Conditions
Bioidentical Hormone
Replacement Therapy (BHRT)
Restore Hormonal Balance
Our BHRT program is designed to restore balance, boost energy, and help you feel like yourself again. Using bioidentical hormones—molecularly identical to those your body naturally produces—we create a customized treatment plan to address symptoms related to hormonal imbalances such as fatigue, weight gain, mood swings, low libido, and more.
* A consultation is required to get started.
How BHRT Can Help You
Whether you're experiencing symptoms related to menopause, andropause, or other hormone-related conditions, BHRT offers a transformative solution for restoring balance and enhancing overall well-being. As we age, or due to certain medical conditions, hormone levels naturally begin to decline. This shift can lead to a range of symptoms.
For women, BHRT can effectively relieve menopausal symptoms such as hot flashes, night sweats, mood swings, and vaginal dryness. For men, it can help address symptoms of testosterone deficiency, including fatigue, reduced libido, and muscle loss.
Results of BHRT can vary by individual. Learn more about what to expect during your sessions below.
Benefits of BHRT
-
Improves mood and well-being
-
Enhances energy and vitality
-
Improves sexual health
-
Reduces risk of osteoporosis
-
Improves sleep quality
-
Can improve metabolism
-
Can improve cholesterol and blood pressure
-
Can improve cognitive function
-
What to Expect
Consultation
Your journey begins with an in-depth consultation and full review of your health history and symptoms. We’ll order comprehensive lab testing to assess your hormone levels, including estrogen, testosterone, progesterone, thyroid function, and more.
Based on your lab results and individual needs, your provider will develop a customized BHRT plan. Treatment options may include pellet therapy, topical creams, oral medications, or injections. We’ll discuss the pros and cons of each route and decide together what’s best for your lifestyle and goals.
Treatment
If pellet therapy is chosen, small hormone pellets (about the size of a grain of rice) are inserted just under the skin in a quick, in-office procedure. If using creams, pills, or injections, prescriptions will be provided with clear instructions.
Hormone levels and symptoms will be re-evaluated regularly. We typically check labs every 6–12 weeks during the adjustment phase to ensure optimal dosing, then transition to maintenance monitoring every few months.
expected results
Most clients begin to notice symptom relief within 2–4 weeks, with full effects developing over 2–3 months. You can expect improved energy, better sleep, increased mental clarity, enhanced libido, and more balanced moods.
Post-Treatment Care
Side effects & recovery
BHRT can cause some side effects, particularly in the initial stages as the body adjusts to the new hormone levels. These side effects are often mild and may include acne, weight gain, bloating, breast tenderness, and mood swings. Some individuals may also experience spotting or breakthrough bleeding, especially if the therapy involves estrogen. However, many of these side effects tend to subside as the body adapts to the treatment. Recovery is generally minimal, with most people able to return to normal activities immediately after treatment, though some may need to avoid strenuous exercise for a few days.
after care instructions
General aftercare tips for all BHRT types:
-
Attend all scheduled follow-up appointments to monitor hormone levels and adjust dosages as needed.
-
Maintain a balanced diet rich in lean proteins, healthy fats, whole grains, vitamins, and minerals that support hormone balance (zinc, magnesium, and vitamin D).
-
Avoid strenuous activities immediately after certain BHRT procedures (pellet insertion) but otherwise strive for an active lifestyle.
-
Drink plenty of water to support overall health and hormone balance.
BHRT creams:
-
Wash hands thoroughly after use to prevent accidental transfer to others. Be cautious to avoid skin-to-skin contact with others, especially children, after applying the cream, as it can be absorbed through their skin.
-
Discontinue use and contact your doctor if you experience a skin reaction like redness or irritation at the application site.
BHRT pellets:
-
Keep the insertion site clean and dry. Avoid getting it wet for the first 24-48 hours. Afterwards, showering is typically permitted, but avoid soaking in tubs, pools, or hot tubs for several days.
-
Refrain from heavy lifting, strenuous activity, or activities that put pressure on the insertion site for several days (typically 3-7 days) to prevent displacement or irritation.
