Hormones play an essential role in how we feel daily. It stands to reason that aging, injury, or illness can affect our physical and emotional health when our hormones are out of balance. That’s why bioidentical hormone replacement therapy (BHRT) may be the answer if you’re starting to feel off-balance. BHRT is used to replace hormones depleted through natural aging and trauma, and it helps to restore your body’s equilibrium.
Una Vida at Rejuvené MD in El Paso, TX, offers bioidentical hormone replacement therapy (BHRT). This service is available for those seeking relief from menopausal symptoms and other symptoms associated with hormonal imbalance. BHRT is a form of hormone therapy that uses bioidentical hormones that match the molecular structure of naturally occurring hormones in the body. We specialize in working with you to develop a customized bioidentical hormone replacement therapy program specifically tailored to your individual nutritional needs. We will create a plan with you to support your journey toward optimal health.
What Causes Hormone Imbalance?
Hormone imbalances can develop when the body struggles to regulate hormone production, signaling or metabolism. Chronic stress can push cortisol levels too high, disrupting the balance of estrogen, progesterone and testosterone. Insulin resistance may also interfere with hormone stability, contributing to weight gain and fatigue. Environmental factors, such as endocrine-disrupting chemicals in plastics and pesticides, can interfere with hormone receptors and alter how the body processes estrogen and thyroid hormones. Gut health may also be involved. Imbalances in the microbiome can affect estrogen metabolism and lead to fluctuations that influence energy levels, mood and metabolism.
What Is Bioidentical Hormone Replacement Therapy?
Bioidentical hormone replacement therapy is a medical procedure involving synthetic hormones with the same chemical structure as hormones naturally produced by the body. It has become increasingly popular for treating hormonal imbalances and other menopausal symptoms since bioidenticals are biochemically identical to your body’s hormones and act like them in the body. This makes bioidentical hormone replacement therapy an effective treatment option for anyone looking to balance their hormonal levels without introducing foreign hormones into the body.
Bioidentical vs. Synthetic Hormones
The two main differences between bioidentical and synthetic hormones are their structure and their source. Bioidentical hormones are made to match the exact molecular makeup of the hormones your body produces, which allows them to interact naturally with your hormone receptors. They are sourced from plants such as yams or soy before being modified in a lab. Synthetic hormones come from animal sources, such as equine estrogen taken from the urine of pregnant mares, or are made entirely through a chemical process in a lab. The molecular structure is altered in certain ways to give it a longer half-life in the body, but it does not have the same structure as your body’s hormones.
How Can BHRT Support Your Health?
Cognitive Function and Brain Health
Hormones influence neurotransmitters that affect memory, focus and mood. When estrogen, testosterone, or thyroid hormones drop, cognitive sharpness can decline, leading to brain fog or difficulty concentrating. Restoring balance may help support mental clarity and emotional stability.
Bone Density and Joint Health
Estrogen and testosterone help maintain bone strength by supporting calcium absorption and bone remodeling. A drop in these hormones can weaken bones over time, increasing the risk of fractures. Joint discomfort can also arise due to decreased collagen production. Rebalancing hormones may promote bone integrity and joint comfort.
Heart Health
Hormones regulate cholesterol levels, blood vessel function and circulation. A decrease in estrogen or testosterone can impact cardiovascular function and contribute to changes in blood pressure or lipid levels.
Skin and Hair Benefits
A decline in estrogen, progesterone and testosterone can affect collagen production, leading to thinner, drier skin and increased fine lines. Hair may become brittle or shed more easily when hormones fluctuate. Addressing imbalances can promote healthier skin texture and stronger hair growth.
Energy and Metabolism
Thyroid hormones, estrogen and testosterone all influence metabolic rate and energy levels. When they drop, fatigue, sluggish metabolism and weight fluctuations can follow. A BHRT treatment may help support sustained energy and a healthier metabolic response.
Sexual Health
Certain hormones are important for libido, arousal and overall sexual function. When levels decline, patients may notice a decrease in desire, sensitivity, or natural lubrication. Restoring balance can support a more satisfying intimate experience and overall well-being.
