Bioidentical Hormone Replacement Therapy (BHRT)

Who benefits from BHRT?

Women and men with low blood levels of testosterone and symptoms related to low testosterone (Low T).

If a woman or man has normal testosterone levels, but suffer from symptoms of Low T, are they still a good candidate for BHRT?

Many women and men with normal testosterone levels and symptoms of Low T do benefit from BHRT. These patients may require lower BHRT doses compared to patients with low testosterone levels, and doses may vary over time.

What are the symptoms of Low T in women who are improved with BHRT?

The most common symptoms of Low T in women who are improved with BHRT are hot flashes, libido (sex drive), sleep, energy, weight loss and muscle mass. Dr. Dahan has treated numerous female patients with Low T or symptoms of Low T who have benefited significantly, experiencing complete or near-complete improvement of the symptoms, and overall well-being. Male patients experience similar benefits.

What does BHRT look like?

Dr. Dahan only uses the highest quality of BHRT which come in the form of sterile white small narrow pellets which are designed to slowly release the bioidentical testosterone over 3-4 months. During that time, the pellets completely disappear.

How are the BHRT pellets inserted?

Dr. Dahan uses a sterile technique in the office with a small amount of local anesthesia. The BHRT pellets must be placed in the subcutaneous fat (under the skin) usually in the hip, flank or buttock. The scar is about a centimeter and usually inconspicuous. No sutures are required in most patients.


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Is there any downtime or restrictions when having BHRT?

Dr. Dahan recommends that patients discontinue medications and supplements that may affect bleeding at least 5-7 days before and after BHRT insertion. There is minimal to no bruising or discomfort during insertion or after. Patients may resume normal activities, but should avoid injury to the insertion site. Patients may shower the next day and may take a bath one week after the procedure.

How long does BHRT last and how often must it be done?

Most patients experience significant improvement of Low T symptoms for up to 4 months and therefore, tend to undergo BHRT insertion every 4 months. Rarely, some patients require BHRT insertion every 3 months.*

What are the benefits of BHRT versus other types of testosterone replacement therapy?

BHRT is very safe, effective and convenient for both women and men. The BHRT pellets are inserted 3 times a year instead of weekly painful intramuscular injections, daily creams or pills. BHRT blood levels tend to be more consistent and dependable.

What blood tests are needed before undergoing BHRT?

All patients need blood tests evaluating the serum testosterone levels and hemoglobin. Male patients will also need a PSA blood test as well.

Do health insurance plans cover the cost of BHRT?

Unfortunately, health insurance plans do not cover or pay for BHRT treatment. Health insurance plans usually pay for the blood tests and any prescribed medications.

*Individual results may vary

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