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Bioidentical Hormone Replacement Therapy Center

Menopause Treatment Options with the Rejuvenation Experts

Balance Your Hormones. Change Your Life.

Managing Hormones is Our Passion

Embarking on hormone optimization is a journey towards reclaiming your vitality and well-being. Our board certified physicians, published women's health experts, Dr. Tracy Blusewicz and Dr. Katherine Coley aim is to carefully evaluate your hormone levels, identifying any imbalances or deficiencies. Subsequently, we tailor a personalized plan to replenish and harmonize your hormones, ensuring you feel your absolute best.

The First Step

For women entering menopause or peri-menopause, the journey may include hot flashes, vaginal dryness, weight gain, brain fog, and dry, thinning skin. Similarly, men over 40 might notice a significant decrease in vitality, including declining muscle mass, reduced sexual function, and disrupted sleep.


At Advanced Women's Care, we recommend hormone testing whenever patients encounter symptoms associated with hormonal imbalances or depletions. Through a straightforward blood draw, we can assess all your sex hormones and thyroid function.

Discover Your Options

Experience the expertise of Board Certified Women's Health Physicians: Dr. Tracy Blusewicz and Dr. Katherine Coley, accomplished gynecologists with over two decades of dedicated practice in hormone management. With their unparalleled knowledge, they have been effectively offering personalized hormone management, ensuring comfort and vitality in navigating the natural aging process. At Advanced Women's Care, our compassionate providers are committed to guiding you through the journey of optimizing your hormone levels, empowering you to reclaim a profound sense of yourself—regardless of your age. Discover your options with the rejuvenation experts. 

Hormone Options Appointment Request

Discover the Power of BHRT

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BIOIDENTICAL HORMONE REPLACEMENT THERAPY

Bioidentical hormone replacement therapy (BHRT) is the use of hormones that are identical on a molecular level with endogenous hormones ( the ones naturally made in the body). This is similar to the hormones naturally produced by the body when we were in our prime.  They are non-synthetic, vegan friendly, using all-natural ingredients bio-engineered by our compounding pharmacy.  Because of this, they are safer and do not create the side effects often associated with synthetic versions of hormones prescribed.  This is a great alternative to other forms of hormone replacement therapies.


Advanced Womens Care specializes in diagnosing and treating hormone imbalances in men and women.

TESTOSTERONE FOR WOMEN & MEN

Both men and women produce testosterone, it is vital for libido (sex drive), energy, and maintaining muscle.  Men produce most of their testosterone in their testicles and a lesser amount from the adrenal glands, while women produce testosterone in the ovaries and also adrenal glands.  Natural testosterone in pellet form is less likely to cause problems such as acne, facial hair and hair loss.   


In men, testosterone can convert to estrogen, which may cause side effects such as water retention, anxiety or irritability.  Men with high conversion levels of testosterone to estrogen will be given Anastrozole to reduce the levels of estrogen and make more of the testosterone bio-available.  

Common signs of hormone deficiency, ask Hilton Head bioidentical hormone experts Dr. Coley and Dr. B

COMMON SIGNS OF HORMONE DEFICIENCY

  • Loss of mental focus and concentration
  • Muscle loss
  • Joint pain
  • Decreased strength
  • Fatigue
  • Less effective response to exercise
  • Loss of libido (sex drive and arousal)
  • Worsened menopausal symptoms
  • Irritability
  • Anxiety
  • Weight gain


Improved quality of life. BHRT can enhance your overall well-being and quality of life by restoring hormone levels to a balanced state. Alleviation of symptoms.


Katherine Coley, MD, FACOG - Expertise in Hormone Management

ESTROGEN

Estrogen is the female hormone.  It makes you feel more sensual.  It brings a glow to the skin, helping with the turgor and moisture.  It keeps the vagina lubricated, fullness to the breasts, and clarity to the mind.  It uplifts and stabilizes your mood and will help protect the bones against osteoporosis.


Common signs of estrogen deficiency:

  • Mental fogginess
  • Forgetfulness
  • Depression
  • Anxiety
  • Difficulty falling asleep
  • Hot flashes
  • Night sweats
  • Fatigue
  • Decreased sense of sexuality and sensuality
  • Dry eyes, skin and vagina
  • Loss of skin radiance
  • Pain with sexual activity
  • Increased back and joint pain


HORMONE CONSULT REQUEST

PROGESTERONE

Progesterone is a natural relaxer, it is vital to a woman’s well-being and helps balance the estrogen. If progesterone levels are too low in relation to estrogen a woman will experience sleep disturbances, irritability, anxiety, weight gain, breast swelling and tenderness, bloating, sweating, and loss of libido.  If you have a uterus, progesterone is also essential to protect against unopposed estrogen exposure which could put you at risk for uterine cancer.  If estrogen is taken without progesterone to balance it, a woman will experience bleeding.  It is essential to use progesterone any time you use estrogen if you have a uterus.  Even with a prior hysterectomy, progesterone will provide balance, and is recommended.