Knowing the Signs of Hormonal Imbalance
For Men
Testosterone plays a central role in maintaining strength, energy and overall well-being. When levels decline, men may experience:
- Decreased muscle mass and increased body fat
- Persistent fatigue or lack of motivation
- Brain fog or difficulty concentrating
- Changes in mood, including irritability or feelings of depression
- Reduced libido or changes in sexual function
- Trouble sleeping or feeling unrested upon waking
For Women
Fluctuations in estrogen, progesterone and testosterone can impact multiple aspects of health. Some common signs of imbalance include:
- Irregular menstrual cycles or worsening PMS symptoms
- Sudden weight changes, especially around the midsection
- Increased sensitivity to stress or heightened anxiety
- Brain fog or forgetfulness
- Hot flashes, night sweats, or disrupted sleep patterns
- Decreased libido or vaginal dryness
Menopause, Perimenopause and BHRT
Perimenopause is the transitional stage leading up to menopause, and it can begin years before periods stop completely. During this time, estrogen and progesterone levels start to fluctuate, and this can trigger hot flashes and unpredictable mood swings.
Menopause is only confirmed once a woman has gone twelve months without a period, and the drop in hormones at this time is more pronounced. Some of the symptoms, like night sweats and vaginal dryness, can continue well into this stage and make you uncomfortable. BHRT helps keep you stable throughout this whole transition, though the right time to start will depend on the patient.
Andropause in Men
Men have a different experience than women with hormone decline. Hormones gradually decline as they age rather than the rapid drop that women have. Andropause refers to this process of reduced testosterone that many men experience as they age, often beginning around their forties. Because of this gradual drop, some men may overlook the symptoms or attribute them to something else, but BHRT can help keep testosterone levels at a healthier level and reduce many of the discomforts that men may experience as a result of an imbalance.
How Can Bioidentical Hormone Replacement Therapy Be Administered?
Bioidentical hormone replacement therapy is a form of therapy used to replace hormones lost due to menopause, age, specific medical conditions, or other factors. This type of treatment is personalized for each individual and seeks to restore balance to their hormones.
Depending on the patient’s needs, bioidentical hormone replacement therapy can be administered in different ways, including:
- Creams and Gels: These topical applications absorb through the skin and deliver hormones gradually into the bloodstream. They offer a non-invasive option, but absorption rates can vary depending on skin type and consistency of use.
- Hormone Pellets: Hormone pellets are small, custom-compounded implants placed just beneath the skin, typically in the hip or buttock area. They release a steady dose of hormones over several months, mimicking the body’s natural rhythms. This method eliminates the need for daily dosing and provides consistent hormone levels without the fluctuations seen with other forms of therapy.
- Patches: Adhesive hormone patches are applied directly to the skin and release hormones slowly throughout the day. They provide a steady dose and are an alternative for those who prefer not to take oral or injectable forms of BHRT.
- Injections: Intramuscular injections deliver hormones directly into the bloodstream for rapid absorption. Depending on the prescribed regimen, injections may be administered weekly or biweekly to maintain stable hormone levels.
It is essential for individuals looking into bioidentical hormone replacement therapy to consult a doctor about the most beneficial method.
What Is EvexiPEL®?
EvexiPEL is the specific hormone pellet system we use at our clinic. It was developed by EVEXIAS Health Solutions and is a complete method that pairs the pellets with a process for prescribing and placing them. In order to offer this option, we have received comprehensive training in hormone optimization.
With EvexiPEL, your precise dose is calculated using a proprietary algorithm that uses data taken from your labs to match the amount specifically to your body chemistry. Personalization in this way improves symptom relief and lowers the chance of receiving either too much or too little.
While compounded drugs are not FDA-approved, EvexiPEL pellets are prepared by compounding pharmacies that are FDA-registered and PCAB-accredited, so they meet strict standards for safety and reliability. The insertion of the pellets is a meticulous process that keeps appointments fast and comfortable.
Benefits of Bioidentical Hormone Replacement Therapy
Fewer Side Effects
A key advantage of bioidentical hormone replacement therapy lies in its reduced likelihood of causing unpleasant side effects compared to conventional treatments. This is due to the use of hormones that closely resemble those naturally generated by the human body, as opposed to artificial substitutes, which can often lead to weight fluctuations, emotional instability and migraines.
