Mooney & Berry Gynecologists

Bioidentical Hormone Therapy

Bioidentical Hormone Therapy


Pellet Therapy, Injections, and Compound Creams

Have you not felt your best for so long that you are not sure if it is possible to feel well again? If you have tried everything else or if pellets is your first effort to feel like yourself again, Bioidentical Hormone Therapy provides pellet therapy for women and men. Below you can learn more about pellet therapy and how to schedule your consultation with our office today!

What Is BHRT?

BHRT stands for bio-identical hormone replacement therapy. What does that mean? Bio-identical refers to how molecularly similar the supplemental hormone is to the human hormone. Other supplemental hormones such as the ones administered by conventional physicians are not bio-identical. Bio-identical hormones are derived from plants while synthetic hormones are derived from animals. Hormone replacement therapy is the purpose of the bio-identical hormones. People who lack certain hormones or who have too much of a certain hormone may benefit from BHRT.

What are BHRT Injections?

Bioidentical Estradiol and Testosterone injections can be given every 3 weeks. The advantages are numerous: The onset of symptom relief is rapid, usually within 1-3 days; They are affordable, even if not covered by insurance. One doesn’t have to remember to take a daily pill or apply creams, gels or patches. Injections have more dosage ranges and act more rapidly than pills or creams, and are frequently used when more common forms of HRT don’t work. They, along with pellets, are especially helpful in women who have had their ovaries removed because they have such low levels of estrogen and testosterone. The dosages can be adjusted until the right combination of the two hormones provides optimal benefits with minimum side effects. Either or both hormones can be given depending on individual needs. Injections, like pellets, enter the blood stream as if they were released by the ovaries. They do not pass through the liver like oral hormones which are metabolized [changed] from their original form. Oral medication are known to increase the risks of blood clots in the legs and lungs. Transdermal [through the skin] estradiol does not increase the risk of blood clots and is the safest way to administer that hormone. Because pellets and injections use generic bioidentical hormones, they have not been studied as extensively as patches, gels and sprays that have been approved for usage by the FDA; however they have been used “off-label” for over half of a century and numerous smaller scale studies support their relative safety. It is unlikely that pharmaceutical companies will ever spend the hundreds of millions of dollars necessary to get FDA approval with large long term studies because they would be unable to profit from this investment.

What are BHRT Compounded Creams?

We work with local high quality compounding pharmacies to provide our patients with customized bio-identical creams gels and suppositories that contain estradiol and/or testosterone. They frequently cost less than FDA approved bioidenticals which can sometimes be exorbitant. Creams are simple to apply and like the shots can be adjusted to meet individual needs. No FDA approved transdermal testosterone is available in this country. Creams are sometimes erratically absorbed and can be “messy” but they are a good choice for many women.

What are BHRT Oral Formulations?

Oral Bio-identical Estradiol and Progesterone formulations are FDA approved, effective and affordable. . They are affordable. Though oral estrogens do slightly increase the risk of blood clots in the legs [a 1 in 1000 additional risk per year ], the affordability and simplicity of use make this formulation a good option. Oral FDA approved bio-identical testosterone is not available. Estratest is not a bio-identical hormone, but it is the only FDA approved form of testosterone [synthetic methyl-testosterone]. It is Esterified Estrogen combined with Methyl-testosterone in two dosages. Though generic, it’s price is volatile. We advise our patients to check cash prices on website for best prices on this as well as any other medicine not covered by insurance.

What Are BHRT Pellets?

BHRT pellets are subcutaneous implants that are inserted into the hip area. They are made of custom compounded hormones and natural binders to hold them together. The hormones are compounded in one of two pharmacies in the United States that are licensed FDA outsourcing centers and are held to strict standards. Every batch of hormones is tested for consistency, purity and comes with our guarantee that our patients are being provided the best possible therapy to help their healing.

What is Bio-identical Hormone Replacement (BHRT) therapy?

Bio-identical hormone replacement therapy, or BHRT, is the most natural way to overcome hormone deficiencies and hormone imbalances at any age. Bio-identical hormones have many benefits over conjugated hormones. These hormones are delivered to patients in the form of pellets. These pellets are placed just under the skin in an outpatient procedure with less than a week of recovery time before patients can return to their normal active lifestyles and exercise routines. Bio-identical Hormone Replacement Therapy (BHRT) for women optimizes the desired hormones of a patient within seven to ten days. Every BHRT pellet is custom created with every patient’s unique physiology in mind. Because of this, every treatment is tailored to each patient in order to ensure success in the balancing of their hormones. Furthermore, BHRT uses bio-identical hormones derived from plants, not animals, which more closely mimic the hormones naturally present within men and women than synthetic or animal-derived hormones. BHRT is biologically identical to your own natural hormones and thus may have fewer, less significant side effects.

What are the benefits of BHRT pellets?

There are many benefits to BHRT pellets over traditional pellets. The first is that the hormones within BHRT pellets are bio-identical; meaning that they are structurally the same as naturally occurring human hormones. The second is that these hormones are found in nature and are plant-derived. This implies that the hormones used in BHRT pellet therapy for women are more natural and may have fewer negative interactions within the body. Another benefit of pellet therapy is that the pellets remain within the body and consistently provide the dosing that the body requires. This contrasts with other hormone replacement therapy administrations in which the hormone is provided in spurts, such as pills and creams, resulting in a rollercoaster effect of relief to discomfort for the patient.

What are pellets?

Pellets contain bio-identical hormones custom compounded in a pharmacy within the United States. The quality of the hormones used for BHRT pellets is extremely high and consistently tested in every batch.

What Is the BHRT Pellet Insertion Process Like?

The BHRT pellet insertion process is straightforward, fast and simple. Schedule an office visit with us to test your current hormone levels. Click here to contact us. Based on your comprehensive consultation and thorough blood work panel, we will determine if you are a candidate for Bioidentical Hormone pellet therapy. Then a quick follow up appointment will be scheduled for your custom pellet therapy insertion.

What Are the Drawbacks of Pellet Therapy?

The only drawback of pellet therapy is that there may be an upfront cost associated with the treatment. This is because many insurance carriers do not cover BHRT pellet therapy. It is possible that insurance carriers do not provide coverage for BHRT because it is a natural treatment which cannot be patented and therefore cannot be approved by the FDA.

What are the conditions that may be able to be lessened in women through pellet therapy?

There are many conditions that may be able to be improved in women through pellet therapy. Studies have shown, improvements in menopause, depression, anxiety, low sex drive, osteoporosis, heart disease, PMS and many other conditions.

How Can I Get Started With Pellet Therapy?

Getting started with pellet therapy is as easy as making an appointment! Simply check out our Contact Us page and send us a message or give us a call at (985) 345-2555 to schedule your consultation.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.