-
Follow your provider's instructions regarding bandage removal and care for the insertion site. Steri-strips may need to remain in place for 5-7 days.
-
Benefits of BHRT
-
Improves mood and well-being
-
Enhances energy and vitality
-
Improves sexual health
-
Reduces risk of osteoporosis
-
Improves sleep quality
-
Can improve metabolism
-
Can improve cholesterol and blood pressure
-
Can improve cognitive function
-
What to Expect
Consultation
Your journey begins with an in-depth consultation and full review of your health history and symptoms. We’ll order comprehensive lab testing to assess your hormone levels, including estrogen, testosterone, progesterone, thyroid function, and more.
Based on your lab results and individual needs, your provider will develop a customized BHRT plan. Treatment options may include pellet therapy, topical creams, oral medications, or injections. We’ll discuss the pros and cons of each route and decide together what’s best for your lifestyle and goals.
Treatment
If pellet therapy is chosen, small hormone pellets (about the size of a grain of rice) are inserted just under the skin in a quick, in-office procedure. If using creams, pills, or injections, prescriptions will be provided with clear instructions.
Hormone levels and symptoms will be re-evaluated regularly. We typically check labs every 6–12 weeks during the adjustment phase to ensure optimal dosing, then transition to maintenance monitoring every few months.
expected results
Most clients begin to notice symptom relief within 2–4 weeks, with full effects developing over 2–3 months. You can expect improved energy, better sleep, increased mental clarity, enhanced libido, and more balanced moods.
Post-Treatment Care
Side effects & recovery
BHRT can cause some side effects, particularly in the initial stages as the body adjusts to the new hormone levels. These side effects are often mild and may include acne, weight gain, bloating, breast tenderness, and mood swings. Some individuals may also experience spotting or breakthrough bleeding, especially if the therapy involves estrogen. However, many of these side effects tend to subside as the body adapts to the treatment. Recovery is generally minimal, with most people able to return to normal activities immediately after treatment, though some may need to avoid strenuous exercise for a few days.
after care instructions
General aftercare tips for all BHRT types:
-
Attend all scheduled follow-up appointments to monitor hormone levels and adjust dosages as needed.
-
Maintain a balanced diet rich in lean proteins, healthy fats, whole grains, vitamins, and minerals that support hormone balance (zinc, magnesium, and vitamin D).
-
Avoid strenuous activities immediately after certain BHRT procedures (pellet insertion) but otherwise strive for an active lifestyle.
-
Drink plenty of water to support overall health and hormone balance.
BHRT creams:
-
Wash hands thoroughly after use to prevent accidental transfer to others. Be cautious to avoid skin-to-skin contact with others, especially children, after applying the cream, as it can be absorbed through their skin.
-
Discontinue use and contact your doctor if you experience a skin reaction like redness or irritation at the application site.
BHRT pellets:
-
Keep the insertion site clean and dry. Avoid getting it wet for the first 24-48 hours. Afterwards, showering is typically permitted, but avoid soaking in tubs, pools, or hot tubs for several days.
-
Refrain from heavy lifting, strenuous activity, or activities that put pressure on the insertion site for several days (typically 3-7 days) to prevent displacement or irritation.
-
Follow your provider's instructions regarding bandage removal and care for the insertion site. Steri-strips may need to remain in place for 5-7 days.
-
Benefits of BHRT
-
Improves mood and well-being
-
Enhances energy and vitality
-
Improves sexual health
-
Reduces risk of osteoporosis
-
Improves sleep quality
-
Can improve metabolism
-
Can improve cholesterol and blood pressure
-
Can improve cognitive function
-
What to Expect
Consultation
Your journey begins with an in-depth consultation and full review of your health history and symptoms. We’ll order comprehensive lab testing to assess your hormone levels, including estrogen, testosterone, progesterone, thyroid function, and more.
