Answers From Our Office

Hormone Replacement Therapy FAQs

Straight answers to the questions women and men in Kingwood, The Woodlands and New Caney ask most about HRT, testosterone and EvexiPEL pellets.

Questions

Hormone therapy, pellets and our practice

Hormone replacement therapy (HRT) restores hormones that have declined with age, menopause or other causes. For women this is usually estrogen and progesterone, sometimes with testosterone. For men it is testosterone.

Bioidentical hormones have the same molecular structure as the hormones your body makes. They are available as pellets, creams, gels, patches, injections and pills. See our treatment options.

HRT has benefits and risks that depend on your age, health history and the type of hormone. For many healthy women under 60 or within about 10 years of menopause, the benefits for bothersome symptoms generally outweigh the risks. It is not right for everyone. Dr. Bernell reviews your history and labs before recommending treatment.

Symptoms like fatigue, poor sleep, weight gain and low mood have many possible causes. Lab testing and a full history help separate hormone problems from thyroid issues, low iron, sleep disorders and medication effects.

Yes. Treatment decisions and dosing are based on your lab results, and follow-up labs keep treatment safe.

Small bioidentical estradiol or testosterone pellets placed under the skin that release hormone steadily for several months. Learn more about EvexiPEL pellet therapy.

Often three to four months for women and four to six months for men. Follow-up labs guide timing.

The area is numbed first. Most patients feel pressure, then mild soreness for a few days.

No. Hormone pellets are compounded medications and are not FDA approved. We discuss this and other options with every patient.

Both are hormone pellet programs using bioidentical hormones. They differ in training, dosing approach and support. elev8HRT offers EvexiPEL.

Yes, in low doses that are carefully monitored. It may help with libido and energy for some women.

Yes. Many women begin during perimenopause. See perimenopause and menopause care.

Yes. Testosterone therapy can lower sperm production. Men who want to have children should discuss this before starting.

Fatigue, low libido, erectile changes, muscle loss, weight gain and low mood are common. See testosterone therapy.

22186 Market Place Dr., Suites 132 & 133, New Caney, TX 77357. We serve Kingwood, The Woodlands, Porter, Humble and the Lake Houston area.

Coverage varies by plan, and pellet therapy is often self-pay. Please call the office to discuss your situation.

No referral is needed.