Hormone Replacement Therapy For Women

Bio-Identical Hormone Replacement for Women in Cincinnati & NKY

Hormone replacement therapy is a treatment option available at Rejuvene Plastic Surgery and one that has grown in popularity among women over the age of 35 — specifically those who feel run-down, prone to weight gain and out of other options when it comes to managing symptoms of menopause. This includes options like bioidentical hormone replacement therapy (BHRT) to balance hormones and improve certain conditions.

BHRT might help some women transition through these changes more easily by helping to reduce symptoms and improve your quality of life.

Even when only one unbalanced hormone is present, it may result in the following hormonal imbalance symptoms in women.

Symptoms of Hormonal Imbalance in Women:

  • Hot Flashes & Night Sweats
  • PMS
  • Weight Gain
  • Mood Swings
  • Insomnia
  • Depression
  • Fatigue
  • Endometriosis
  • Low Libido
  • Fibrosis
  • Vaginal Dryness
  • Foggy Memory

Why Pellet Therapy?

Pellet therapy is a good option to deliver the bio-identical hormones through a consistent manner. Creams do not penetrate the skin well, nor do they deliver consistent dosage.

Pellets have been shown to produce good results with eliminating the symptoms of menopause, fatigue and decreased sex drive.

How and Where Are the Pellets Placed?

The pellets are placed into the fatty tissue of the upper buttocks through a small stab wound. The area is first numbed with a local anesthetic and the pellets are then inserted.

It is important to find a physician who is an expert in this field to determine your dosage and properly place the pellets. The amount of estrogen and testosterone you will receive is determined by our expert, and is based on your lab values, age and body weight.

It is important to monitor your blood levels throughout treatment to ensure you are receiving the proper dosage.

Primary Female Sex Hormones


Estrogen is produced by the ovaries and works with progesterone to maintain numerous functions in the body. Estrogen affects the brain, the body’s cycles, and reproduction.

During the reproductive years, it is produced by the ovaries, and after menopause, it is produced by the adrenal glands. Estrogen deficiencies may cause hot flashes, anxiety, a poor memory, insomnia, low libido, and vaginal dryness.

The estrogen that comprises the most circulating volume in the body is estriol followed by estradiol and estrone. Estriol is thought to be the weakest acting hormone, but provides a natural hormonal balance in the body.

Estradiol is the most potent of the three estrogens and is produced directly in the ovaries. It is the estrogen that can relieve vaso-motor symptoms the best. Estrone is the primary estrogen found in post-menopausal women. It stores itself in the body fat and has more known cancer properties.

The female body produces large amounts of estriol during pregnancy and has protective properties against such things as estrogen related cancers. Estradiol is the most potent of the three estrogens and is produced directly in the ovaries. It is the estrogen that can relieve vaso-motor symptoms the best. Estrone is the primary estrogen found in post-menopausal women. It stores itself in the body fat and has more known cancer properties.

Symptoms of Low Estrogen are as follows:

  • Night Sweats
  • Hot Flashes
  • Foggy Thinking
  • Memory Loss
  • Vaginal Dryness
  • Pain with intercourse
  • Irregular menstruation


Progesterone is another hormone made by the ovaries. Like testosterone, it declines early on before estrogen. It begins to decline in our 40’s.

Progesterone is one of the most protective hormones the body produces. Progesterone is our calming hormone. It balances the estrogen and helps with anxiety. Women become moody, anxious and irritable when they do not have enough progesterone in there body thus  Estrogen Dominance.

Some of the Symptoms of Estrogen Dominance Are:

  • Mood Swings
  • Depression
  • Tender Breast
  • Water Retention
  • Nervous
  • Anxious
  • Weight Gain
  • Bleeding Changes
  • Heavy or irregular menses
  • Headaches

Progesterone is a natural antidepressant, promotes energy production, helps use fat for energy, relieves anxiety, improves oxygen production and memory.


Testosterone is most often associated with men and responsible for a man’s low voice and his increased muscle mass. However, testosterone is also important for women.

While it’s true that women don’t produce anywhere near as much testosterone as men do, it does play an essential role in many bodily functions in women. Women, like men, can experience low testosterone and often some experience:

  • Fatigue;
  • Weight Gain;
  • Feeling Down or Depressed;
  • Lost Desire for Sex; and
  • Hair Loss

Low testosterone can affect women in just as many ways.

Thyroid Hormone

Your thyroid gland, through the hormones it produces, influences almost all of your metabolic processes in your body. Thyroid disorders involve either too much or too little thyroid production. The signs and symptoms can vary but in general tend to develop slowly, often times over a number of years.

Insufficient hormone production leads to hypothyroidism and can cause a variety of symptoms. At first, you may barely notice the symptoms such as fatigue and weight gain, or you may simply attribute them to getting older. But as your metabolism continues to slow, you may develop more obvious signs and symptoms may include fatigue, increased sensitivity to cold, dry skin, unexplained weight gain, depression, thinning hair, and muscle aches and tenderness.

Vitamin D

Vitamin D has been shown to play a role in the prevention and treatment of a number of different conditions. Vitamin D is called a vitamin; however, it is really an essential hormone.

Vitamin D is better known for its ability to promote bone strength by increasing calcium absorption, but it is also well known for helping prevent heart disease and cancer.

As a fat-soluble vitamin, vitamin D is naturally present in very few foods, added to others, and available as a dietary supplement. It is also produced endogenously when ultraviolet rays from sunlight strike the skin and trigger vitamin D synthesis.

Regularly checking your blood levels of Vitamin D is essential because symptoms of low vitamin D are usually unnoticed but may include bone pain, cracking sensation in the bones, lack of concentration, back pain and loss of appetite.

What Will Be Some of the Improvements I Notice?

Estrogen therapy works quickly. You will notice an improvement in your symptoms within 48-72 hours.
The night sweats and hot flashes will be gone.

You will be sleeping better and that foggy thinking will be gone.

The effects of testosterone take longer. You will notice an increase in sex drive and the vaginal dryness will be gone. The increase energy level takes longer to feel. Your body has been in such a decline state for awhile and will take time to recover. Losing weight and gaining lean muscle mass takes about 4-6 months. As muscle mass improves your metabolism will increase and you will notice weight loss and less body fat.

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