More Effective Procedure
Bioidentical hormone replacement therapy is also more effective than traditional hormone replacement therapy. This is because bioidentical hormones can bind to receptors in the body more effectively than synthetic hormones. This allows them to provide better symptom relief for conditions such as menopause and perimenopause.
Customized Treatment for Patients
Another benefit of bioidentical hormone replacement therapy is that it can be customized to each patient. Traditional hormone replacement therapy uses a one-size-fits-all approach, which may not be effective for all patients. Bioidentical hormone replacement therapy can be tailored to each patient’s specific needs, which makes it more likely to be effective.
Provides a Natural Approach
Many people also prefer bioidentical hormone replacement therapy because it is a more natural approach to treatment. Bioidentical hormones are derived from natural sources, such as plants. In contrast, traditional hormone replacement therapy uses synthetic hormones created in laboratories.
Is BHRT Safe?
BHRT is considered safe when properly prescribed and monitored by a qualified provider. However, hormone therapy is not right for everyone, especially those with a history of certain hormone-sensitive cancers, blood clots or liver conditions. We take care to confirm your candidacy before moving forward.
Who Is a Good Candidate for BHRT?
When looking for those who are good candidates, we search for men and women who have confirmed hormonal imbalances and are experiencing symptoms as a result. Other signs of a good candidate are willingness to attend regular appointments to check the treatment’s effectiveness and to support the treatment with any recommended lifestyle changes, such as nutrition and activity levels.
Your BHRT Consultation
A thorough consultation is the first step in determining whether hormone therapy is right for you. During this visit, we review your health history, symptoms and lifestyle factors that could be affecting your hormone levels. Testing may include blood work, saliva tests, or urine analysis to measure key hormones such as estrogen, testosterone, progesterone and thyroid levels.
Your BHRT Treatments
Finding the right administration method is an important part of hormone therapy. For those choosing BHRT pellet therapy, the process is quick and minimally invasive. After applying a numbing agent, a small incision is made in the upper buttock or hip area. A trocar, a special medical instrument, is used to place the pellet or pellets beneath the skin. Once in place, the incision is closed with a small bandage, and no stitches are required.
Aftercare and Recovery Tips for Hormone Pellets
- Keep the area dry: Avoid submerging the insertion site in water for the first few days. This means skipping baths, swimming pools and hot tubs while the small incision heals.
- Limit strenuous activity: Hold off on heavy cardio and other vigorous workouts for a few days after your appointment. Too much movement too soon can cause the pellet to shift or lead to bruising.
- Watch for normal changes: Some soreness, slight swelling or minor bruising around the site is completely normal. These effects usually fade on their own within a week.
- Follow the bandage instructions: Keep the bandage in place as directed to protect the incision and reduce irritation.
- Know when to call us: Reach out if you notice increasing redness, warmth or drainage at the site. These should all be evaluated.
Follow-Up Appointments and Adjustments
Hormone therapy is not a one-size-fits-all approach, and adjustments may be necessary to achieve the best results. Follow-up appointments allow us to monitor your progress and make modifications based on your symptoms and hormone levels. Bloodwork may be repeated periodically to ensure your treatment remains effective.
Cost and Insurance Considerations
The cost of BHRT varies from person to person because of how we customize every treatment around individual needs. Some of the factors that can impact price include the type of hormones prescribed and the delivery method you choose, along with the frequency of your appointments and whether any other treatments are recommended alongside the hormone therapy.
Pellet therapy is typically priced per insertion. Most hormone optimization services are not covered by insurance since they are considered elective, though some patients are able to use HSA or FSA funds. We will review pricing with you during your consultation.
FAQs
Which Hormones Are Treated in Bioidentical Hormone Replacement Therapy?
Hormonal imbalances/disruptions can cause numerous physical and emotional issues. For this reason, we provide bioidentical hormone replacement therapy (BHRT) to help restore balance in the body. Common hormones treated by BHRT include:
- Estrogen
- Progesterone
- Testosterone
- Thyroid hormones
When Should You Consider Bioidentical Hormone Replacement Therapy?
