Dr. Joseph M. Perlman Advanced Plastic Surgery Centre

Hormone Replacement Therapy in Houston

Dr. Joseph Perlman, a board-certified plastic surgeon, offers Pellet Therapy, a natural hormone replacement approach, to assist men and women in restoring hormone balance.


Dr. Joseph Perlman, a board-certified plastic surgeon, assists in restoring hormone balance using Pellet Therapy, a natural hormone replacement technique available to both men and women all across Texas

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What is Bio-Identical Hormone Replacement Pellet Therapy?

Consider Pellet Therapy if you desire to regain the energy and vitality you had in your 20s. These plant-based bio-identical hormones have a chemical structure identical to the human body, setting them apart from synthetic hormones. The advantage of bio-identical hormones lies in their minimal to no side effects and health risks, unlike their synthetic counterparts which often result in various unwanted effects.

To illustrate the difference, many liken bio-identical hormones to a perfectly fitting key in a lock, releasing all the beneficial effects when turned. On the other hand, synthetic hormones, like misshapen keys, unlock not only the benefits but also a host of undesirable side effects.

Although bio-identical hormone pellet therapy has been in use since 1939 in the U.S., Europe, and Australia, it faced a decline in popularity with the advent of oral and topical commercial products. Unfortunately, since bio-identical hormones cannot be patented, major pharmaceutical companies have favored synthetic hormones, relegating bio-identical hormone pellet therapy to the sidelines. Nonetheless, it remains one of the safest and most effective natural Hormone Replacement Therapy (HRT) methods available.

What is Hormone Pellet Therapy?

Utilizing bio-identical and all-natural testosterone and estrogen, Pellet Therapy involves tiny pellets inserted under the skin, acting as a hormone storage garage. This method ensures a consistent release of hormones in small, optimal doses throughout the day. In contrast, synthetic hormones are often administered orally or topically, resulting in an erratic release, leading to mood swings and energy fluctuations.

Medical Hormone Pellet Therapy stands out as the sole hormone treatment providing sustained hormone levels for an extended period, lasting up to 4 to 6 months. This approach spares patients from enduring emotional ups and downs and periods of lethargy.

As pellet therapy employs completely natural hormones, it becomes an excellent option for those seeking the benefits of natural hormone treatment without the drawbacks associated with synthetic hormones.

What are Hormone Pellets?

Pellets, which are typically smaller than a grain of rice, contain natural plant-derived estrogen or testosterone. A compounding pharmacist adhering to strict federal guidelines compounds the hormones used in these pellets.

Sourced from soybeans, these pellets dissolve entirely over a span of 4 to 6 months, leaving no residue under the skin. Inserted into the fatty tissue beneath the skin, they release hormones directly into the bloodstream, closely mimicking the actions of healthy testicles and ovaries. This hormone pellet implantation procedure is easily conducted in the office of a skilled physician.

Hormone Pellet Therapy for Women:

Even if menopause is not a concern yet, hormone imbalances can affect women at a younger age, even in their 30s. Perimenopausal and post-menopausal women may require a combination of both estrogen and testosterone to achieve optimal hormone balance. Delaying hormone replacement therapy increases the risk of developing various health issues, including Alzheimer’s disease, heart disease, diabetes, osteoporosis, impaired vision, and different types of cancers.

Comparative studies between hormone pellet therapy and conventional treatments have demonstrated the effectiveness of pellet therapy in alleviating menopausal symptoms such as vaginal dryness and improving sex drive, libido, and sexual performance. Additionally, it has proven beneficial in addressing other issues like depression, anxiety, mood swings, migraines, incontinence, urinary urgency and frequency, as well as restoring healthy sleep patterns.

Studies have been conducted comparing hormone pellet therapy to conventional therapies. The pellet therapy has proven to help with relief of menopausal symptoms, vaginal dryness, and improvement in sex drive, libido and sexual performance. It has also proven effective to help with problems such as depression, anxiety, mood swings, migraines, incontinence, urinary urgency and frequency and restoration of sleep patterns.

Hormone Pellet Therapy for Men:

The gradual decline of testosterone in men, ranging from 1 to 3 percent per year starting as early as their 30s, is a natural process. Regardless of age, men can benefit from hormone therapy to address testosterone deficiency. Some common symptoms of low testosterone in men include fatigue, reduced mental sharpness, decreased libido, difficulty achieving or maintaining erections, weight gain, muscle mass loss, depression, and mood swings.

Pellet Therapy stands out as the exclusive form of therapy that can provide men with the natural levels of hormones they require. By using this therapy, sustained levels of testosterone akin to those produced by normally functioning testicles can be achieved. Research has indicated that maintaining optimal testosterone levels in men can help prevent various diseases, including Alzheimer’s disease, prostate cancer, osteoporosis, cardiovascular disease, and more.

