Hormone Replacement Therapy

Live Well. Because You Can!

hormone replacement
Bio-Identical Hormone Replacement Therapy (BHRT) is designed to improve the balance of your primary hormones that have depleted over the years and is based upon your body’s individual needs. Reduced levels of estrogen, testosterone and/or progesterone are restored so that your overall health is revived. The plant-derived compound offers a molecular match to the hormones that are naturally produced in our bodies and has very minimal if any side effects. Pellets, made from the wild yam plant, are time released and offer hormone balancing to improve deficiencies caused by the aging process. The Bio-Identical Hormone Therapy was first introduced in 1939. Since it is naturally derived, it does not carry the risks associated with synthetic treatments.

This is an old (as old as Premarin) and well-documented method of delivering bioidentical hormones that utilizes small pellets about the size of a grain of rice that are painlessly inserted under the skin (the procedure is less painful than having your blood drawn). We’ve found the easiest and best place to insert them is under the skin of the lateral buttocks. The hormones in the pellets are bioidentical (exact molecular match of human hormone) and consist of either estradiol, the most important of the three female human estrogens, and testosterone. Some women are surprised to hear that they might need testosterone replacement as well as estrogen replacement. Perimenopausal women and post-menopausal women usually need some of both. Testosterone levels are usually around 5-10% that of a man. Testosterone helps with a number of issues including libido, mood stabilization, brain function, and bone density.

Pellets are synthesized from soybeans or wild yam. They are either pure estradiol or pure testosterone. Other than a small amount of stearic acid as is common in pharmaceuticals, there are no other ingredients in them. They dissolve completely with no residue under the skin over a 3-6 month period. Bio-Natural Hormone Therapy may offer life-enhancing results such as:

  • Improved sense of well-being
  • Increased mental & physical energy
  • Decreased levels of depression or anxiety
  • Improved sleep quality
  • Improved sex drive & sexual performance
  • Increased muscle tone
  • Decreased body fats
  • Lower blood pressure & cholesterol

Real results come from an inside out approach! Come see and experience yourself. Email us at holisticwellness@apex-md.com or call us at (804)273-1066, and Schedule Consultation with us. For more information, please visit our Wellness Services blog.

What to Expect

Your customized pellet hormone therapy program will include a consultation with a licensed physician or nurse practitioner, a physical exam, and regular monitoring. Our provider will review your full medical history report and will work with you and/or your primary care physician to develop a therapy program. Your therapy is individualized to your needs based on your hormone levels. Regular monitoring will include blood tests to evaluate how well your body is absorbing the hormones and to ensure the right dosage for your body. Just as hormones in your body gradually depleted over time, it usually takes time to balance your hormones through this therapy. Some positive effects will be noticed immediately. However, it may take up to one year to alleviate symptoms for some people. Your needs may change over time, and each person is different, so ongoing personalized care is vital to maintain your improved well being.

Bio-Identical Hormone Therapy for Men


Hormones play an important role in the male body. Men begin to experience an annual decline in their hormone levels beginning in their mid-20s. Andropause, often referred to as male menopause, is a result of low testosterone levels throughout the body. Reduced testosterone can cause symptoms that depreciate a man’s quality of life.

Symptoms include:

  • a decrease in strength and endurance
  • lack of energy and drive
  • noticeable decrease in your sex drive
  • less frequent/less strong erections
  • feelings of depression
Results of Treatment

Apex-MD Wellness program can improve your hormone levels by treating the root cause of these symptoms. Regular treatments will restore the optimal testosterone level that you experienced in your prime. You will enjoy increased energy and strength as well as improved sexual performance. These all-natural hormones also can reduce body fat and encourage muscle tone. Plus, treatments will protect your overall wellness. *Results May Vary and not guaranteed

Preventative Effects

Just because you’re getting older, doesn’t mean you have to look and feel older. Bio-Identical Hormone Therapy can prevent the thinning of bones that lead to osteoporosis and reduced stature as well as discourage the onset of health conditions that lead to dementia and heart disease.

