Feel younger, live stronger with expert TRT & wellness programs
Feel younger, live stronger with expert TRT & wellness programs
Not feeling like yourself lately? Your hormones might be why.
TRTMD’s Las Vegas clinic offers physician-supervised hormone replacement therapy for women under the care of Dr. Neelesh Thussu, MD — board-certified in Internal Medicine, with advanced training in metabolic and hormone optimization. Available in-clinic and via telemedicine across Nevada and the region.
LegitScriptVerified & Certified
Google Reviews4.9 / 5 ★★★★★
Board CertifiedInternal & Preventive Medicine
Est. 2018Physician-led practice
TRTMD Health Clinic — Las Vegas
Dr. Neelesh Thussu, MD · Medical Director
1215 S. Fort Apache Rd, Suite 230
Las Vegas, NV 89117
Mon–Fri: 8:30 AM – 4:30 PM (Appointment required)
Sat–Sun: Closed
Parking available. Wheelchair-accessible.
Telemedicine consultations available throughout Nevada and beyond.
Several factors are known to raise the risk. A number of them are unusually concentrated in Las Vegas.
Top 5
Nevada ranks among the top five states for residents sleeping fewer than 7 hours per night — driven by the valley’s 24-hour economy and shift-based hospitality industry. Sleep loss disrupts the hormonal rhythms that regulate estrogen and progesterone, not just testosterone.
70+ days
per year Las Vegas spends above 100°F. Sustained heat exposure and dehydration elevate cortisol — which competes directly with the body’s ability to produce progesterone and estrogen.
~40%
of Las Vegas workers are employed in hospitality, gaming, and service industries with non-standard hours. Research links night and rotating shift work to disrupted estrogen, progesterone, and LH rhythms, and higher rates of menstrual irregularity.
Top 5
Nevada consistently ranks among the top five states for alcohol consumption per capita. Even moderate alcohol use measurably alters estrogen metabolism in women, per a 2024 meta-analysis of cohort studies.
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.
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 Las Vegas 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 Las Vegas, Henderson, Summerlin, and the surrounding region.
★★★★★
After years of not getting any help with my hormones from various PCPs and even a gyno, I felt defeated and almost gave up. I made my appointment and had the most comprehensive lab work done and the Dr took his time explaining line by line my labs to me. For the first time in a decade I felt not only heard but SEEN. The treatment plan was explained in a way that made sense to me and my symptoms were real and no longer ‘my imagination’ or ‘just a part of ageing.’ I’m so happy and highly recommend all women that are perimenopausal or in menopause to invest in themselves and schedule a consult immediately!!!
Amy C
Las Vegas, NV
★★★★★
Since I was 10 years old, I’ve been unable to sleep after 3AM. The first night under Dr. Thussu’s care got me 6 hours of sleep. It may not seem like much but it was miraculous to me. Now, 8 hours a night is standard. Quality sleep has provided a foundation for my weight to be stable. Over the last 2 years, I haven’t experienced any menopause-associated discomfort. I really feel that I have sound mind and body. I am grateful.
Shobha G
Las Vegas, NV
★★★★★
After going through early menopause and left alone with no hormones I went down a path of decay in my health. My regular doctors never addressed my symptoms. Until I found TRTMD — their treatments helped me boost my confidence, regain my libido. I feel like myself again and not like an aging woman. My blood work has never looked this good. I am able to maintain muscle and sleep better.
Claudia PGL
Las Vegas, NV
G4.9 / 5 · 79 Google Reviews
Meet your physician
Medical Director, TRTMD Las Vegas
Board-Certified · Internal Medicine & Preventive Health
Norwalk Hospital Residency · Global Health Training, Vietnam
Dr. Thussu is a board-certified Internal Medicine physician whose focus shifted during the COVID-19 pandemic — watching metabolic health determine patient outcomes firsthand convinced him that prevention, not disease management, is where medicine needs to go. At TRTMD, he uses advanced laboratory data to restore hormonal and metabolic balance before problems compound. His training spans three countries: residency at Norwalk Hospital in Connecticut, global health work in Vietnam, and his medical degree from St. George’s University. In practice, patients describe appointments that feel less like a routine visit and more like a private education — Dr. Thussu reviews blood panels line by line, explaining what each marker means, what’s driving it, and what can be done about it.
Everything you need to know about HRT at our Las Vegas clinic.
Yes. Telemedicine consultations are available for patients across Nevada 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 — blaming the schedule, the heat, or the lifestyle. One conversation with Dr. Thussu 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.
