In response to the COVID-19 pandemic, we are offering returning patients virtual visits, including telephone and video conferencing . Please call 571–732–0044 to schedule your appointment.

The Benefits of Bioidentical Hormone Therapy

Pellecome: The Science for Better Living

Hormone replacement therapy is often thought of as a treatment for women during menopause, however, hormonal imbalances and deficiencies may affect both men and women of any age. There are many symptoms associated with these imbalances or deficiencies including chronic fatigue, difficulty sleeping, weight gain or inability to lose weight, loss of muscle mass, feelings of depression, anxiety or irritability. Declining hormones may also lead to a loss of bone mass, causing osteoporosis in both men and women. Unfortunately, many current treatments involve remembering to take one or more pills daily, applying messy creams or gels topically, or requiring one to change a patch on a regular basis. These are often associated with side effects that may lead to discontinuing treatment or lead to intermittent use resulting in an ineffective treatment regimen.

Bioidentical hormones are plant-derived hormones which are identical to those created by the human body.1 Even if you have failed to tolerate or improve with traditional hormone replacement therapy, this may be your answer! Since bioidentical hormones are chemically identical to those created by our own body, they are well-tolerated with fewer associated side effects. One study found that 57.7% of women treated with bioidentical hormones reported fewer side effects and 71.8% had better relief of their menopausal symptoms than with traditional hormone replacement therapy.2  Lower side effects and increased efficacy are vital to continued treatment. 

At Subach Spinal Solutions, we are excited to provide treatment using a system by Pellecome. Your initial appointment will take place in our office and will involve a comprehensive evaluation. During this appointment, your provider will review your medical history including current medical conditions, medications, past medical conditions, surgical history, social history and family history as well as your current state of health and any symptoms present. We will discuss an appropriate lab evaluation which will be completed that day. Once those lab results are received, we will set up a telemedicine visit with you to discuss those results and our recommendations for treatment. At the conclusion of this discussion, we will set up an appointment for your procedure. The procedure is performed in the office and involves inserting bioidentical hormone pellets under the skin of your hip/buttock region under local anesthesia. Pellets will provide sustained, controlled-release of hormones over time, eliminating the fluctuations that tend to occur when using oral or topical hormones, mimicking the steady state of hormone levels that your body is used to. The procedure takes approximately 15 minutes and lasts 3-4 months.3 

If you are frustrated with your lack of energy, inability to lose weight or loss of muscle mass, contact us at 571-732-0044 to schedule a consultation to explore your options. You can visit our website to learn more.


Diana S. DeWolfe, PA-C, MPAS Diana S. DeWolfe, PA-C, MPAS Diana DeWolfe is a highly skilled board certified Physician Assistant with experience in the management of spinal disorders. She acquired her Masters of Physician Assistant Studies (M.P.A.S) at Alderson Broaddus University in Philippi, WV and later completed a residency and fellowship in the medical and surgical management of spinal disorders. She has devoted nearly 13 years of her career to spinal healthcare and has developed a passion for this field of medicine.

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