When Do I Need Hormone Replacement Therapy (BHRT)?

Posted on March 23, 2020

Nearly all women experience some discomforts during menopause, although not all will experience these the same way. Hormonal changes that occur during menopause can have life-changing effects that can alter the nature of relationships, emotions, and bodily functions. Often, these changes keep many from enjoying their lives as they did before. Fortunately, bioidentical hormone replacement therapy (BHRT) can help relieve these symptoms. Here’s what to know about when you can benefit from this treatment option.

Hot Flashes and Other Menopausal Symptoms

Estrogen levels in a woman’s body decline sharply during the menopausal years, which can lead to emotional and mental discomfort. Moderate anxiety and depression are common, but when these symptoms are severe, it can take a toll on relationships, work, and the general ability to function daily. Hot flashes are one of the most severe symptoms of menopause. Intense feelings of warmth over the chest, neck, and face can occur regularly and unexpectedly. The increase in bodily heat can lead to extreme sweating, which often causes a significant drop in body temperature and subsequent chills.

Osteoporosis is a condition in which the bones lose their density over time and become brittle, causing them to break easily. This is one of the more serious symptoms of menopause, and it rapidly gets worse once it starts. The weakness of the bones can cause them to bend over time, which can have devasting effects on posture. Bioidentical hormone replacement therapy can reverse this in many women or be used to keep this from happening in the first place if therapy begins early enough.

Premature Menopause

Woman reach their menopausal years at different ages, but symptoms usually begin between the years of 45 to 55. However, some women begin experiencing these symptoms during their 30s. Ovaries can stop making female hormones early in life and periods stop coming as a result. Premature menopause can be slowed down with hormone replacement therapy if treatment begins as soon as other symptoms start to manifest. The idea is to catch this issue before it becomes a problem that is less treatable later.

Loss of Sex Drive

If you experience a significant reduction in sex drive and it begins to adversely affect your relationship or marriage, hormone replacement is an option for you. This has to do with the steep reduction in the production of female hormones associated with sex drive. These include estrogen, progesterone, and testosterone. While men produce much more testosterone than women, it’s still the primary hormone for both sexes when it comes to libido.

Schedule a Consultation

It can be hard to know when it’s the right time to begin exploring hormone replacement therapy, but our team can help. To learn more, we invite you to contact DWH Health & Wellness MedSpa by calling or filling out our online form.

How Permanent is Laser Hair Removal?

Posted on February 21, 2020

What is laser hair removal, and how does it work?

You may opt for laser hair removal if you do not enjoy how often you have to wax, tweeze, or shave to maintain positive results.

Laser hair removal is a long-term hair removal procedure that works by sending the light of a laser through a pigment of the hair. The light converts into heat and damages the hair follicle.

Hair grows in a cycle of resting, shedding, and growth spurts. The laser hair removal process will not affect hair that’s in the resting phase. Patients need to repeat the procedure several times within a 2 to 3 month period for optimal results. 

To what extent is laser hair removal permanent?

Laser hair removal can be permanent. You may experience that hair regrows in the areas targeted by laser treatment. Meaning, the follicles in the resting stage, which were unaffected by the laser, have now reached their growth spurt.

Moreover, it could be that the hair follicle was damaged but not destroyed, and after a while, hair regrew from these follicles.

Whatever the case, the hair that regrows, if it does, is usually lighter and less noticeable as compared to the natural hair. The extent of the regrowth may also depend on the type of hair. 

Your Dominion Women’s Health physician may recommend that you undergo several treatments to stop the regrowth permanently.

However, there are people with hair that’s light, short, or resistant to the laser treatment and therefore don’t get a permanent result from the procedure.

What are the cost implications for laser hair removal?

The cost of laser hair removal is highly individualized. It depends on the treatment area, how much hair is in the area, the thickness of hair, and many more factors. Since laser hair removal is a cosmetic procedure, most insurance companies do not cover the cost. It is important to check your insurance plan before coming into the office to make sure of what your benefits are. The amount of hair and the extent to which it regrows in-between process will also affect cost. If financing is a concern, speak with our practice coordinator about payment and our financing options. We strive to make this procedure comfortable and stress-free for each patient. 

