Bio-identical Hormone Optimization

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Hormones are powerful proteins in our bodies that control the way we feel. When there are deficiencies in hormone levels such as estrogen, progesterone, testosterone or thyroid, we may experience a variety of negative symptoms….including: headache, weight gain, anxiety, depression, hair loss, headaches, joint pain, bloating, insomnia, decreased libido, irritability, PMS, and the list goes on. Replacing these hormones that we are known to be deficient in can dramatically enhance our overall well being. By optimizing our hormone levels, we can sleep well and feel energized when we wake up in the morning; we will see positive results from efforts to loose weight; we can experience our lives with clarity and patience; we can be excited about having sex again!

At RWC, a patient interested in evaluating her hormone function will undergo a full hormone blood panel. Hormones that are evaluated include:

  • Estrogen
  • Progesterone
  • Testosterone
  • DHEA
  • Thyroid

After the results are recieved, Drs. Rhett/Smith or Gene will review her symptoms, her bloodwork, and her goals for treatment with BioIdentical Hormones. The discussion will also include the best way for each patient to recieve her hormone therapy, inclulding pills, creams, and/or pellets.


RWC offers pellets as an option for delivery of hormone therapy. Instead of using creams, which can be very messy or pills, which have to be taken daily and may result in fluctuations of hormone levels, insertion of pellets containing estrogen and/or testosterone is an option for many women. Pellets are small rice-sized implants that are placed by a health care provider just under the skin of the upper buttock. The pellets release a steady, constant level of hormone (estrogen and/or testosterone) over the course of a 3-4 month period. The pellet dose is individualized based on lab tests and is monitored throughout the duration of therapy. Using pellet therapy, patients can experience relief of symptoms such as increased energy level, improved sleep patterns, reduction of hot flashes and mood stability in as soon as two weeks. Two full months of therapy can result in increased libido and improvement of any urinary issues. Patients undergoing long term therapy, will notice a decrease in body fat, improved muscle mass and improvement of cholesterol and blood sugar levels.

RWC also offers Pellet Therapy for men, which can last up to 6 months.