Bioidentical Hormone Replacement Therapy

Eterna Vein & Medical Aesthetics in Puyallup, WA

What is Bioidentical Hormone Replacement Therapy?

Bioidentical hormone replacement therapy (BHRT) with pellets is a natural alternative to synthetic hormone replacement therapies. Bioidentical hormones—testosterone, estrogen, or both—are plant-based and metabolize in the body just like natural hormones. Unlike synthetic hormones, which are artificially formulated in a lab, bioidentical hormones closely match the body's natural chemistry, providing better compatibility and optimal results.

What Are Bioidentical Hormone Pellets, and How Do They Work?

Bioidentical hormone pellets, made of either estradiol or testosterone, are tiny cylinders implanted under the skin. These pellets, sourced from FarmaKeio, a leading compounding pharmacy, release a steady stream of hormones into the bloodstream based on physical activity and emotional stress. This method ensures a consistent hormone level, avoiding fluctuations common with other delivery methods like creams or pills. The procedure is quick and performed under local anesthesia, with no need for stitches. Research shows that BHRT pellet therapy is the most effective hormone delivery method for both men and women.

Who Can Benefit from BHRT with Pellets?

As we age, testosterone, estrogen, and progesterone naturally decline, leading to symptoms of hormone imbalance. If you experience any of the following, BHRT may be right for you:

Fatigue, lethargy, and lack of motivation
Weight gain, especially belly fat
Reduced libido and sexual dysfunction
Mood swings, anxiety, or depression
Brain fog and memory issues
Insomnia and poor sleep quality

The EvexiPEL Difference: An Integrated Approach to Care

EvexiPEL practitioners go beyond standard hormone therapy, integrating functional medicine, nutrition, and mental health support for optimal results. Our approach considers:

DNA & Hormone Metabolism – Some patients metabolize hormones differently, requiring personalized adjustments.
Toxin Exposure – Environmental and emotional toxins impact hormone health, requiring a detoxification strategy.
Gut Health – A healthy gut supports hormone balance, so gut repair is a key component of treatment.

Common Symptoms of Hormone Imbalance

For Men:

Fatigue and loss of motivation
Mood swings, anxiety, and depression
Decreased muscle mass and increased body fat
Insomnia and memory issues
Reduced libido and erectile dysfunction

How Does BHRT with Pellets Compare to Other Methods?

For Women:

Unexplained weight gain and food cravings
Hot flashes, night sweats, and vaginal dryness
Mood swings, depression, and brain fog
Hair loss and aging skin
Frequent UTIs and menstrual irregularities

BHRT Pellet Therapy FAQ

Pellets provide a steady hormone release, mimicking natural hormone secretion. Unlike pills, creams, or patches that require daily use and vary in absorption, pellets offer convenience with only 2-3 procedures per year.

What Should Patients Expect?

Pellets last 5-6 months for men and 4-5 months for women. Most patients experience little to no discomfort, and benefits are noticeable within a few weeks. Avoid strenuous exercise for 72 hours (women) and 5-7 days (men) after the procedure to prevent complications.

How Long Will Patients Be on BHRT?

The duration of BHRT varies per individual. Many patients continue therapy long-term to maintain energy, mental clarity, and overall well-being.

Do Women Need Testosterone?

Yes! Testosterone supports mental clarity, libido, muscle tone, and serotonin production for emotional balance.

Can BHRT Help with Weight Loss?

While not a weight-loss treatment, BHRT improves energy, muscle mass, metabolism, and sleep, making weight management easier.

Does BHRT Improve Sexual Function?

Yes! Hormonal imbalances are a major cause of sexual dysfunction, and BHRT often restores libido and performance.

Can BHRT Improve Skin and Aging?

Testosterone and estrogen help maintain collagen, hydration, and blood flow to the skin, leading to a more youthful appearance.

Are There Risks or Side Effects?

Possible side effects include mild bruising, increased hair growth, and temporary skin breakouts. Serious complications, such as infection or pellet extrusion, are rare.

Who Should Not Get BHRT?

Most people are good candidates for BHRT. However, treatment plans are tailored for breast and prostate cancer survivors to ensure safety.

For more information or to schedule a consultation, contact us today!