How do you choose a good technician?

Laser hair removal is a process that needs considerable experience and expertise. It is, therefore, essential to go to highly-trained and experienced. estheticians. Dominion Women’s Health is a health and wellness med spa where beauty and medicine meet. The spa has been in the industry for many decades, thus gaining expertise in laser hair removal. A free consultation is guaranteed to all customers, where our team addresses your needs and concerns. Your physician will formulate the best treatment plan to ensure you are satisfied with the results. If you are searching for experienced, efficient, and cost-effective laser hair removal technicians, look no further. For a consultation, contact our office today by phone or by filling out our online form. 

Your Guide to Skincare in Your 20s

Posted on January 22, 2020

Our skin changes as we age. In our teens, it produces more oil and acne is a major concern. By your thirties, your skin tends to be dryer and starts to show signs of aging and sun damage.

Your twenties are a transitional time for your skin. That means that now is the time to focus on keeping your skin healthy and preventing problems that can arise from poor skincare.

The following rules are great ones for women and men in their twenties to follow for beautiful, smooth, glowing skin in the decades to come.

Rule #1 – Remove Your Makeup

It’s no surprise that most women and some men in their twenties wear makeup. While these products can even out your skin tone and elevate your look, they can clog your pores and make it difficult for your skin to absorb the nutrients it needs.

That means that cleaning your face every night is critical to your skin’s health. It is a good idea to use a cleansing oil or balm to soften up your makeup and follow it up with a good, yet conditioning cleanser to remove excess oil and the dirt and debris in your pores.

Rule #2 – Exfoliate

To get the most out of your skincare, you need to exfoliate one or two times weekly with a chemical exfoliator. These non-abrasive chemicals go into the pores to remove build-up from cosmetics and other skincare products. This is important to ensure that your moisturizers and serums are getting deep into your skin and doing their job.

Rule #3 – Sunscreen

Prevention is key when it comes to sun damage, which includes wrinkles, sunspots, and skin cancer. Use sunscreen daily by applying it over your moisturizer, but before foundation. Foundation with sunscreen often isn’t enough to prevent the most serious sun damage, making this an important rule.

Rule #4 – Use an Eye Cream

The skin around the eye is the most delicate and prone to wrinkles and sun damage. Good eye cream is gentle enough to be used on this delicate area of skin and will help keep the skin moist, smooth, and boost collagen production to prevent and minimize fine lines and wrinkles. It can also improve the appearance of dark circles.

Rule #5 – Retinol

It’s never too early to start age-related skincare. In your twenties, you begin to see signs of aging around your eyes and mouth. Before that begins, use retinol products. These products work deep within the skin to heal damage and boost collagen production to prevent wrinkles and keep your skin smooth, plump, and healthy.

Need a Little Guidance?

To create a custom skincare routine, book a consultation with one of our licensed master estheticians at DWH Health and Wellness Medical Spa. An experienced esthetician can guide you in your skincare and help you manage problem areas and ensure that your skin stays clear, smooth, and healthy as you age. If you need a bit more help, we can also provide the treatments you need to keep your skin beautiful and flawless.

Botox Injections And Side Effects

Posted on December 17, 2019

Botox has been used as a medical and cosmetic treatment for decades. It is a very versatile treatment that has many uses. When considering any cosmetic treatment it is important to be knowledgeable about the product. When considering Botox, you should look into the advantages, disadvantages, and possible side effects. At DWH Med Spa we can answer any questions you have regarding Botox and the procedure. 

What Is Botox?

Botox is short for botulinum toxin. This injectable form of this bacterium has been used in the medical field for decades. It helps to prevent muscles from contracting which leads to wrinkles and fine lines. Botox is the industry leader for addressing wrinkles and fine lines. But it also has many other uses as well. 