Pellet Therapy is the only type of therapy that produces natural levels of hormones men need. This therapy helps to achieve sustained levels of testosterone that would be produced by normally functioning testicles. Studies have also shown that optimal levels of testosterone in men can help prevent diseases such as: Alzheimer’s disease, prostate cancer, osteoporosis, cardiovascular disease and more.

What if my primary care physician says that there is ‘no data’ to support the use of pellet implants? And is it safe?

Physicians may have varying levels of knowledge about pellet implants. Some might claim they are unsafe without delving into the research, leaving patients to make informed decisions on their own.

Fortunately, there exists a wealth of studies available to practitioners, although not all may know where to find them or may be reluctant to conduct the research. Nevertheless, since 1939, pellet implants have been extensively researched and developed. They have been safely used on five continents and subjected to decades of study, yielding substantial data supporting the long-term safety and effectiveness of bio-identical hormone pellet therapy.

When choosing hormone replacement therapy, caution is essential. The ultimate aim should be to achieve hormonal balance based on scientific evidence and under the guidance of an experienced physician. Hormones play a crucial role as potent chemical messengers, controlling various internal functions in the body. Even a small imbalance of hormones can have significant repercussions, underscoring the importance of a cautious and well-informed approach.

Hormone Pellet Therapy Benefits

Hormonal balance is widely recognized by endocrinologists as crucial for overall health. Hormones play a major role in controlling various aspects of the body’s well-being, with extensive research supporting their significance in intricate interrelationships among different parts and systems.

During perimenopause, menopause, and andropause, individuals experience hormone depletion and fluctuation, leading to a decline in their health. Hormone imbalances during this time can heighten the risk of age-related disorders such as osteoporosis, stroke, cancer, and thyroid dysfunction.

Additionally, various issues like depression, anxiety, memory loss, hot flashes, sleep disturbances, libido problems, and sexual dysfunction can arise due to these hormonal imbalances.

Thankfully, there is a solution to restoring hormonal balance to more normal levels through a treatment called Pellet Therapy.

Symptoms of Low Testosterone in Women and Men

As testosterone levels decline due to aging, brain-related symptoms may arise, including memory loss, mental fog, sleep disturbances, depression, and mood swings. In addition to these cognitive symptoms, low testosterone can lead to decreased vaginal lubrication in women, difficulty maintaining an erection in men, night sweats, joint pain, bladder symptoms, headaches, and low libido.

Experiencing these symptoms in your 30s may not immediately prompt you to consider low testosterone or estrogen levels. Early-developed cases often face misdiagnosis, leading physicians to prescribe medications like anti-depressants, sleeping pills, or adult ADD medication. In such cases, it’s essential to raise the possibility of a hormone imbalance before proceeding with those treatments.

Hormone pellet replacement therapy aims to restore the body’s natural hormone balance in both women and men. Testosterone deficiency is a significant contributor to the symptoms associated with age-related hormone loss in both genders.

Benefits of Pellet Therapy

Medical Hormone Therapy Benefits

Hormone imbalance therapies offer relief from various symptoms associated with conditions that medical providers may sometimes overlook. Our hormone replacement therapy (HRT) approach utilizes bioidentical hormones, which are custom compounded to suit each patient’s individual physiology. This tailored approach ensures that patients can fully benefit from BHRT.

If you’re interested in exploring the advantages of hormone replacement therapy, reach out to a certified local provider today for more information.

Balanced Hormones and Emotional Health

Numerous emotional symptoms can be indicators of hormonal imbalance, such as mood changes, low mood, irritability, stress, and anxiousness. Our bioidentical hormone replacement therapy (BHRT) has proven effective in assisting thousands of individuals throughout the U.S. in enhancing their emotional well-being. To determine whether BHRT is suitable for you, get in touch with a certified provider.

Cognitive Function and BHRT

In both men and women, decreased levels of testosterone or estrogen can result in diminished mental capacity, low mood, and brain fog. However, Medical’s bioidentical hormone replacement therapy (BHRT) approach may offer relief from these symptoms and potentially enhance cognitive function. Dealing with the decline in cognitive function as we age can be frustrating, but BHRT can help restore hormone balance and possibly prevent cognitive losses, thereby promoting a sharp mind.

Request Your Consultation Today with Dr. Perlman

The Advanced Plastic Surgery Centre, led by Dr. Joseph Perlman and his team, provides Pellet Therapy to patients in Houston, TX who seek a natural method to restore their body’s hormone balance. To schedule your Pellet Therapy consultation, get in touch with The Advanced Plastic Surgery Centre today.