Bioidentical Hormone Replacement Therapy (BHRT) in St. Petersburg

BHRT is hormone therapy using hormones that are molecularly identical to those your body produces. One common delivery method is a small pellet, about the size of a grain of rice, placed just under the skin of the upper hip that releases a steady, low dose of hormone over several months. Creams, pills, and injections are other delivery options your provider may discuss.

Hormone therapy has both benefits and risks, and candidacy is individual. Your medical history, current medications, family history, and lab results are reviewed before treatment. BHRT may not be appropriate if you have a history of hormone-sensitive cancers, blood clots or stroke, active liver disease, undiagnosed abnormal bleeding, or are pregnant or breastfeeding. Compounded hormone pellets are prepared by licensed compounding pharmacies based on a prescription and are not FDA-approved products.

With pellet therapy, one insertion typically lasts about three to four months for women and four to six months for men. Your provider tracks timing with follow-up labs and symptom check-ins and adjusts your dose over time.

BHRT is often considered by women in perimenopause or menopause experiencing hot flashes, night sweats, sleep disruption, mood changes, or low libido, and by men with symptoms of low testosterone such as low energy, reduced libido, weight gain, or loss of muscle mass. Candidacy is always confirmed with lab work and a medical history.

It starts with a consultation and bloodwork. If pellets are right for you, insertion is a quick in-office procedure (about 10–15 minutes) using local numbing and a tiny incision closed with a steri-strip, with no stitches. Most people return to normal activity the same day, avoiding heavy lower-body workouts, swimming, and hot tubs for a few days. Many patients notice changes within a few weeks; individual results vary.