What Is Botox Used For?

Botox can treat conditions and issues like:

  • Muscle contractions
  • Lazy eye
  • Excessive sweating
  • Eye twitching
  • Cervical dystonia (contracted neck muscles)
  • Bladder issues
  • Chronic migraine headaches

Botox helps to stop the nerves from sending messages to muscles. 

When given in a measured, controlled way, it can be effective in dealing with muscle over-activity, spasms, or contractions. 

Wrinkles around the forehead, eyebrows, and face can be treated. When administered, the muscles are relaxed and they no longer cause wrinkles. This leads to an overall more youthful, smoother appearance for the patient.

Potential Side Effects Of Botox Treatment

Botox is considered safe when monitored and administered by a trained professional. Some side effects that may occur after treatment include:

  • Swelling, redness, or pain at the injection site
  • Dryness of the eye, or excessive tearing
  • Uneven eyebrows
  • Drooping eyelids
  • Crooked looking smile
  • Drooling
  • Headache or symptoms that mimic the flu


If you are going to get Botox, make sure you:

  • Choose your provider carefully
  • Do not massage the injection area, especially in the first 24 hours
  • Make sure to inform your provider if you take: allergy medications, sleeping aids, or muscle relaxers before your treatment

If you are local to the Richmond, VA area, you may wish to reach out to the staff at  DWH Med Spa. They can help you set up a consultation, give you more information about your options, or schedule an appointment for Botox or another service of your choice.

How Long Do Dermal Fillers Last?

Posted on November 26, 2019

When general aging and sun damage start to emerge, our faces begin to sag, develop wrinkles, and lose volume. It happens to everyone. We don’t have to just sit there and accept these normal developments because advancements in beauty science have led to incredible aesthetic, non-surgical treatments like dermal fillers. These amazing injections are safe, simple, and show instant results. Patients who are thinking of getting a dermal filler treatment often have many questions. Mainly, how long do results last?

How Long Do Dermal Fillers Last?

It depends on the type of filler chosen and what it is used to address. Each dermal filler treatment can be customized to suit individual needs. Also, dermal fillers are a temporary cosmetic treatment, so touch-ups will be required to keep the effects maintained. Generally speaking, dermal fillers can last anywhere from six months to two years.

Dermal fillers were designed to lift, add volume, or fill in facial lines and folds. When done properly by skilled experts, you can transform your facial contours to a more youthful appearance in minutes.

Hyaluronic Acid (HA) Fillers

HA is a substance naturally found in the human body. Hyaluronic acid helps keep your skin smooth, taut, and moisturized. As we age, it diminishes significantly.

HA fillers like the Juvederm product line are the most popular dermal fillers chosen because the gel serum is easy to inject. It delivers a smooth, plumped up effect as it acts as a moisture magnet. Juvederm has a range of dermal fillers that add volume, and there are others that fill in lines, wrinkles, and plump up thin lips. HA is excellent for lifting and adding volume to your cheeks, temples, and smoothing your jawline.

The various Juvederm fillers we offer are:

  • Ultra and Ultra Plus
  • Vollure
  • Volbella
  • Voluma

Juvederm products last anywhere between six months to two years. This can vary greatly per person due to genetics, age, and amount of injections used during treatment. Each product offers it’s own advantages and disadvantages. Come into our Med Spa to see which one could benefit you.

Schedule a Consultation

Here at DWH Health & Wellness Med Spa, we can help you achieve a youthful and natural-looking appearance. Don’t let general sagging, wrinkles, and loss of volume bring you down. Today’s dermal fillers are very popular aesthetic treatments worldwide because these injections can deliver amazing results.

If you are looking for a refreshed look but do not wish for a complex procedure, then talk to our team about dermal fillers. We can help to recommend the right for you during an in-person consultation. Contact us today to schedule. 

Is Sculpsure the game-changer for non-invasive fat removal?

