Bioidentical HRT for women and men · Serving Kingwood, The Woodlands, New Caney and Lake Houston

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Bioidentical Hormone Replacement Therapy

Hormone Therapy Treatment Options

There is more than one way to restore hormone balance. We help women and men compare their options and choose what fits their health, schedule and goals.

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Active couple in their 50s walking a park trail, enjoying the energy that balanced hormones can support
Healthy woman in her late 40s stretching outdoors in the morning sun

Bioidentical HRT

What bioidentical means

Bioidentical hormones, such as estradiol, progesterone and testosterone, have the same molecular structure as the hormones your body makes. They come in several forms, and the right form depends on your symptoms, your health history and how you like to manage your care.

Bioidentical does not mean risk free. Any hormone therapy should be prescribed after testing and monitored over time.

Delivery methods

Ways to take hormones

Each method has trade-offs. Dr. Bernell will explain which ones make sense for you.

Hormone pellets

Small pellets placed under the skin release hormone steadily for several months. No daily routine. EvexiPEL is the pellet system we use.

Creams and gels

Applied to the skin daily. Easy to adjust, but you need to remember them and avoid skin contact with others.

Injections

Common for testosterone. Given on a schedule, which can lead to peaks and dips between doses.

Patches

Worn on the skin and changed once or twice a week. Some people get skin irritation.

Oral medications

Progesterone is often taken by mouth at bedtime. Oral estrogen is processed by the liver, which affects its risk profile.

Lab-guided dosing

Whatever the method, dosing is based on your lab results and symptoms, then adjusted at follow-up.

Comparison

Pellets vs. creams and injections

Why many patients choose pellets

  • Steady levels without daily dosing
  • No weekly injections
  • Nothing to rub on or transfer to others
  • A quick in-office visit every few months

When another option may fit better

  • You want to adjust your dose day to day
  • You prefer to avoid a minor in-office procedure
  • Your labs or history call for a different form
  • You are trying to conceive (men)

Serving the Lake Houston area

Close to home

Our office is at 22186 Market Place Dr., Suites 132 & 133, in New Caney, convenient for patients from Kingwood, The Woodlands, Porter, Humble and across Montgomery County.

  • Kingwood
  • The Woodlands
  • New Caney
  • Porter
  • Humble
  • Lake Houston
  • Montgomery County

Questions

Common questions

There is no single best option. The right choice depends on your symptoms, labs, health history and preferences. Many of our patients choose EvexiPEL pellets for convenience, and others do well with creams, patches or injections.

Yes. Many patients switch. We review your current dose and labs to plan a safe transition.

No. Compounded hormones, including pellets, are prepared by a compounding pharmacy and are not FDA approved. Some FDA-approved bioidentical products, such as certain estradiol and progesterone forms, are also available. We discuss both.

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