Bioidentical Hormone Therapy

Today, aging men and women have many choices when it comes to hormone replacement, but new advances in estrogen and testosterone pellet therapies are quickly becoming the treatment of choice.

Other options include hormone creams, sublingual troches, patches, or gels. Your provider will discuss all of these options with you during your consultation. If you are early in the menopausal process and your symptoms are mild, you may choose one or these options.

If you are a woman who is experiencing the unpleasantness of hot flashes, night sweats, insomnia, vaginal dryness, lack of sex drive, fatigue, aches and pains, poor memory and concentration, moodiness, depression, or any combination thereof, you might be an ideal candidate for hormone replacement therapy.

Men whose testosterone levels are low experience fatigue, depression, erectile dysfunction, decreased interest in sex, and inability to build muscle.

Here at Deborah Wilson & Associates, we consider ourselves experts on the treatment of a variety of hormone alterations and deficiencies, using pellets and a complete array of the most up-to-date methodologies available.

In men, testosterone levels can drop as early as the late 40’s. The symptoms can creep up slowly and can be hard to recognize.

Men are often reluctant to pursue testing. Sexual dysfunction is embarrassing and sometimes humiliating, especially for men. Fatigue can be easily rationalized given our busy demanding schedules.

For women suffering with menopausal symptoms, estrogen and testosterone pellets seem to be stealing the show! Let’s face it -patches are cumbersome, creams are messy and don’t work well, and pills create swings in blood hormone levels on a daily basis.

This office has been offering hormone pellet therapy for the last 15 years. We accept insurance payment for pellets if your insurance covers this service, and many companies do. Even if your insurance company does not cover pellets, you will find that our pricing is reasonable and affordable.

Estradiol and testosterone pellets are inserted in the fat layer under the skin of the hip and release hormone slowly over time, maintaining constant and reliable blood levels. The hormone levels gradually rise, peak at 3-4 weeks, and then gradually fall over the following few months.

Watch a video from Channel 15 where Dr. Deborah Wilson discusses the unpleasant symptoms of menopause and how that can be changed naturally.

In the natural pre-menopausal state, ovaries make 3 types of estrogen as well as testosterone and progesterone. These hormones are maintained in a balance. Hormone pellet therapy is better able to mimic pre-menopausal physiologic levels of estradiol. and estrone, Estradiol is one of the 3 types of estrogen that are produced by the ovaries. Pellet therapy also offers the option of adding testosterone, which is produced by the ovaries along with estrogen before menopause.

Women who receive hormone pellets find that they feel normal again, many after suffering for years with difficult menopausal symptoms. These women report no more hot flashes or night sweats. They regain their ability to sleep through the night peacefully and wake up feeling refreshed with a general feeling of well-being. Women who receive both estradiol and testosterone pellets also report a renewed sex drive, ability to enjoy sex and experience orgasms for the first time in years. Estradiol has been proven to counter the cognitive impairment that occurs with menopause. Women who are menopausal and not on hormones do poorly on cognitive tests. Their scores improve significantly after estrogen therapy is initiated.

In our experience, no other method of hormone replacement attains the same consistent blood levels and actual positive results.

Insertion is easy, quick, and relatively painless. A small area on the hip is sterilized and local anesthetic is injected just under the skin. A tiny nick is made in the skin and, using a trochar, the hormone pellets, which are the size of rice grains, are inserted under the skin. The tiny incision is closed with adhesive strips and covered with a band-aid.

Women with an intact uterus will need to also take progesterone pills or cream to protect the uterine lining from over stimulation by estrogen. In this office we prefer bioidentical progesterone to synthetic. Bioidentical oral progesterone is available commercially as Prometrium or can be compounded at a compounding pharmacy. Progesterone cream is available over the counter or can be compounded. We generally try to avoid any uterine bleeding by giving the progesterone daily, but this is not always successful. If irregular bleeding occurs on the continuous therapy we alter our regimen to a 10 day a month pulse of progesterone, which causes a predictable monthly bleed.

Women receiving hormone pellets will be asked to return for blood levels in a few months. The results of these blood levels will be evaluated by a Physician and a recommendation will be made for timing and dosage of the next pellets. We base our decisions about dosage and timing on symptoms as well. Some people feel better with higher levels of hormones than others. All of these factors are taken into account when tailoring a hormone pellet regimen to an individual.

For women- if you begin to experience hot flashes, night sweats, moodiness or inability to sleep before you are scheduled to come in for a blood hormone level, please move your appointment up. You may need your pellets sooner than anticipated.

Some insurance companies are now paying in full or in part for hormone pellets. This office accepts insurance payment if the company chooses to cover, so all you pay is your co-pay.