Posted on November 5, 2019

sculpsure richmond

In a highly-competitive market for non-surgical fat reduction, it can be difficult to determine which option will be best for you and your goals. One option worth knowing about is Sculpsure, which has been approved by the FDA and can reduce up to 24 percent of stubborn fat with each treatment session. This can be effective on areas where you don’t see the results you want from diet and exercise alone. Here’s what to know about this game-changing treatment.

Learn More about How Sculpsure Works

The treatment session is short, usually lasting just 25 minutes. This innovative method uses light energy to generate heat and then destroy fat cells in specific areas. It is completely non-invasive. The fat cells will then be metabolized by the body before they are permanently removed.

This treatment can be customized to your unique concern areas where fat doesn’t seem to go away with your weight loss regimen. The unique applicators designed with the Sculpsure system can be placed on almost any part of the body where you have unwanted fat. For greater comfort and more effective contact, the applicators are specially molded to unique areas of the body. Most patients experience no discomfort during each treatment and even report it feels similar to a warm massage. Since this is a non-invasive treatment, you’ll be able to get back to your normal schedule immediately after. Most patients require a package of treatments for the best results, so our technicians will ensure you understand your best options.

Schedule a Consultation

You don’t have to live with unwanted fat that doesn’t go away. To get started on your non-surgical fat reduction options, contact us today to schedule a consultation with one of our expert technicians.

Does Hormone Therapy Have Anti-Aging Effects?

Posted on October 14, 2019


The United States has been using hormone therapy for multiple innovative purposes for years. In the US, it’s common to use hormones to reduce the appearance of aging. By contrast, in the UK, utilizing the anti-aging effects of hormone therapy is a fairly new concept. Many people don’t even know an anti-aging hormone therapy treatment is an option.

An Overview of Hormone Therapy

There isn’t any one type of hormone therapy. Many different programs and procedures have been developed to address a wide variety of hormonal issues. The best-known is hormone replacement therapy. This is most often used during menopause to help replace the body’s estrogen. Doing so counteracts hot flashes, loss of libido, mood swings, and other menopausal symptoms.

An anti-aging hormone therapy program is designed to correct hormonal imbalances. Proponents believe that hormone growth techniques can slow the aging process, boost energy levels, and increase both libido and overall sexual performance. The therapy is performed through the injection of bio-synthetic growth hormones.

The Statistics Behind Anti-Aging Hormones

Reports indicate that anti-aging hormone therapy has had positive results on the patients who have undergone it. These people have noticed better sex, improved sleep, boosted energy levels, and clearer skin. Durham University published a report in 2010 that showed a correlation between HRT and improved cognitive function in middle-aged women.

Even in the anti-aging niche, there are a variety of hormone treatments available. The recommended treatment will depend on the individual and the circumstances. Typical hormones include melatonin, progesterone, DHEA, testosterone, and estrogen.

Potential Health Dangers

It’s important to note that the benefits of hormone therapy have not been proven without a doubt. In addition, since the concept has only been in use for a few years, researchers are still gathering data about potential long-term problems. HRT has well-documented risks, but other hormone treatments have received scrutiny because of research showing they may increase a person’s chance of getting breast cancer.

The United States Food and Drug Administration hasn’t yet approved hormone therapies for anti-aging. This means that scientists have been unable to provide evidence that the treatment can offer lasting benefits with low risks. Some experts point out that all hormones have been proven to have potential consequences. The procedure is still in the experimental stage, which means that it might cause harm without delivering results.

Balancing Hormones Naturally

Before you undergo any kind of hormone therapy, there are steps you can take to balance your hormones naturally.

  1. Engage in regular exercise. On top of making you feel good, exercise boosts HGH and testosterone levels.
  2. Reduce stress by introducing relaxing activities and self-care into your life.
  3. Eat nutrient-rich foods like fruits and vegetables. This helps boost your body’s hormone production. Melatonin levels can be boosted by rice, oats, bananas, onions, mint, and red wine.

For more information on hormone therapy and anti-aging treatments, contact DHW Health & Wellness Med Spa today.

