Thank you for choosing Comprehensive Family Medicine. Please contact our office to confirm our participation with your health insurance plan prior to scheduling an appointment.

Thank you for choosing Comprehensive Family Medicine. Please contact our office to confirm our participation with your health insurance plan prior to scheduling an appointment.

Bioidentical Hormone Replacement Therapy

Estrogen hormone pellets can relieve persistent menopausal symptoms in perimenopausal and postmenopausal women. Testosterone pellets can increase sex drive, energy, focus, lean muscle tissue, and decrease irritability in both men and women. This procedure is simple and minimally invasive. It will enhance quality of life, restore sex drive and many women report an overall sense of well-being. These rice grain sized pellets, which have been around since the late 1940’s, are a popular alternative to traditional modes of hormone replacement therapy. They are inserted under the skin approximately every 4 to 6 months and are bioidentical. The pellets are synthesized from wild yams. Other than a small amount of stearic acid, as is common in pharmaceuticals, there are no other ingredients. They dissolve completely with no residual under the skin.

Pellets are inserted into the subcutaneous tissue of the buttock or stomach areas. The hormones are released into the bloodstream in minimal doses designed to deliver the lowest amount for optimal results. Consistent dosing into the blood makes pellet therapy very effective.

Symptoms for Treatment

Typical menopausal symptoms in women may include hot flashes, night sweats, weight gain, irritability, anxiety & depression, bloating, and loss of libido.

Getting Started

Hormone blood levels are checked prior to insertion. We check blood levels again about six weeks from the original insertion date to ensure proper levels. From that point forward, we’ll check hormone levels periodically. It is important to maintain these limits in order to prevent undesirable effect.

General Side Effects

The bioidentical hormone replacement therapy results in very few side effects, most of which are temporary and mild. You may experience some breast tenderness and/or bloating. Pellet injection sites may also become infected or become dislodged. Some women may need progesterone to prevent a return of menstrual type bleeding. The testosterone pellets, have produced occasional incidences of increased or darker hair growth or mild acne. These issues are generally minor and can be easily managed and minimized with hormone adjusting or discontinuance of therapy. If discontinued these symptoms will go away.

How The Pellets Are Inserted

Using a local anesthetic, the pellets are painlessly inserted under the skin of the hip, through a tiny incision, using a small insertion insertion device. After the pellets are inserted, a small piece of tape is placed to close the incision and covered with a Band-Aid. The whole process takes about 10 minutes.

Post Pellet Insertion Instructions

  • Remove Band-Aid in about 3 hours leaving the steri-strip or foam tape in place.
  • Put a fresh Band-Aid over the wound for a few days to catch any oozing that might occur.
  • Keep wound completely dry until the following day. After that, showering is OK. Avoid soaking in tubs, pools, or baths for at least 3 days.
  • Leave steri-strip or foam tape on wound until it falls off (usually 2-3 days).
  • Avoid vigorous exercise for 72 hours to reduce chance of bruising, oozing, or infection, or delayed wound healing. Avoid massage therapy at pellet site.

A little redness, bruising, and swelling for 3-4 days is normal. The area may be tender for 4-14 days.

If you have continued bleeding, significant redness, pain (without putting pressure on the wound), warmth, or pus from the wound, call us immediately—you might need an antibiotic. This happens rarely, but infection is always a possibility with any kind of invasive procedure.

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