Bioidentical Hormone Replacement Therapy (BHRT)

Consultations offered at our three convenient locations in Austin, TX, San Antonio, TX and Westlake Hills, TX

Austin Plastic Surgeon is proud to offer Bioidentical Hormone Replacement Therapy (BHRT) as part of our integrative wellness program. BHRT is a natural and effective way to address hormone imbalances, improve overall health, and enhance quality of life.

What is BHRT?

Bioidentical hormones are plant-derived compounds that have the exact same chemical structure as the hormones naturally produced by the human body. This structural match allows them to mimic the body’s natural hormones more effectively, reducing the risk of side effects seen with synthetic alternatives.

Common bioidentical hormones include:

  • Testosterone: Supports cardiovascular health, reduces the risk of diabetes, and has anti-inflammatory properties.
  • Progesterone: Helps counter estrogen stimulation of breast tissue, reducing breast cancer risk.
  • Estradiol: Reproduces premenopausal hormone levels for optimal health.

How are BHRT Hormones Inserted?

Hormones are delivered via tiny pellets that are inserted subcutaneously (under the skin) in a simple, in-office procedure. These pellets:

  • Are derived from soy and plant materials, ensuring minimal allergic reactions.
  • Provide consistent hormone release over 4-6 months.
  • Bypass the liver, avoiding the first-pass effect and risks such as clotting and thrombosis.

How Do BHRT Hormones Work?

BHRT pellets release hormones in response to your body’s needs, similar to the way your glands naturally release hormones. The hormones are cardio-released (not time-released), ensuring a steady delivery for optimal effectiveness.

Benefits of bioidentical hormones include:

  • Improved cardiovascular health and reduced cholesterol levels.
  • Decreased risks of diabetes, breast cancer, prostate cancer, Alzheimer’s, and osteoporosis.
  • Vasodilation and anti-inflammatory effects.
  • Improved energy and brain function
  • High-quality ingredients; The soy and plant-derived materials are manufactured through 503B bulk ordering partner pharmacies for consistent and high-quality products.

Potential Side Effects

While rare, some patients may experience the following:

  • Fluid Retention (3%): Treatable with diuretics.
  • Breast Tenderness (3%): Manageable with supplements like DIM and evening primrose oil.
  • Acne or Hirsutism (3-5%): Can be managed with dose adjustments and topical treatments.
  • Uterine Bleeding (5-7%): Requires compliance with progesterone; persistent bleeding may necessitate further evaluation.
  • Redness/Swelling at Insertion Site: Rare and treatable with antihistamines or antibiotics if needed.

How to Get Started

  • Consultation: Schedule an appointment to discuss your symptoms and goals.
  • Lab Work: Complete lab testing to assess hormone levels and overall health.
  • Customized Plan: Receive a personalized dosing plan based on lab results, weight, and activity level.
  • Procedure: Schedule a procedure appointment with us. Hormone pellets are inserted in a quick, in-office procedure.
  • Follow-Up: Monitor hormone levels and adjust dosing as needed. Order the DIM supplement from Thrive.

How is Dosing Determined?

Dosing is tailored to your unique needs using advanced calculators that consider:

  • Lab results
  • Weight
  • Activity level

Target Hormone Levels for Females:

  • Testosterone: 120-200 ng/dL
  • Estradiol: 60-100 pg/mL
  • FSH: Decrease to 23 mIU/mL or by 50% if >70-80 mIU/mL

Target Hormone Levels for Males: 

  • Testosterone: 800-1200 ng/dL
  • Estradiol: 10-40 pg/mL

Post-Procedure Care

  • Keep the outer bandage on for 1 day and the inner bandage on for 3-5 days.
  • Avoid soaking in hot tubs, baths, or swimming pools.
  • Avoid lower body workouts during the bandage period.
  • Follow your provider’s specific aftercare instructions for optimal healing.

BHRT offers a safe, natural solution to restoring hormonal balance and improving overall health. For more information or to schedule a consultation, contact Austin Plastic Surgeon today.

FAQ

Who can benefit from BHRT? 

Both men and women experiencing symptoms of hormone imbalances, such as fatigue, weight gain, mood swings, and reduced libido, can benefit.

How long do the effects last? 

Hormone pellets typically last 4-6 months, depending on individual factors.

What is the procedure like? 

The insertion is a quick, minimally invasive procedure performed in-office with local anesthesia.

Are there any pre-procedure requirements?

Female patients should have a current Pap smear and mammogram (as per age and family history guidelines). All patients must complete lab work to determine baseline hormone levels, and have filled out the in-office patient questionnaire