Benefits of progesterone:

  • Acts as a natural diuretic to avoid water retention and bloating
  • Relaxes, calms and protects your nervous system
  • Decreases anxiety, depression, and mood swings
  • Helps insomnia
  • Improves breakdown of fat into energy
  • Cuts the craving for sweets and carbohydrates
  • Reduces breast tenderness 
  • Increases HDL, the body’s “good cholesterol”
  • Assists in lowering LDL, or “bad cholesterol”
  • Helps maintain normal blood sugar levels

PRE-OP AND POST-OP PELLET INSTRUCTIONS

Pre-op Pellet Therapy Instructions:

  • Wear loose comfortable clothing the day of the procedure
  • Stop aspirin, ibuprofen, and fish oil 3 days prior to the procedure
  • Eat a small meal prior to pellet insertion



Post-Op Pellet Therapy Instructions:

Avoid for 5 days: 

  • submersion in water such as bathtub or swimming pool 
  • strenuous/ high impact aerobic exercise
  • avoid specific leg and glute exercises such as squats



Incision care:

  • The incision site may be uncomfortable for 2-7 days.  
  • You will be provided with an ice pack which will help reduce bruising and bleeding,   leave this on for at least 10 minutes after the insertion. 
  • If bleeding occurs after this, apply pressure and ice as needed.
  • Avoid scrubbing the site until the incision is well healed (about 5 days).  
  •  You may remove the top layer (op site) in 1-2 days.  
  • You may remove the steri-strips if they peel up, or after 5 days

Hilton Head Hormone experts Dr. Blusewicz and Dr. Coley source all of their pellets from an experien

How Bioidentical Hormone Pellets are Made?

Our pellets are sourced from an experienced compounding pharmacy under FDA oversight following cGMP procedures with equipment that allows for consistent potency, hardness, and sterility. Digital depth measurement and pneumatic pressure are utilized to guarantee pellet uniformity. Both pellet weight and hardness criteria are tested throughout the manufacturing process.


Next, the pellets are packaged in glass vials designed to maintain sterility and prevent breakage during shipping. Each vial is safety sealed so office staff can easily determine if a vial has been opened and sterility compromised.


The pellets have been sterilized using e-beam radiation. We believe this is the most effective and reliable way to achieve sterilization. The last step in the process is third-party testing. Lots are tested for sterility. Each lot is also tested for potency and presence of endotoxins. This ensures that each pellet implanted is the dose your practitioner recommends for you. 


Dr. Tracy Blusewicz and Dr. Katherine Coley Common signs of estrogen deficiency:

  Mental fogginess
    Forgetfulness
    Depression
    Anxiety
    Difficulty falling asleep
    Hot flashes
    Night sweats
    Fatigue
    Decreased sense of sexuality and sensuality
    Dry eyes, skin and vagina
    Loss of skin radiance
    Pain with sexual activity
    Increased back and joint pain

What are Pellet Implants?

Hormone pellets are surgically implanted into the patient for HRT. The pellets are tiny cylinders that are inserted into a numbed area of subcutaneous fat, typically in the hip or the abdomen. This dosage form is very physiologic in that it closely mimics how your body releases hormones. The pellets can last 3-6 months, depending on the patient.

Pellets can be made using estradiol or testosterone. Dosing is determined by your physician based on lab results, medical history, and reported symptoms.

Hilton Head hormones experts Dr. Blusewicz and Dr. Coley understand one see does not fill all, your

Hormone Replacement Men & Women

As we age, hormone levels will decline. Hormone Replacement Therapy (HRT) is the replacement of hormones in menopausal women and andropausal men. Our physicians believe that you deserve individualized healthcare and understand that one size does not fit all. You will receive hormone doses specifically for you, in a dosage form that fits your body and your lifestyle. 

Bioidentical HRT Frequently Asked Questions...

What should I wear and expect?

When will the hormone pellets kick in?

How often do I come in for hormones?

  • Wear comfortable clothing
  • An area on the back of your hip will be numbed, a small puncture is made, and pellets are inserted into the subcutaneous tissue.  
  • Steri-strips and an op-site (clear plastic bandage) is placed over the incision.
  • You may experience a small pin prick at the start of the procedure from the needle to inject the anesthetic agent, or a slight “stinging” sensation as the anesthetic is introduced.
  • Bruising and soreness lasting up to a week at puncture site are normal.
  • Itchiness or mild redness at puncture site are also normal up to a week following implants.
  • After your implant, please avoid exercise/heavy lifting/straining for 3-5 days 
  • Avoid baths, hot tubs, swimming pools (submersion in water) for 5 days following your implant

How often do I come in for hormones?

When will the hormone pellets kick in?

How often do I come in for hormones?

Tracy Blusewicz, MD and Katherine Coley, MD prescribe progesterone with patients on BHRT. 

    Acts as a natural diuretic to avoid water retention and bloating
    Relaxes, calms and protects your nervous system
    Decreases anxiety, depression, and mood swings
    Helps insomnia
    Improves breakdown of fat into energy
    Cuts the craving for sweets and carbohydrates
    Reduces breast tenderness 
    Increases HDL, the body’s “good cholesterol”
    Assists in lowering LDL, or “bad cholesterol”
    Helps maintain normal blood sugar levels

  • On average, hormone replenishment is needed every 3-4 months
  •  Initially we will set up a repeat blood draw at 6 weeks to ensure you are getting a proper response and again at 4 months to be able to give you your next dose of hormones. 
  • Blood levels of hormones must be drawn prior to EVERY implant.  We must know your levels before we give you hormones.
  • If you find that you are becoming symptomatic again prior to the 4 months, we can adjust your dosing schedule.

