Feel younger, live stronger with expert TRT & wellness programs
Feel younger, live stronger with expert TRT & wellness programs
It’s not just stress or aging. It might be your hormones.
TRTMD’s Annapolis clinic offers physician-supervised hormone replacement therapy for women under the care of Dr. Ross VanAntwerp — board-certified in Internal Medicine and Preventive Medicine. Available in-clinic and via telemedicine across Maryland and the region.
LegitScriptVerified & Certified
Google Reviews4.9 / 5 ★★★★★
Board CertifiedInternal & Preventive Medicine
Est. 2018Physician-led practice
TRTMD Health Clinic — Annapolis
Dr. Ross VanAntwerp · Medical Director
1 Park Place, Suite 325
Annapolis, MD 21401
Mon–Fri: 9:00 AM – 5:00 PM (Appointment required)
Sat–Sun: Closed
Parking available. Wheelchair-accessible.
Telemedicine consultations available throughout Maryland and beyond.
Several factors are known to raise the risk. A number of them are unusually prevalent among women in Annapolis.
~32%
of Anne Arundel County residents are between 40 and 64 — the age range spanning perimenopause through menopause.
52,000+
women veterans call Maryland home, and the state is projected to have the highest share of women veterans of any U.S. state by 2025. Research on Gulf War veterans links military-related stress and exposures to increased risk of early menopause.
~40%
of U.S. adults are vitamin D deficient. At Annapolis’s 39°N latitude, sufficient sun exposure isn’t possible for roughly five months of the year — and low vitamin D is linked to worsened mood and menopausal symptoms.
Age 51
is the average age of natural menopause in the U.S., with perimenopause typically beginning in the mid-40s and lasting several years.
5.3 vs 4.8
is how women vs. men rate their average stress on APA’s 10-point scale — a gap that’s held every year the survey has run. Chronic stress keeps cortisol elevated, which competes with the body’s ability to produce progesterone and estrogen.
50-82%
of U.S. women experience hot flashes or night sweats during natural menopause (ACOG), yet only 4-6% currently use hormone therapy — despite NAMS and ACOG affirming its effectiveness for healthy women within 10 years of menopause onset.
The symptoms of hormonal imbalance look a lot like life.
Fatigue that sleep doesn’t fix. A mind that used to be sharp, now working through fog. Mood swings that don’t match what’s actually happening in your life. These aren’t inevitable signs of aging — they’re often signs of a hormonal imbalance that’s entirely treatable.
TRTMD Annapolis evaluates and treats women’s hormonal health at every life stage — from your 20s and 30s through perimenopause and menopause.
Common symptoms include:
If several of these sound familiar, your hormone levels may be the reason.
From patients across Annapolis, Severna Park, Bowie, Columbia, and the surrounding region.
★★★★★
Before treatment, I had zero energy, zero sex drive, my hair was falling out, I struggled to lose weight with a good diet and exercise routine, and I was extremely moody. I thought I was crazy to feel this way but the truth was in the extensive bloodwork. I began supplementing with what I was lacking based on their recommendations and within 2 weeks I was already feeling better. I tell them all the time they fixed me.
Leah B
Annapolis, MD
★★★★★
I was in a terrible place physically and mentally due to my thyroid and menopause. I had every symptom under the sun. Within weeks of starting my program I saw great changes in every aspect of my body and mind. I spoke at length with multiple people that did a great job educating me. Dr. Ross is so knowledgeable and all of the nurses are so kind and always responsive. I have my life back. I just wish I went there sooner.
Veronica R
Annapolis, MD
★★★★★
TRT was an answer to my prayer!! Both my GYN doctor and my primary care physician gave me no hope. After seeing Dr. Ross my life and marriage have been revitalized. There is hope for women over 50. Thank you Dr. Ross! And my husband thanks you even more!!
Gina C
Annapolis, MD
G4.9 / 5 · 223 Google Reviews
Meet your physician
Medical Director, TRTMD Annapolis
Board-Certified · Internal Medicine & Preventive Medicine
Johns Hopkins Clinical Fellowship · 30+ years in medicine
Dr. VanAntwerp trained as a paramedic, spent years in critical care, completed a clinical fellowship at Johns Hopkins, and has practised medicine for over three decades. His focus at TRTMD is the same principle he arrived at in the ICU: get ahead of the problem before it compounds.
Everything you need to know about HRT at our Annapolis clinic.
Yes. Telemedicine consultations are available for patients across Maryland and beyond. Your physician reviews your symptoms and hormone history remotely, lab work is arranged locally, and monitoring continues throughout treatment.
Yes, when supervised by an experienced physician and guided by regular lab monitoring. Much of the lingering hesitation around HRT traces back to a single 2002 study whose findings have since been substantially revised; current NAMS and ACOG guidance affirms that for healthy, symptomatic women within 10 years of menopause onset, the benefits of hormone therapy outweigh the risks. Every patient’s dosing at TRTMD is individualized and adjusted based on ongoing labs — not a fixed protocol.
This is the most common concern we hear, and it deserves a direct answer rather than a vague one. Risk depends heavily on the type of hormone used, the delivery method, your age, and your personal and family health history — it isn’t a single flat answer that applies to everyone. We review your full history before recommending any protocol, and your physician will walk you through what the evidence actually says for your specific situation, not a generic statistic.
In most cases, yes. Estrogen given without progesterone to a woman who still has her uterus can increase the risk of endometrial cancer, so progesterone is typically included specifically to protect the uterine lining. If you’ve had a hysterectomy, your protocol may look different. This is exactly the kind of detail your evaluation is built to catch.
It depends on the specifics, and it’s a conversation to have directly with your physician rather than a yes/no answered in general. Some histories rule out certain hormone types or delivery methods while still leaving others available; some require closer monitoring rather than exclusion. Bring your full history to your consultation — that’s precisely what it’s for.
Cost varies by patient, because the treatment plan itself does — the specific hormones prescribed, delivery method (patch, cream, pill, or pellet), lab frequency, and ongoing monitoring all differ based on your evaluation, so there isn’t one number that applies across the board. We review cost in detail during your consultation once we know what your protocol actually involves, so you’re working from a real figure rather than a generic estimate that may not reflect your situation.
Coverage varies by provider and plan. Our team can help verify your benefits and explain any out-of-pocket costs.
It depends on why you started and how your symptoms and labs respond over time. Some women use HRT for a few years through the most disruptive part of the transition; others continue longer under ongoing monitoring. Your plan is reassessed at regular intervals, not set once and left alone.
If you’re still in perimenopause — meaning your cycles haven’t fully stopped — HRT can affect your periods, and you may still need contraception, since perimenopause doesn’t mean you can’t get pregnant. This is one of the first things we clarify based on where you are in the transition.
Stop managing it. Start fixing it.
Hormonal imbalance doesn’t resolve on its own. Most women spend years adjusting to it, chalking it up to stress or age. One conversation with Dr. VanAntwerp can tell you whether there’s a clinical reason for how you’ve been feeling — and what can actually be done about it.
Speak to an expert. No pressure. No obligation.
