As of December 2019, we are not accepting any new patients to the BHRT program. If you wish to be put on a waiting list for the program, please let us know.
At the initial visit, a patient fills out a complete medical history and a symptoms questionnaire. There will be a discussion of the patient’s symptoms and orders given to your main provider for a blood draw to evaluate hormone levels. When the blood results come back (generally three to five business days later), our office will email the test results to patients. Once a patient decides to proceed with pellet hormone replacement therapy, FVPS will order the recommended dose, which is shipped to the practice. All patients must sign a Prescription Shipping Authorization to authorize the pharmacy to send the pellets to the practice. It takes two weeks for the pellets to arrive. When the pellets arrive, patients then return for an implantation appointment.
After the implantation, patients can immediately resume normal activities, except for swimming and strenuous exercise, which require a three-day wait. Patients can expect to feel some improvements within the first two weeks.
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Four to six weeks after the first insertion, patients will come to our office to discuss symptom relief and for another blood test. At that time, the patient and the practice will decide whether any adjustment needs to be done to the future dosage based on the blood test and symptoms. Typically, men require an insertion every 5-6 months, and women require an insertion every 3-4 months. Patients can stop BHRT treatment at any time, which will cause hormone levels to drift back to pre-treatment levels.
Read about Annie’s experience with bio-identical hormone replacement therapy in our Lifestyle Therapies Center and other real patient stories in Real Patient Stories. As a young woman, Annie was facing hormonal issues which negatively impacted her life and marriage. As a last resort, Annie tried BHRT, which changed her life. Find out why her husband was even more excited than Annie in telling her story. He got back the woman he married, and we couldn’t be happier for them.
Evaluation and treatment of hormones is a time consuming process. In order to keep costs reasonable, Fox Valley Plastic Surgery requires patients to pay the full amount of their treatment at each visit. Although insurance does not cover BHRT, it will usually cover the initial consultation. BHRT insertion and the pellets are FSA and HSA eligible. Patients are responsible for paying for their blood tests at the lab of their choice.
An initial consult fee of $80 is required for inquiry into BHRT. If a patient wishes to proceed with BHRT, the $80 initial consultation fee can be applied towards the $130 BHRT complete consultation fee. Occasionally FVPS may bill the insurance company for the initial consultation; however, if insurance denies the claim, the patient is responsible for the charges. Patients can expect to pay an average of $2000 per year with a range of $1100-$2900.
Women are injected with estrogen and a female quantity of testosterone. Women may come in three to four times a year for the pellet injections. Because everyone’s needs are different, it is difficult to predict how long the pellets will last. If the body needs more hormones, it will be used more quickly by the body.
Men are injected with testosterone. Testosterone pellets for men are larger than the pellets for women, and last longer. Males typically come in two to three times a year for the pellet injections.