Ins And Outs Of Your Botox Treatment

Posted on August 12, 2019

There are plenty of steps that you can take to reduce wrinkles on your face. One such step is Botox injections. For some people, this is an incredible way to get rid of unwanted lines without serious side effects. For others, it is a matter of treading cautiously and listening to the advice of others who have undergone this treatment.

Reasons To Use Botox

Botox uses botulinum toxin that temporarily prevents movement of muscles. However, the key with this usage is the composition of chemicals that makes Botox a successful compound to treat wrinkles. The injection blocks signal from nerves causing muscles to contract as a result. The muscles around eyes, lips and on the forehead relax temporarily. Other conditions for which Botox is used include but not limited to:

1) Hyperhidrosis or excessive sweating where the body produces a large amount of sweat even in the cold temperature.

2) Migraine where Botox is used to treat patients suffering from chronic symptoms that last more than a month.

3) Eye twitching where individuals experience uncontrollable twitching of the eye and as a result, it is affecting their normal well-being.

Who Needs Botox?

Botox is widely used by women and men who want to get rid of their wrinkles or make modifications to their facial look, expressions, and contour. They are performed by an experienced doctor who offers relatively safe solutions to aesthetic concerns. However, there may be possible side effects and complications that one cannot neglect or should take into account when undergoing this procedure. For example, Botox may lead to mild pain, bruising or swelling at the site it is administered. It is absolutely necessary to identify the right physician who is highly specialized in this field and be informed of the treatment steps beforehand. Equally important is to inform your doctor immediately upon noticing any of the side effects that are mentioned above.

More About Botox

Another crucial thing to consider is to pay attention to your health condition before undergoing this procedure. Physicians recommend against using Botox if you are breastfeeding, pregnant or suffer from an allergic reaction to this protein. Many women take the route of informing their primary care physician or gynecologist for health advice prior to Botox treatment. This may be necessary because certain people who are on birth control or taking medications and may face serious health problems if they are careless. Experts at DWH Health & Wellness MedSpa advice their patients to inform them of Botox procedure so they can give out relevant information about how to care before, during and after the treatment. Additionally, this health organization can refer to doctors specialized in this area and are located at the same hospital so that evaluation of the patient is done quickly and affordably as possible.


What To Know About Botox Treatments

Posted on June 27, 2019

Have you ever caught a glimpse of something you didn’t like in the mirror? Maybe you spotted a couple of lines near your eyes or the creases in-between your brows. Sure, lines and wrinkles are a natural part of aging. But that doesn’t mean that you have to deal with them! If you are thinking of having a Botox treatment, read on to learn more.

What will Botox even do for me?

You’d probably be shocked to hear that Botox is actually a substance that affects your nervous system. However, when it is used in very small doses to minimize wrinkles, it is perfectly safe. Botox reduces the wrinkles and creases in our faces by temporarily blocking the nerve signals that tell the facial muscles to contract. For some people, a Botox injection can even help stop further creasing from occurring.

A new study found that less than one percent of all patients experienced an issue with Botox.

Choosing the right clinic is your first mission

Botox is one of the most popular nonsurgical cosmetic procedures performed in the country. What does that mean for you? Well, this means that when you start searching for a clinic, you will be faced with a LOT of choices.

You’ll want to first limit your search to actual plastic surgeons and board-certified dermatologists. They have the training and experience you will want since they will be experts in facial anatomy.

Next, check out the doctor’s website and social media pages to learn more about their practice. Look for real reviews, both good and bad, concerning their work. Check to see if there are before and after pictures of their treatments.

Next, schedule a consultation with the doctor. Most reputable offices will offer a free consultation. Remember, it is ultimately your money and your body. Always pick a doctor that makes you feel safe and comfortable. You should never feel pressured about undergoing a procedure. Take the time that you need to choose a reliable doctor-this is not a process that should be rushed.

Get ready to make a Botox plan

Once you decide on a doctor, sit down with them and come up with a plan. Everyone is different, so don’t go in thinking that the process will be just like your mom’s or your coworker’s Botox experience.

