Hormone Replacement Therapy
What is Hormone Replacement Therapy?
When Estrogen and Testosterone levels decrease, you can develop symptoms that affect the quality of your life. We can use Hormone Replacement Therapy to replace those hormones that your body is no longer making on its own; therefore, reducing symptoms and improving quality of life.
Replacing hormone levels must be done carefully to avoid undesired side effects. Your doctor will determine your medication and dosage based on your symptoms and blood levels.
What are the options for hormone replacement therapy?
There are many different approaches for hormone replacement. Oral medications, patches, injections, gels and subcutaneous pellets are all options. You and your doctor will decide what is best for you, based on your symptoms and other factors.
If you and your doctor determine you are a good candidate for Pellet Therapy, here’s what to expect:
First your doctor will determine your starting dose based on symptoms and blood work. You are invited to ask any questions before signing your consent form or before your procedure.
You will be placed on the exam table lying on your abdomen. A small area of your buttock will be exposed and cleaned with an antiseptic. The doctor will administer anesthetic with a needle to a small area. Once you are numb, the doctor will make a tiny incision in your skin. Through this small incision, an instrument called a trocar will be inserted, through which the doctor will insert the pellet(s).
After removing the trocar, pressure will be applied with gauze. Steri-strips will be used to close the incision and a bandage will be placed on the site. You will be given an ice pack to wear home on the area.
Most patients experience relief of symptoms after a few days, but may take up to 2 weeks to achieve the maximum effect.
Most patients experience relief of symptoms for 2-4 months.
Frequently Asked Questions
If any of these symptoms occur, please call our office at 901—682-0630 and speak with one of our nurses.
- Bleeding, pain or infection at insertion site
- Breast tenderness
- Increased facial hair growth
- Bloating or water retention
- Growth of Estrogen-dependent tumors
- Growth of liver tumors
- Clitoral enlargement
- Voice change
- Blood clots
- Vaginal bleeding
- Pellet extrusion
If you are on Estrogen-replacement and still have your uterus, you must be on Progesterone therapy!Estrogen stimulates endometrium and if given to a menopausal woman without progesterone to “protect” it, it can cause bleeding or can lead to endometrial or “uterine” cancer. Progesterone can be taken as an oral medication.[/vc_column_text]