Bio-Identical Hormone Replacement Therapy

Boise, Idaho

The body’s natural function beautifully orchestrates a delicate balance and release of hormones throughout our body. Hormones are the chemical messengers which keep our bodies in rhythm, they are responsible for our sense of well-being, mental clarity, focus, our sexual desire and many other functions needed for a happy and healthy life. As men and women age, this delicate balance of hormones within the body is no longer in ‘sync.’ But with the help of Hormone Replacement Therapy, we can help get your body in sync.

A few of the physical symptoms of hormone deficiency may include:

  • fatigue
  • insomnia
  • night sweats
  • weight gain
  • mood swings
  • decreased sex drive

If you are having any of the symptoms listed above you may benefit from Bio-Identical Hormone Therapy. Ask Dr. Migliori about a simple blood test and health assessment to determine if you are a candidate for BHRT.

What Exactly is BHRT ?

Bio-Identical Hormone Replacement Therapy (BHRT) is a method by which you may restore your hormone levels to those of a more youthful stage of life. Bio-identical means the substance is structurally identical to your own human hormones. Thyroid, testosterone, estrogen and progesterone are a few of the hormones that work together like the instruments of a symphony to create your wellbeing. When imbalanced, the music is out of tune and symptoms result. BHRT reestablishes the balance and symptoms go away. BHRT can be provided by creams and pills which work well enough for many individuals, however, research is suggesting that the most physiologic application of BHRT is by pellet therapy.

Types Of BHRT

BHRT may be provided by daily application of creams, gels, oral troches, pills, weekly injections or by hormone pellet insertion 2-4 times yearly. Dr. Migliori is well versed in all techniques of BHRT and will prescribe each patient what type of BHRT they want. The BHRT cream can be applied transdermally or transvaginally on a daily basis. Progesterone and testosterone are important to balance estrogen levels. Progesterone is prescribed as a sustained release pill at bedtime while testosterone is prescribed as a cream, injection or pellet.

What Are BHRT Pellets ?

BHRT pellets are tiny cylinders of crystalized testosterone or estrogen that are easily inserted under the skin. Blood vessels develop around the crystalline pellets drawing nanoparticles of hormone into the bloodstream as needed by the body. Hormone pellets have been recommended by doctors since the early 1900s.

Benefits Of BHRT Pellets Over Creams And Injections

BHRT pellet therapy is considered by many researchers to be the most physiologic way to restore hormone levels. Pellets are placed once every 3-6 months and provide a balanced level of hormone according to the body’s needs. In comparison, daily application of creams/gels or painful injections provide peaks and valleys of hormone depending on the time of use. This is not physiologic! Do you remember the energy, clarity, spontaneity, strength and libido you experienced in your 20s? BHRT pellet therapy is the answer for regeneration while aging.

How Do BHRT Pellet Implants Work ?

Testosterone and estrogen pellet implants work by restoring hormone levels for optimal health. The pellets are simply placed under the skin and provide constant low doses of the same exact hormones your body makes. Pellets have been proven to be the most effective in terms of absorption, and availability. Unlike creams, gels or injections; the pellets provide more consistent levels over a longer period of time.

How Are BHRT Pellets Inserted Into Your Body?

BHRT is a short, simple in-office procedure using local anesthesia. Dr. Migliori will insert the pellets into the fatty layer just beneath your skin. In men and women, a small incision is made in the buttocks or in the lower abdomen. The process is painless and takes just a few minutes.

What are the Benefits of BHRT?

Following your initial treatment, the body’s hormone levels are restored to their proper levels and optimal balance. The results for both men and women include:

  • Increased Energy Level
  • Enhanced sexual libido
  • Improved mental clarity
  • Reduced body fat
  • Decreased depression/anxiety
  • Healthy sense of well being

Is BHRT Safe?

Bio-Identical Hormone Replacement Therapy (BHRT) has actually been used in the U.S.A. since 1938. Bio-identical hormones are all-natural plant-based products made from yams and a small amount of soy. These hormones have the same molecular structure as the hormones produced within our own bodies. There are numerous studies worldwide that document the benefits and safety of BHRT. These studies also report a lower incidence of side effects when compared with prescription drugs. BHRT should not be confused with ‘synthetic hormones’ which are typically found in many creams, gels, and injectables used for hormone replacement.

What Side-effects Can You Expect?

One of the greatest advantages of pellet therapy is the low incidence of side effects.

Although extremely rare, side effects may include:

  • slight bruising
  • minor bleeding
  • infection or extrusion of the pellets

When Will You Notice a Difference?

Dr. Migliori will interpret your blood tests and determine an appropriate dosage specifically designed for your body. Women who receive estrogen can feel significantly better in 24-36 hours. Men and women who receive testosterone will start to feel relief of symptoms in 10-14 days. After your pellet insertion, you should avoid vigorous exercise for a few days as directed by Dr. Migliori. She will evaluate your hormone levels on an ongoing basis and monitor any future changes needed.