You know your body best.

When something’s out of sync, your hormones might be part of the story.

Your endocrine system thrives on balance, and when it's off, your body can send strange signals. If any of these symptoms apply to you, it’s time to check in, not just push through:

  • Fatigue (energy ghosted you)
  • Hot flashes
  • Night sweats
  • Less interest in sex (#not-tonight)
  • Moodiness
  • Brain fog (difficulties with concentration, can't find the right words)
  • Sleep issues (falling asleep? sure. staying asleep? ha!)
  • Your body's exhausted, but at 2am your mind's like, "Let's unpack that embarrassing moment from 2007."
  • Weight gain
  • Body aches, muscle weakness, exercise recovery takes longer
  • Thinning hair
  • Changes in sexual function (your "O" is more "(sigh) Oh....?")
  • Vaginal dryness, painful sex, or bladder problems - increased need to urinate, leaking
  • Feeling cold (you're the freeze baby that runs your space heater - against policy - at work)
  • That “blah” feeling that just won’t quit...

Hormonal shifts are real, and so are the solutions. Let’s get to the root of what’s going on and help you feel more like you again.

Rate Your Symptoms - Take Our Quiz

Medically-Guided, Expert-Driven Care

Every plan starts with a full intake and lab review, led by a board-certified women's health nurse practitioner and a board-certified OB/GYN physician. Andrea Koch, NP, has practiced women's health for 26 years and holds a functional medicine certification from the Institute for Functional Medicine. Dr. Christopher Ott, MD, completed his OB/GYN residency in 2004 and brings 22 years steady, experienced clinical perspective to our hormone care team. For women, that often means balancing what we call the Hormone Hat Trick: testosterone, estrogen, and progesterone, plus their ally, thyroid. Dosing isn't generic. It's matched to your labs, rechecked six to eight weeks after starting, and adjusted from there.

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DUTCH Hormone Testing & Lab Interpretation

DUTCH testing measures the way you metbolize estrogen, progesterone, testosterone, and your daily cortisol pattern, giving a more complete picture than blood work alone. We don't just order labs - we sit down and  and walk through what each result means for your hormone plan, whether it’s a simple interpretation or a deeper dive using DUTCH Cycle Mapping across your cycle.

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Comprehensive Lab Panels

Our lab panels range from a Comprehensive Initial Panel for a starting snapshot of your hormones and metabolic markers to a Comprehensive PLUS Panel that adds even more if you're wondering about inflammation, insulin, and more. Already have labs from somewhere else? We'll review them through a hormone-specific lens and offer a second opinion.

Lab Options

Men's Testosterone & Hormone Therapy

Low testosterone doesn't have to mean daily gels or feeling the ups-and-downs of injections. Our experienced clinicians bring the same hormone expertise to men that we do to women - we offer all forms of testosterone therapy, including pellets. Your dosing is based on your labs and rechecked on a consistent scheudule to keeep levels smooth and predictable.

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Who We Treat

Symptoms we help with:

  • Hot flashes & night sweats
  • Brain fog and trouble concentrating
  • Low libido and painful sex
  • Midlife weight gain
  • Sleep disruption
  • Mood swings
  • Fatigue
  • Low testosterone

Who we see:

  • Women navigating perimenopause or menopause
  • Women considering bioidentical hormone therapy for the first time or switching from another provider
  • Men experiencing low testosterone symptoms who want a personalized, lab-based plan

Your Hormone Whisperers

Making sense of your body's signals, one lab result at a time.

At Balance, expertise meets intuition. Andrea Koch, NP, has practiced women's health for 26 years and holds a functional medicine certification from the Institute for Functional Medicine. Dr. Christopher Ott, MD, is a board-certified OB/GYN with 22 years of practice. Together, they blend advanced clinical training with a refined understanding of what your body is trying to say, even when it speaks in hot flashes, restless nights, or shifting moods. We craft personalized treatment plans with precision and care, offering a boutique experience where you feel truly seen, supported, and restored. When your hormones speak, we listen, and respond with clarity, compassion, and confidence.

P.S. We believe the path to wellness should feel good, and yes, a little fun is part of the prescription.

MEET THE TEAM

Areas We Serve

Located in Plymouth, we see patients from across the Twin Cities, including:
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Plymouth

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Eagan

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Brooklyn Park

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Minnetonka

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Woodbury

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St. Paul

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Chaska

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Minneapolis

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St. Louis Park

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Maple Grove

Frequently Asked Questions

No. We're a medical clinic led by a nurse practitioner and a board-certified OB/GYN. Every plan starts with a full intake and lab review, not a walk-in menu of treatments.

We're a cash-based practice and don't bill insurance directly. We provide a superbill you can submit for HSA/FSA reimbursement.

Yes. We offer consultations, lab panels, and tesosterone therapy for men.

Yes, for patients anywhere in Minnesota. In-person visits, including pellet insertion, happen at our Plymouth location.

It's up to you. Some patients prefer labs ahead of the consult, others want to talk first. Text us at 952-213-2144 if you'd like to get labs scheduled before you come in.

Balance, made simple:

Perimenopause? Menopause? Manopause? You just know something's off? We'd love to help.
hormone therapy MN

1. Book Your Consultation. Click "Book Now" and select Virtual New Patient Consult

Hormone confusion ends here. No more endless Googling- just real answers and a smart, personalized plan. Labs help us understand your unique story - and we’ll work with your timing. Do you prefer labs before your consult or would you rather wait until after we talk? It’s entirely up to you. Text us at 952-213-2144 if you want labs ahead of your visit.
menopause support MN

2. Clarify Your Needs, Craft Your Plan

Your health goals, your lab results, and your preferences - combined with our clinical expertise - lead to one seriously personalized strategy. From pellets to patches, creams to nutraceuticals, or maybe you just want to know what's up...we’ve got you covered. If pellets are your pick, we’ll welcome you to our cozy mini-suite in Plymouth
Get your groove back with hormone therapy

3. Eventually, Be like Stella (or Steve).

This comeback story is yours. Stella got her groove back. We think you can, too (wink).

Your body’s been dropping hints - let’s finally decode the message

Those nagging mystery symptoms? We call them clues. Let’s get to the bottom of it.
BOOK NOW

The Balance Blog

See what our clinicians are writing about - from perimenopause and menopause to men’s low T and everyday hormone questions.