Bioidentical Hormone Replacement Therapy (BHRT)
Data supports* that hormone replacement therapy with pellet implants is an effective bio-identical method to deliver hormones in both men and women. Implants, placed under the skin, consistently release small, physiologic doses of hormones. information to come.
What Is BHRT?
An individualized approach to hormone replacement therapy, using biologically identical hormones (BHRT), pinpoints a person’s exact hormone levels, and what hormones are needed to balance his/her hormone deficiency. The differences between synthetic and biologically identical hormones are in their chemical structures and functionality.
Biologically identical hormones have the same chemical structure as the hormones created naturally in the human body.
BHRT Fused Pellet Implant History
Hormone replacement using pellet implants has been used with great success in the U.S., Europe, and Australia since 1938. In fact, pellet implants were a very popular mode of hormone administration in the U.S. until the 1970s, when many oral and topical commercial products were developed. While the demand for pellets diminished in the U.S., pellet implants continued to be a very popular mode of hormone administration throughout Europe and Australia. In the last 10 years, due to advances made in processes and a better understanding of the benefits of fused pellet implants for hormone replacement, this mode of hormone administration has grown in popularity in the U.S.Over 70 years of research has illustrated the benefits of pellet implants in administering hormones in both women and men.*
- Pellet implants deliver consistent, physiologic levels of hormones.
- The consistent and physiologic dosing has been shown to maintain and improve bone density.
- Pellet implants bypass the liver and don’t negatively impact clotting factors, blood pressure, lipid levels, glucose, or liver function.
How Does BHRT Work?
Bio-identical hormones have the exact same chemical structure as human hormones. The body recognizes them and allows them to mimic the function of the hormones the body produces on its own. BHRT may be useful for relieving the symptoms of a variety of conditions common among women of all ages, including:
- Hot Flashes
- Night Sweats
- Mood Swings
- Sleep Disturbances
- Decreased Libido
- Painful Sexual Intercourse
- Vaginal Dryness
- Decreased Energy Level
- Weight Gain
- Premenstrual Syndrom (PMS)
- Post-Partum Depression
- Pellets deliver consistent, healthy levels of hormones for 3-5 months in women and 4-6 months in men.
- They avoid the fluctuations, or ups and downs, of hormone levels seen with every other method of delivery.
- Estrogen delivered by these pellets, maintain the normal ratio of estradiol to estrone. This is important for optimal health and disease prevention.
- Pellets do not increase the risk of blood clots like conventional or synthetic hormone replacement therapy.
- In studies, when compared to conventional hormone replacement therapy, pellets have been shown to be superior for relief of menopausal and andropausal symptoms (male hormone decline or “male menopause”), maintenance of bone density, restoration of sleep patterns, and improvement in sex drive, libido, sexual response, and performance.
- Testosterone delivered by a pellet implant has been used to treat migraines and menstrual headaches.
- Helps with vaginal dryness, incontinence, urinary urgency, and frequency. In both men and women, testosterone has been shown to increase energy, relieve depression, increase a sense of well being, relieve anxiety and improve memory and concentration. Testosterone, delivered by pellet implant, increases lean body mass (muscle strength, bone density) and decreases fat mass.
- Men and women need adequate levels of testosterone for optimal mental and physical health and for the prevention of chronic illnesses like Alzheimer’s and Parkinson’s disease and heart attacks, which are associated with low testosterone levels. Even patients who have failed other types of hormone therapy have a very high success rate with pellets.
Pellet implants have consistently been shown to improve:*
- Cardiovascular Health
- Sex Drive and Libido
- Headaches and Migraines
- Hot Flashes
- Mood and Depression
- Joint Aches and Pains
What Are BHRT Fused Pellets Implants?
Fused pellet implants are compounded using biologically identical hormones (most often Estradiol or Testosterone). The hormones are pressed/fused into very small cylinders. Our compounding pharmacy also compounds DHEA, Pregnenolone, Progesterone, Biest, and Testosterone with Anastrozole fused pellet implants.
Do Men Need Hormone Therapy?
Testosterone levels begin to decline in men beginning in their early 30’s and is routinely referred to as “andropause”. Most men maintain adequate levels of testosterone into their mid 40’s to mid 50’s, some into their late 70’s to early 80’s. Men should be tested when they begin to show signs of testosterone deficiency as mentioned. Even men in their 30’s can be testosterone deficient and show signs of bone loss, fatigue, depression, erectile dysfunction, difficulty sleeping and mental decline. Most men need to be tested around 50 years of age. It is never too late to benefit from hormone therapy.
Where Are BHRT Fused Pellet Implants Inserted?
Pellet insertion is a relatively simple in-office procedure done under local anesthesia. The pellets are inserted subcutaneously (under the fatty lining of skin), either in the lower abdomen or the upper buttocks through a very small incision. The incision is then closed with surgical glue or sterile-tape strips. If inserted correctly, patients cannot feel the implants under their skin. Implants placed under the skin consistently release small, physiologic doses of hormones, which have been shown to have many benefits.
How Long Do BHRT Fused Pellet Implants Last?
Fused Pellet Implants typically last between 4-6 months, depending on how rapidly the hormones are metabolized. After insertion of the pellets, vigorous physical activity should be avoided for 2-3 days, or as suggested by the healthcare practitioner. Some patients begin to feel symptom relief within 48 hours, while others may take up to two weeks to notice a marked difference. The pellets do not need to be removed. They are completely dissolved by the body.
Are There Any Side-Effects?
Generally, there are minimal side-effects associated with the pellet implant procedure. Complications include minor bleeding, bruising, infection, and pellet extrusion. Other than slight bruising, the other complications are very rare.
For more information and BHRT, download this PDF.
Cost varies with procedure and insurance. The initial visit for a new patient is covered by most insurance policies. Call for more information.