Based on your lab results and individual needs, your provider will develop a customized BHRT plan. Treatment options may include pellet therapy, topical creams, oral medications, or injections. We’ll discuss the pros and cons of each route and decide together what’s best for your lifestyle and goals.
Treatment
If pellet therapy is chosen, small hormone pellets (about the size of a grain of rice) are inserted just under the skin in a quick, in-office procedure. If using creams, pills, or injections, prescriptions will be provided with clear instructions.
Hormone levels and symptoms will be re-evaluated regularly. We typically check labs every 6–12 weeks during the adjustment phase to ensure optimal dosing, then transition to maintenance monitoring every few months.
expected results
Most clients begin to notice symptom relief within 2–4 weeks, with full effects developing over 2–3 months. You can expect improved energy, better sleep, increased mental clarity, enhanced libido, and more balanced moods.
Post-Treatment Care
Side effects & recovery
BHRT can cause some side effects, particularly in the initial stages as the body adjusts to the new hormone levels. These side effects are often mild and may include acne, weight gain, bloating, breast tenderness, and mood swings. Some individuals may also experience spotting or breakthrough bleeding, especially if the therapy involves estrogen. However, many of these side effects tend to subside as the body adapts to the treatment. Recovery is generally minimal, with most people able to return to normal activities immediately after treatment, though some may need to avoid strenuous exercise for a few days.
after care instructions
General aftercare tips for all BHRT types:
-
Attend all scheduled follow-up appointments to monitor hormone levels and adjust dosages as needed.
-
Maintain a balanced diet rich in lean proteins, healthy fats, whole grains, vitamins, and minerals that support hormone balance (zinc, magnesium, and vitamin D).
-
Avoid strenuous activities immediately after certain BHRT procedures (pellet insertion) but otherwise strive for an active lifestyle.
-
Drink plenty of water to support overall health and hormone balance.
BHRT creams:
-
Wash hands thoroughly after use to prevent accidental transfer to others. Be cautious to avoid skin-to-skin contact with others, especially children, after applying the cream, as it can be absorbed through their skin.
-
Discontinue use and contact your doctor if you experience a skin reaction like redness or irritation at the application site.
BHRT pellets:
-
Keep the insertion site clean and dry. Avoid getting it wet for the first 24-48 hours. Afterwards, showering is typically permitted, but avoid soaking in tubs, pools, or hot tubs for several days.
-
Refrain from heavy lifting, strenuous activity, or activities that put pressure on the insertion site for several days (typically 3-7 days) to prevent displacement or irritation.
-
Follow your provider's instructions regarding bandage removal and care for the insertion site. Steri-strips may need to remain in place for 5-7 days.
-
Testosterone Replacement Therapy (TRT)
While our general Bioidentical Hormone Replacement Therapy (BHRT) program addresses a wide range of hormone imbalances in both men and women, our Testosterone Replacement Therapy (TRT) is a specific treatment designed exclusively for men. This therapy is focused on restoring optimal testosterone levels, a critical hormone that, when deficient, can lead to specific male-centric symptoms like decreased energy, reduced libido, loss of muscle mass, and increased body fat. TRT is a targeted form of BHRT that provides a direct and powerful solution to revitalize men's health and well-being.
*A consultation is required to get started.
About Testosterone Deficiency
Low-T, or low testosterone, occurs when the body doesn't produce enough of this essential hormone, which is critical for maintaining energy, muscle mass, libido, bone density, and overall vitality in men. Testosterone levels typically peak between ages 18 and 25 and then begin a steady decline. This deficiency can be caused by various factors, including obesity, certain medications, and medical conditions.
Common symptoms of low testosterone often include fatigue, decreased sex drive, erectile dysfunction, and mood changes. Men may also experience a loss of muscle mass, an increase in body fat, and difficulty with concentration or memory. At Elizabeth City Med Spa, we offer a comprehensive evaluation and evidence-based treatments to restore hormonal balance. Following a thorough consultation and lab testing, we will determine the best course of action for your specific needs.
Results of TRT can vary by individual. Learn more about what to expect during your sessions.