. Pellet insertions are in person in Carrollton. Payment plans are offered through Cherry and are subject to approval. Rates range from 0% to 35.99% APR based on eligibility. Cherry is not the lender.