Bioidentical Hormone Replacement (BHRT) / Pellet Therapy

Bioidentical Hormone Replacement Therapy (BHRT)

Hormones are signaling molecules secreted into the blood by various glands including the ovaries, adrenals and testes. Endocrinology is the medical specialty devoted to the management of hormonal dysfunction, but most endocrinologists dedicate themselves primarily to the treatment of thyroid disease and/or diabetes. Sex hormone levels levels typically decline with age, which often causes and/or contributes to the following symptoms:

  • Hot flashes/night sweats
  • Decreased muscle mass
  • Insomnia
  • Decreased memory
  • Headaches
  • Low libido
  • Anxiety
  • Weight gain
  • Mood swings
  • Vaginal dryness
  • Depression
  • Fatigue / Loss of energy

While sometimes considered inevitable consequences of aging, these symptoms can often be managed effectively with hormone replacement therapy or non-hormonal interventions such as herbs and nutrients. When hormone therapy is necessary, the Sound Clinic generally favors the use of hormones that are identical to those produced in the body, hence the term ‘bioidentical.’ These are administered in the form of creams, sublingual tablets, injections, patches and pellet therapy, most of which come from compounding pharmacies. Non-bioidentical sex hormone replacement therapy (such as Premarin) appears to have some drawbacks that may not apply to BHRT.

Hormone Pellet Implants

Sometimes it’s difficult reach therapeutic goals with oral hormone preparations because the liver metabolizes them before they have a change to work. Implantable testosterone and estradiol pellets have been used for this reason since 1940.  Current implants are well standardized and release testosterone and estradiol at a very consistent rate.  Testosterone and estradiol pellets are placed under the skin of the buttocks.  This is performed by a practitioner as an outpatient office procedure under local anesthesia.  In an effort to minimize out-of-pocket cost to the patient we attempt to bill for pellet insertion through your insurance company.  Patients interested in a testosterone or estradiol pellets typically work with our referral specialist to determine the out-of-pocket cost before performing the procedure.