Bioidentical hormone replacement therapy (BHRT) has become a popular method of treating hormonal imbalances, especially experienced by menopausal women. Although hormones naturally decline as we age, an imbalance can cause oppressive symptoms that significantly impact the quality of life.
Consult with us if you are feeling any common signs of imbalanced hormones, such as extreme fatigue, insomnia, hot flashes, weight gain, depression or anxiety. We may suggest bioidentical hormone replacement therapy as a way to assist in balancing out those hormones carefully and support your body’s proper functioning.
What Makes You a Candidate for Bioidentical Hormone Replacement Therapy?
A bioidentical hormone replacement therapy consultation is an essential first step in deciding if you are a good candidate for the therapy. An experienced specialist can evaluate your current symptoms and work to identify their root cause, which may often include hormonal imbalances.
Depending on your health goals and level of comfort with bioidentical hormone replacement therapy, the specialist will decide what type of treatment, if any, suits you. With bioidentical hormones, traditional therapies or a combination of both methods available, we will strive to provide the most suitable solution for each situation. Make sure to speak to our professionals about bioidentical hormone replacement therapy to determine if it is the best option for you and ensure you get the best quality care.
How Long Will It Take to See Changes After Starting BHRT?
Everyone responds to treatment at their own pace, but most patients notice subtle improvements within a few weeks. Energy levels, mood and sleep patterns may be the first to change, while other benefits, like improved muscle tone or skin elasticity, take a little longer. If you’re using hormone pellet therapy, the pellets gradually release hormones over time, so results continue to improve over several months.
How Long Will I Need Hormone Therapy?
The length of BHRT depends on your individual needs and goals. Some patients choose to stay on therapy long-term to maintain hormone balance, while others use it for a shorter period to manage specific concerns. We adjust our treatment plans to fit your body’s response and adjust as needed.
How Else Can I Support Hormone Balance?
BHRT works best when combined with healthy lifestyle choices. Eating nutrient-dense foods like those rich in healthy fats, lean proteins and fiber can support hormone production. Regular exercise, particularly strength training and moderate cardio, helps regulate insulin and boost natural hormone levels. Managing stress is just as important, since high cortisol can throw everything off balance. Reducing toxin exposure by choosing organic produce, avoiding plastics and limiting processed foods also helps keep your endocrine system functioning optimally. Small, daily choices add up, making it easier to maintain results and feel your best.
Are there side effects to BHRT?
BHRT is usually well-tolerated, but there can be mild side effects as your body adjusts. Common side effects include temporary tenderness at the pellet site and acne breakouts. Some people notice more water retention in the early weeks. During your follow-up visits, we will monitor how you are feeling. Be sure to mention any side effects you have noticed so we can help you work through them.
Can BHRT prevent osteoporosis and cardiovascular decline in women?
Estrogen protects both bone density and cardiovascular health, so restoring healthy levels through BHRT may help support these systems as women age. Adequate estrogen supports calcium absorption and healthy blood vessel function, which can reduce the risk of bone loss and circulation issues. One 2022 study from The Cancer Journal has shown that starting hormone therapy earlier, within 10 years of menopause starting, can reduce cardiovascular disease.
Choosing Us for Hormonal Balancing
At Una Vida, we blend medical expertise with a focus on whole-body wellness. Dr. Randy and the rest of our staff understand that hormone health impacts everything from energy levels to skin vitality, which is why we tailor every treatment plan just for you. We use advanced testing methods to pinpoint imbalances and offer personalized therapies that align with your lifestyle. Our goal is to not only restore balance but to help you feel vibrant, confident, and in control of your health. When you choose us, you’re receiving care from a team that values your well-being and is committed to helping you look and feel your best.
Unlock Optimal Health with BHRT in El Paso, TX
At Una Vida with Rejuvené MD in El Paso, TX, we offer bioidentical hormone replacement therapy (BHRT) to support various areas of health and well-being for men and women. BHRT is an effective option for biochemically optimizing the body. It works to naturally balance hormones by providing bioidentical hormones that closely match those that your body naturally produces.
Our experienced medical team can assess your current hormone levels and provide a personalized treatment plan tailored to meet your health needs with utmost care and precision. Schedule a consultation with us today to learn more about BHRT and how it may benefit you! Contact us today online or by phone at 915-745-5888.
