An effective functional medicine treatment that targets the root cause.

Bioidentical Hormone Replacement Therapy (BHRT)

Rediscover the vitality of your prime years with Bioidentical Hormone Replacement Therapy (BHRT) at Prime Vitality. Designed to replenish the hormones your body naturally loses over time, BHRT uses plant-derived hormones that are identical to those produced in your body, providing a natural and personalized solution. Say goodbye to troubling symptoms like fatigue, mood swings, insomnia, and decreased libido. BHRT can potentially offer improved sleep, enhanced mood, increased energy levels, and a revitalized sex drive. Dr. G at Prime Vitality tailors each treatment to your unique needs, ensuring the optimal balance that your body craves. Experience the benefits of a more balanced life and welcome back the vitality, energy, and well-being you’ve been missing. Don’t let hormonal imbalances hold you back. Contact Prime Vitality to take the first step towards rejuvenating your health with Bioidentical Hormone Replacement Therapy. Rediscover your prime — you deserve it.

What concerns can BHRT address?

Our hormones play a pivotal role in maintaining our health. That’s why BHRT can effectively address a wide variety of concerns that you may have, such as:

  • Low libido
  • Erectile dysfunction
  • Polycystic ovarian syndrome (PCOS)
  • Menopause symptoms
  • Vaginal dryness 
  • Fatigue
  • Insomnia
  • Night sweats
  • Hot flashes and heat intolerance 
  • Weight gain 
  • Menstruation irregularities 
  • Painful or heavy menstruation 

Bioidentical hormone replacement therapy is a simple solution for many complex concerns that's conveniently located at our functional medicine clinic and medical spa in San Antonio.

BHRT can also be used by individuals seeking gender-affirming care

Here's one patient's experience

I had four operations last year and unfortunately, it aged me. I went to Dr. Goel for help. He put me on hormone replacement therapy, 3 rounds of Morpheus8, and Botox. Today, I look younger than I did 10 years ago and I feel great when I look in the mirror now. Thank you Dr. Goel!

Like Mike, you will come into a welcoming office where Dr. Goel will listen to your concerns, and then create a plan to help you look and feel your best. Here’s why Prime Vitality would be a good fit for you:

  • Dr. G is a board-certified internal medicine doctor who has years of experience working in a clinical setting. 
  • At Prime Vitality, you can take advantage of our functional medicine clinic and aesthetic services. For example, men may benefit from both BHRT to help with low libido caused by a lowering of testosterone as they age, plus take advantage of hair restoration services.

Frequently asked questions

Bioidentical Hormone Replacement Therapy (BHRT) is a treatment method that uses hormones that are chemically identical to the hormones naturally produced in your body. Conventional hormone replacement therapy uses synthetic hormones, which have slight differences from those found in the body. In contrast, BHRT uses hormones derived from phytoestrogens that are biologically equivalent to those our bodies produce. They are tailored to meet individual needs, making them more adaptable and precise. The goal of BHRT is to alleviate symptoms caused by hormone imbalance or a decline in hormone production due to aging, thus promoting overall health and well-being. Transgender people may also use the treatment to suppress or enhance certain sex characteristics.

Yes, bioidentical hormone replacement therapy can be beneficial for both men and women. In women, BHRT is often used to alleviate symptoms of perimenopause and menopause, such as hot flashes, mood changes, sleep disturbances, and decreased libido. Men can also benefit from BHRT to address andropause-related symptoms, a condition often referred to as ‘male menopause,’ marked by a gradual decline in testosterone levels. Symptoms can include fatigue, depression, decreased sexual drive, and cognitive difficulties. The tailored nature of BHRT ensures that treatment can be adapted to address the specific hormonal imbalances in each individual, irrespective of gender. 

People opt for bioidentical hormone replacement therapy for a variety of reasons. The primary reason is to address symptoms related to hormonal imbalances or declines in hormone production due to aging. This includes symptoms associated with menopause in women, such as hot flashes, night sweats, mood swings, and loss of libido. Men may use BHRT to manage symptoms of low testosterone, including fatigue, depression, muscle loss, and decreased sexual desire. Transgender people may also use the treatment to suppress or enhance certain sex characteristics. BHRT is also used to improve symptoms of adrenal and thyroid disorders, fibromyalgia, osteoporosis, and more.

Bioidentical hormone replacement therapy comes with several potential benefits. It is highly personalized to your body’s unique needs, leading to potentially more effective and beneficial results. Many individuals report reduced symptoms of menopause or andropause, including lessened hot flashes, improved sleep, better mood, increased sex drive, and enhanced mental clarity. Additionally, BHRT can potentially help improve bone density, skin health, and overall quality of life. The goal is to restore hormonal balance, which can lead to improved overall well-being.

Bioidentical hormone pellets offer a unique approach to hormone replacement therapy that comes with numerous advantages. These small, rice-sized pellets are typically inserted under the skin, delivering a steady, consistent level of hormones directly into the bloodstream. Unlike other methods such as creams, pills, or injections, this slow, continuous release of hormones closely mimics the body’s natural hormone production, eliminating the roller coaster-like symptoms that can be associated with fluctuating hormone levels. Examples of plant-based hormones used in BHRT pellets include estradiol, estriol, and progesterone, which are derived from soybeans.

The pellets are bioidentical, meaning they are chemically identical to the hormones your body naturally produces. This results in a more harmonious integration into the body’s hormone receptors, potentially reducing side effects.

Bioidentical hormone pellets are also convenient. Once inserted, they continuously provide hormone replacement for 3-4 months in women and 4-6 months in men, eliminating the need for daily or weekly treatments. This sustained-release mechanism can result in a better overall treatment outcome with less hassle.

Yes! At Prime Vitality, we are committed to offering our clients a full range of BHRT products. In addition to pellets, we offer topical hormones in the form of lotions or creams, as well as oral forms and injections. During your consultation with Dr. G, we will discuss that form of BHRT that is most suitable for your personal situation. Whether you prefer the convenience of pellets or need an injectable to fulfill your goals, Prime Vitaly is pleased to be able to offer you the rejuvenating benefits of BHRT in multiple forms.

A good candidate for BHRT is typically someone experiencing symptoms related to hormonal imbalance or a decrease in hormone production due to aging. This could include perimenopausal or menopausal women experiencing symptoms such as hot flashes, mood swings, or insomnia. Men with low testosterone levels resulting in symptoms like decreased libido, fatigue, and muscle loss could also be good candidates. Furthermore, individuals with certain medical conditions like osteoporosis or adrenal and thyroid disorders may also benefit. You will have a thorough discussion with Dr. G, who can evaluate your symptoms, medical history, and hormone levels to determine if BHRT is right for you.

While BHRT is considered safe and effective for many individuals, as with any medical treatment, it does come with potential risks. Some people may experience side effects such as bloating, mood swings, acne, increased facial hair in women, and testicular atrophy and breast enlargement in men. There’s also a potential risk of overcorrection leading to a hormonal imbalance. Long-term use of BHRT has been associated with an increased risk of certain conditions, including heart disease, stroke, and certain cancers, although the research is mixed and ongoing. Dr. G will discuss these potential risks with you to help you make an informed decision.

The cost of bioidentical hormone replacement therapy can vary widely depending on several factors, including the specific hormones you require. In addition to the cost of the hormones themselves, there may be costs associated with office visits, lab tests, and consultation fees. Dr. G will discuss the costs of BHRT with you at your consultation. Contact Prime Vitaly and Dr. G today to find balance in your health and body and restore a more youthful you with BHRT!

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