When will the hormone pellets kick in?

When will the hormone pellets kick in?

When will the hormone pellets kick in?

Dr. Tracy Blusewicz and Dr. Katherine Coley as we age, hormone levels will decline. Hormone Replacement Therapy (HRT) is the replacement of hormones in menopausal women and andropausal men. Our physicians believe that you deserve individualized healthcare and understand that one size does not fit all. You will receive hormone doses specifically for you, in a dosage form that fits your body and your lifestyle.

  • Some patients experience symptom relief within the first few days, others may notice a more gradual reduction in symptoms.  
  •  A patient who has had years of hormone depletion may take longer to optimize/get symptom relief.
  • Peak effectiveness may take 4-6 weeks, but most people are feeling better after only 1-2 weeks.
  • Don’t worry – they will kick in!

Will I get acne?

Will I experience any bleeding?

When will the hormone pellets kick in?

  • Due to skin types and testosterone’s oil producing effects, some patients may experience mild acne, others will not.  
  • A pimple or two is your body responding to the testosterone, after you adjust to the elevated levels, it often clears up.  
  • If acne persists, please let us know so we can work on strategies to treat.

DIM

Will I experience any bleeding?

Will I experience any bleeding?

  • DIM stands for 3,3'-Diindolylmethane, the indole found only in cruciferous vegetables, including broccoli, cabbage, brussels sprouts and cauliflowers. DIM improves estrogen metabolism and helps support healthy estrogen balance.
  • Diindolylmethane is used for preventing breast, uterine, and colorectal cancer.
  • DIM is an aromatase inhibitor, which means it prevents the conversion of testosterone into estrogen.  For this reason, it is used in both men and women.

Will I experience any bleeding?

Will I experience any bleeding?

Will I experience any bleeding?

  • Women who receive estrogen may experience bleeding or spotting.  This is normal and nothing to be worried about.
  • Taking oral progesterone not only balances the estrogen, but controls bleeding. Skipping a dose of progesterone or not taking enough will cause bleeding.  
  • Progesterone is added to your estrogen replacement therapy to prevent overgrowth of endometrial tissue and lower your risk of uterine cancer.
  • If you have a uterus you must take progesterone every night before bed. 
  • If you’ve had a hysterectomy, we still recommend the progesterone to balance the estrogen and help with sleep, mental clarity, mood, breast tenderness and bloating.
  • If you experience bleeding which is heavy or for a prolonged time, please contact us.

BIOIDENTICAL HORMONES

You CAN Feel Good as You Age with Hormonal Optimization

Hormones Play a Role

There's no need to accept a decline in how you feel. If you're not experiencing your usual vibrancy, it's not just a personal struggle or a lack of willpower.  Hormones play a pivotal role in nearly every aspect of well-being. As they naturally change with age, the way you experience life in your body evolves as well. Don't resign yourself to living as a mere shadow of your former self – the ease of joy can return, and your skin, hair, and energy can regain their vitality.

Protective Benefits

Bioidentical hormones offer relief from symptoms associated with declining hormone levels. Yet, their benefits extend beyond merely making you feel better – hormones also provide protective effects that influence longevity and overall health, including aspects like bone density, memory, balance, and heart health.

Your Journey Here

Embarking on this journey is simple – just schedule a consultation at our Bluffton, hormone center, convenient to Sun City and Hilton Head. Let us personalize a plan that speaks to you and helps you rediscover the best version of yourself. 

Feeling Better Starts with Knowing Your Hormone Levels

What to Expect when discussing Hormones

Initial Appointment to Discuss Your Symptoms

  • Initial Appointment with a physician to discuss your symptoms, order appropriate bloodwork, review medical records 
  • Follow-up appointment. Review lab results, Discuss hormone treatment options if appropriate 


 BHRT Treatment Option:

  • After your pellet insertion, you will be given a time frame to return for repeat labs, typically 6 weeks. Your levels will be reviewed by a physician. 
  • Approximately 3 - 4 months later, after the initial insertion, your next. BHRT appointment will be scheduled. Maintaining a set schedule for BHRT treatment is critical to feeling optimal. 
  • If you are becoming symptomatic prior to your next scheduled pellet insertion, the physicians may request blood work to review your hormone levels. Any necessary adjustments will be suggested at your next appointment. 


Call (843) 341-9700 to set-up a hormone replacement appointment to discuss your options. We offer several hormone options for your consideration.


BHRT Bluffton

BHRT HiltonHead

bioidentical hormones Bluffton

bioidentical hormones Hilton Head

HRT Bluffton

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Bioidentical hormone treatment therapy options offered for men and women

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Disclaimer

The information on this website is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding any medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website. 


Medical Director: Tracy Blusewicz, MD, FACOG


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