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Bioidentical Hormone Replacement Therapy

FAQ's

  • What is Bioidentical Hormone Replacement Therapy (BHRT)?

    • Bioidentical hormone replacement therapy is the replacement is the treatment of one of the most common debilitating symptoms associated with aging in men and women which are normally not addressed by healthcare providers. The goal of BHRT is to address the root cause of symptoms by optimizing your hormone levels. 

  • What are the Benefits?

    • Improve sleep​

    • Improve libido

    • Improve energy

    • Improve bone density

    • Decrease fat mass

    • Decrease hot flashes

    • Improve vaginal dryness

    • Improve bladder and urethra atrophy

    • Improve night sweats

    • Eliminates creams, injections, pills, and increases compliance​​

  • Why Pellets?

    • Pills and creams have less than a 50% compliance and injections cause a rapid increase of hormones in the body. Pellets are the preferred method as they are safe in delivering the hormones over time which is the advantage versus the fluctuations that can happen with other methods. Studies have conclusively proven that BHRT pellet therapy is a natural and simple method of addressing hormone imbalance with men and women. 

  • What hormones can be replaced?

    • Testosterone, estrogen, progesterone via pellet​

  • How do I start?

    • Schedule an appointment.

    • Hormone labs are drawn and analyzed, ​a treatment plan will be developed based on lab results.

    • A follow-up appointment will be made where the pellets will be placed, 1 month follow-up labs will be needed, and pellets will be replaced every few months according to your treatment plan.​

  • What should I do before the procedure?

    • One week before the procedure you will be asked to stop all blood thinners such as NSAIDS, Aspirin, Ibuprofen, Vitamin E, Naproxen, etc and if required to take daily permission will be needed from your primary care provider to stop. No fasting is required. ​

  • What to expect?

    • Pellet therapy is a minor and simple procedure that takes about 15 minutes​. The pellet is placed in either hip. Lidocaine is used to numb the area prior to insertion, a small incision is made and the pellets are inserted, and the incision is covered with steri-strips and a see through dressing. There is no down time and can be done on a lunch break!

  • What to expect after the procedure?

    • After the insertion of the pellet it is best to stop lower body exercise for at least 1 week which does not include walking. Extraneous exercise is not recommended. To minimize the risk of infection do not go swimming, get into hot tubs or tub baths You can shower following your procedure, but do not remove the outer dressing for 4-7 days and let the steri-strips fall off.​

  • What happens to the pellets are they are inserted?

    • Pellecome hormone replacement therapy pellets are bioidentical and contain nothing other than the hormone the body naturally produces, the pellets are dissolved and absorbed by the body leaving nothing behind. ​

  • When will I feel a difference?

    • Most patients start to feel symptom relief in as little as 2-4 weeks, but full optimization may take up to 6 months.

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  • How do I know if I need hormone replacement (Men)

    • Many men who pursue hormone replacement therapy find that they are unsure if this is something that they need. However at or around age 30 men may notice the impact of the decrease in testosterone levels have on their bodies and lifestyle. ​

    • While it is not known, but there is a counterpart to menopause in men and this is called andropause which is the decrease is the production of testosterone in the male body.​

    • Andropause has a much less defined timeline, and some of the sudden changes men experience are alarming which affects their ability to build muscle, lose weight, decreased bone density and sex drive or performance.

    • Most men will report a steady decline over a long period of time, and the process often begins around their 30's and up. The body's testosterone production drops about 1-2% each year and men in their 40's and 50's realize they don't feel the way they use to and the andropause is much more apparent as they feel less confident.

    • Replenishing the body's testosterone levels through BHRT can make you fell younger and full of life no matter how old you are. 

  • How do I know if I need hormone replacement (Women)

    • For women hormone deficiencies to can present itself in the early 30's but many women may not notice its full effect until they reach menopause.

    • The hormones driven by women are differ for every women, but the imbalance in the body's natural hormone levels can make symptoms very overwhelming. 

  • The process women go through can be divided into four different stages. 

    • Premenopause which is the first stage that makes up the bulk of a woman's life, and encomposses the time when "normal" reproductive functions are active. For most women this includes a regular menstrual cycle with the ability to become pregnant. This stage generally last from a woman's first menstrual cycle to her last menstrual cycle. Hormone levels are usually higher during her teens and early 20's, and as early as mid 20's to early 30's hormone levels start to plateau and eventually drop.​

    • Perimenopause is the transition stage between a normal, regular menstrual cycle and the end of a woman's reproductive abilities which can last 2-10 years. Most women who experience this stage is between 35-50 years old. Hormones fluctuate often which causes the hallmark symptoms of menopause, including hot flashes which is the roller coaster of emotions due to the body's imbalance. When it progresses naturally, this stage of menopause can take a huge toll on the physical and emotional health of a woman.​

    • Menopause is the last stage of a woman's reproductive life. The bodies ability to produce natural estrogen and progesterone decreases and the ovaries stop producing eggs. Once this happens the body can no longer become pregnant naturally and monthly periods cease. For many women symptoms such as hot flashes and mood swings continue and may slowly subside over the next year.​

    • Post-menopause marks the beginning of the life after menopause and typically about a year after the last regular menstrual cycle. During this stage most women report the classic symptoms of menopause have ceased. However, hormonal imbalances can still affect energy levels, libido, bone density, and can accelerate the aging process. ​​

  • Other concerns about hormone deficiencies

    • ​Hormones for most people affect the essence of what is to be a man or a woman including the shape and strength of the body, reproductive functions, and sex drive. While these components of hormones, hormonal imbalance can have negative effects on the bodies general health. Both men and women can suffer from memory loss, fatigue, bone density loss as a result of hormone deficiency. 

    • Other serious health concerns such as heart disease, high cholesterol, and weight gain are often directly connected to hormonal imbalances in the body.

    • When hormone deficiency is left unresolved it can seriously damage your health. BHRT addresses those issues by introducing a steady source of bio-identical hormones into the body by allowing it to stabilize and heal.​​

  • How often is pellet insertion necessary?

    • Each patients needs are unique. Most patients will need to have pellets inserted 3-4 times a year to maintain proper hormone levels. Men can typically expect to be pelleted every 4-5 months and women every 3-4 months depending on the sustained desired results.​

  • Who should ABSOLUTELY NOT receive hormone replacement therapy?

    • ​Someone with active BREAST CANCER

    • Someone with ENDOMETRIAL CANCER

    • Someone with BLOOD CLOTTING DISORDER

    • Recent HEART ATTACK

    • Undiagnosed VAGINAL BLEEDING

    • SEVERE LIVER DISEASE

    • SEVERE HEART DISEASE