
Menopause and Hormones
Dr. Cova and her staff understand the symptoms of the hormonal changes that occur during perimenopause (before menopause) and throughout the menopausal years. Symptoms can occur as early as the mid-thirties, usually lasting from 2-8 years prior to menopause.
Menopause is common around the age of 51, though every woman’s body has its own timeline. Hormonal changes that prevent you from achieving an optimal lifestyle may be corrected. When your hormones are balanced you feel energetic, happy, sexy and alive.
In order to accomplish this, Dr. Cova recommends testing and assessing your hormone levels when symptoms occur. There are various types of hormone replacement therapy. Dr. Cova will partner with you to achieve a customized plan to fit your needs.
Are you balanced? If you have any of the following symptoms, you may be experiencing hormonal imbalance:
- Hot flashes/night sweats
- Food cravings
- Weight gain/inability to lose weight
- Foggy thinking
- Hair loss
- Vaginal dryness
- Breast tenderness
- Endometriosis
- Depression
- Arthritis/joint pains
- Migraines/headaches
- Insomnia/sleep disturbances
- Poor concentration
- Fatigue
- Inability to build/maintain muscle
- Irritability mood swings
- PMS
- Fibrocystic breasts
- Anxiety
- Bloating
- Impaired immune system/frequent infection
Dr. Cova and staff are committed to supporting and treating each woman with customized hormone replacement strategy.
Bio-Identical Hormone Replacement Pellet Therapy (BHRT)
Bio-identical hormones are derived from natural plant compounds and have the same chemical structure as the ones made in your body. Preliminary testing can be done with either blood, saliva, or both, and may be repeated every 3-6 months depending upon physician recommendations. Dr. Cova only prescribes compounded hormones that are manufactured according to the highest industry standards. Some patients notice results within a week while others may need additional time.The benefits of bio-identical hormones will be noticed as you restore your natural sense of well-being. You are supporting your immune system and reducing inflammation. This has tremendous positive benefits on your brain, heart muscle, bones, and your sleep. Bio-identical hormones have transformed the lives of many patients.
Bio-Identical Hormones
- Chemical structure is exact replica of human hormones
- Fits hormone receptor exactly
- Helps with all hormonal symptoms
- Individualized dosing
- Lab testing/monitoring available
- Must be obtained from compounding pharmacy
Conventional Hormone Therapy
- Chemical structure is different than human hormones
- Fits hormone receptor well
- Helps with hot flashes and vaginal dryness
- One-size-fits-all dosing
- No monitoring tests available
- Can be obtained at a regular pharmacy (e.g., CVS, Walgreens, Kroger)
Genova One Day Hormone Check
The One Day Hormone Check is ideal for males and females who want to understand if hormone imbalances are causing their symptoms.
These symptoms include:
- Fatigue
- Weight loss or gain
- Menstrual irregularities
- Loss of sex drive
- Sleep issues
- Changes in hair and skin
- Hot flashes and night sweats
- Depression
- Anxiety
- Memory issues and brain fog
- Osteoporosis
- Cardiovascular disease
Knowing the levels of your hormones and how they relate to each other can open up a wide range of solutions for you and your provider. These include nutritional therapies, lifestyle changes, and potentially hormone replacement therapy to keep you in balance. Patients are often surprised at how easy it is to improve their symptoms and how great they feel once their hormones are back in balance.
The One Day Hormone Check requires saliva samples collected over 24 hours to assess important hormonal rhythms. Saliva collection is very simple and can be completed in the comfort of your own home. We have many resources to help make your testing experience a success. Review the Test Preparation tab to learn more about the collection process.
Call Today to Schedule Your Appointment


The Complete Women's Practice
Cova Ob/Gyn and Cova MedSpa offer the complete women's practice incorporating obstetric and gynecologic care with physician directed aesthetic services. We are the comprehensive center for your well being.
ob/gyn & medspa
8:30AM - 4PM Monday
8:30AM - 4PM Tuesday
8:30AM - 4PM Wednesday
8:30AM - 4PM Thursday
8:30AM - 2PM Friday
Dr. Jennifer L. Cova, D.O. FACOG
COVA ob/gyn
COVA medspa
896 South Main Street
Centerville, OH 45458
937.433.6513 ob/gyn
937.723.7459 medspa
937.291.3398 fax

The Complete Women's Practice
Cova Ob/Gyn and Cova MedSpa offer the complete women's practice incorporating obstetric and gynecologic care with physician directed aesthetic services. We are the comprehensive center for your well being.
ob/gyn & medspa
8:30AM - 5:30PM Monday
8:30AM - 4PM Tuesday
8:30AM - 4PM Wednesday
8:30AM - 4PM Thursday
8:30AM - 2PM Friday
Dr. Jennifer L. Cova, D.O. FACOG
COVA ob/gyn
COVA medspa
896 South Main Street
Centerville, OH 45458
937.433.6513 ob/gyn
937.723.7459 medspa
937.291.3398 fax