Bio-Identical Hormones for Men:

We specialize in treating hormonal imbalance in men using Bio-Identical Hormones replacement therapy (BHRT). It is now common knowledge that men also suffer from a decline in their hormones as they age (similar to menopause for women) called andropause. The difference is that the male decline in hormones is not as sharp and sudden as a woman’s decline during menopause. They may not feel drastic physical changes but rather small dips in their energy level, stamina, mental function, and sense of well being among other things. These changes are often associated with the typical signs of aging that are inevitable but the truth is that there is a way to prevent them through Bio-Identical Hormones replacement therapy. The Benefits of Bio-Identical Hormones replacement therapy are significant in men with low to normal hormone levels and include decrease in body fat, increase in muscle strength, better cognitive function, increased libido, increased memory, 60% decrease in heart disease and improved sense of well being.

Bio-Identical Hormones Treatment with Testosterone

Many men suffer needlessly because their testosterone is never checked or the wrong test is ordered. Men as young as 25 to 30 years in age are presenting with low levels of testosterone, which was not the case 10 or 20 years ago. This is possibly a result of environmental toxins, plastics, pesticides, pollutants and/or xenoestrogens in the environment. A large percentage of men who have been told their testosterone is fine actually have low testosterone. Often the total amount of testosterone is read as adequate, but the amount of usable testosterone is low. Men with low testosterone may have subtle to profound symptoms, ranging form poor motivation, anxiety, weight gain, and loss sense of well being to profound depression, and loss of sex drive. Men with low testosterone cannot only enjoy an improved quality of life with testosterone supplementation, but it will also provide a significant decreased risk for heart disease, cancer, diabetes and death.

Low testosterone in men can result in:
  • Fatigue, tiredness or loss of energy
  • Depression, low or negative mood
  • Irritability, anger or bad temper
  • Anxiety or nervousness
  • Loss of memory or concentration
  • Relationship problem with partner
  • Loss of sex drive or libido
  • Erection problems during sex
  • Loss of morning erections
  • Decreased intensity of orgasms
  • Backache, joint pains or stiffness
  • Loss of fitness
  • Feeling over-stressed
  • Loss of drive and competitive edge
  • Stiffness and pain in muscles and joints
  • Falling level of fitness
  • Decreased effectiveness of workouts
Testosterone replacement and optimization can result in:
  • Decreased aging of heart and circulation
  • Decreased risk of heart attacks and strokes
  • Decreased risk of diabetes
  • Decreased body fat
  • Increased lean muscle
  • Increased blood flow to brain
  • Decreased brain aging
  • Improved memory and intelligence
  • Decreased risk of dementia and Alzheimer’s
  • Increased sense of well being
  • Improved sexual function
  • Decreased osteoporosis
  • Decreased risk of prostate cancer

Bio-Identical Hormone Therapy for Women

bhrt women

Women often experience symptoms of hormone deficiencies that negatively impact their quality of life. Some of these symptoms may appear years before a woman enters menopause. These symptoms may include:
BHRT women

  • low sex drive
  • hot flashes*
  • night sweats
  • sleep disturbances
  • mood swings
  • weight gain
  • vaginal dryness
  • migraines
  • palpitations
  • osteoporosis

Our bodies contain more than one hundred different types of hormones. Hormones do so much more than control your sex drive, fertility, and virility. They stimulate your brain and your immune system. Hormones fight stress, prevent fatigue, relieve depression, and calm anxiety. They burn fat, resist allergic reactions and infections, soothe pain and regulate your heartbeat.

Hormones control your blood pressure, build up bone, lubricate joints and maintain muscle tone. They govern growth, making the body produce energy and heat. Hormones maintain the correct level of sugar in the blood and tissues. They put you to sleep at night and wake you up in the morning.

Replacing lost hormones is crucial to feeling good. Hormone replacement restores the body to a youthful state, stopping the process of deterioration. Synthetic hormones differ by an atom or two from the chemicals the body produces.

Bio-identical hormones are an exact match to the hormones our bodies produce making them a safer alternative with no side effects or damage to organs.
Bio-Identical Hormone Therapy in combination with a healthy diet and lifestyle will restore your youth and vitality*.

Results of Treatment

Apex-MD Wellness program will treat the actual cause of your symptoms and restore depleted or imbalanced hormone levels. You will notice less hot flashes and maybe even none at all. You will enjoy more energy and the benefits of decreased vaginal dryness and enhanced sex drive. You also may experience weight loss and improved skin elasticity. Plus, your overall sense of well-being will improve.

Preventative Effects

Bio-Identical Hormone Therapy can be part of your overall preventative health routine. These all-natural hormones can prevent the thinning of bones that leads to osteoporosis and discourage the onset of health conditions that lead to heart disease and dementia.

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