Your doctor should discuss all of the options available to you, even those that differ from Botox treatments. He or she should always explain what Botox can and cannot do for you. They will consider your age and your personal muscle movements. There could be supplementary treatments you may wish to consider along with the Botox injection.

Make sure that you talk about costs with your doctor. Most Botox fees start at $100 and can go up to $400. Be upfront with your doctor about what you can afford. Remember, Botox is typically more than one injection. You might have to have different areas of your face treated. Additionally, you may have to come in and have follow-up sessions after your first treatment.

If your fine lines and wrinkles are starting to bother you, you may want to consider Botox treatments. DWH Medspa is a company that you can trust when you are ready to reverse the signs of aging in your body. There is absolutely nothing wrong with wanting to inject a little youthfulness into your face! Call today to set up a consultation– new patients will be seen within 48 hours. We can’t wait to help you on your journey!

CoolSculpting Vs. Sculpsure: Treating Stubborn Fat Bulges

Posted on June 6, 2019

When it comes to fat reduction, there are many options. Diet and exercise are, of course, the first steps to be taken to shape the body. But, when a healthy individual is still having trouble getting rid of stubborn fat, then cosmetic procedures can a great next step. However, trying to find the right type of procedure can be a challenge in today’s cosmetic advertising whirlwind. To help you weed through the mess, we’re going to analyze two of the most popular cosmetic procedure options to reduce stubborn fat.

What Is CoolSculpting?

Being an active procedure for the last decade, CoolSculpting takes advantage of the process of cryolipolysis. This process gradually freezes away fat cells– once the cells are frozen, they are then absorbed and expelled by the body. Throughout the process of natural elimination, CoolSculpting can help to get rid of targeted areas of fat. This procedure is done specifically to target the fat cells right below the surface of the skin while avoiding any damage to the surface tissues.

CoolSculpting at Dominion Women’s Health will allow you to get rid of those stubborn areas of fat that simple dieting and exercise can’t touch. It’s important to understand that this type of fat reducing procedure takes time to work. Over the course of about four months, the fat cells will naturally die off. When this happens, they are collected by the lymphatic system and processed through the liver to be excreted. Once these crystalized cells leave the body, the treated area can no longer expand with weight gain.


  • Safe and reliable technology that has been used for over a decade.
  • Can treat harder-to-reach areas like the chin, back rolls, inner thighs, arm fat, and bra line.
  • No downtime after treatment.


  • Mild discomfort from suction and massage processes.
  • Not available for those who are pregnant or suffering from liver cirrhosis.
  • Mild swelling and bloating can occur.
  • Numbness of the area following treatment

What Is Sculpsure?

Instead of fighting the fat cells with cold, Sculpsure uses laser-focused heat. The diode laser system reaches temperatures between 107 and 116 degrees Fahrenheit. This is just hot enough to destroy the fat cells below the surface of the skin, but still cool enough to leave the surrounding tissues unharmed. Due to the use of heat to damage the fat cells, patients tend to feel a prickling sensation on the skin while the treatment is underway.

At DWH, we’ve found that patients can lose up to 24 percent of fat cells in the targeted area with just one treatment. Just as with CoolSculpting, Sculpsure’s fat reduction will take place over a few months. The laser energy will destroy the fat cells and the body will naturally eliminate them through the lymphatic system.


  • Stimulates collagen production in the skin.
  • Quick procedure done in 30 minutes.
  • No downtime.
  • Various applicators are available in different sizes to treat all different areas.


  • Bruising and swelling can happen up to a few days after the treatment.
  • No direct sun exposure for a week to the treated area.
  • Six months wait in between treatments.

Schedule a Consultation

Whatever your goals for fat reduction, we can recommend the right treatment option for you. Your first step is a consultation with our technicians who can create a treatment package using the latest in non-surgical fat reduction. To get started, contact our office by calling or filling out our online form.


Sign Up For News & Specials

We Never Share Personal Information