Bioidentical Hormone Replacement Therapy (BHRT): It is not just for women!

Bioidentical Hormone Replacement Therapy (BHRT): It is not just for women!
by: Steve Nunn

Although most Hormone Replacement therapy patients are women, men also often need hormonal optimization. Menopause is inevitable for women with the eventual cessation of their own hormone production. This occurs either from surgery, or a more gradual process occurring over 4-6 years as their ovaries retire. The process for men is more gradual and insidious. Men tend to lose 1-3% of their testosterone production beginning at age 30. That means by the time a guy is 60, he has potentially lost anywhere from 30-90% of his testosterone. This can have a negative impact on his general health, sense of well being and quality of life.


Testosterone, for either a man or a woman, has an impact on 5 main areas. These include:

  1. Short term memory

*”Why did I come into this room? What else was I supposed to get at the store?”

  1. Clear thinking & decision making

*Being able to process information and make clear headed decisions.

  1. Level moods

*Not having your buttons pushed easily, not feeling anxious, panicky or down for little or no reason.

  1. Energy

*Energy to get through the day, through workouts and getting results.

*This is desire, not necessarily function.  In some cases, erectile function may also be affected, which can have a psychological impact on libido.

Estradiol, the most important female estrogen helps alleviate:

  1. Hot flashes
  2. Night sweats
  3. Middle of the night awakening
  4. Vaginal dryness
  5. Sometimes helps control urine leaking with sneezing or coughing.


BHRT is safe for both men and women. Estrogen does not cause breast cancer, although it can feed one that is already there. Similarly, testosterone does not cause prostate cancer, but can “feed” an already present prostate cancer. Even having a history of a successfully treated prostate cancer does not permanently disqualify a man from getting testosterone replacement therapy.

Many women, after achieving their own personal hormonal balance and happiness, bring their partners in for consultation. Women are leading the way; the men are then able to regain their hormonal mojo. It is not unusual to hear comments such as: “You saved my relationship/marriage.” When both partners are in hormonal synchrony, many other elements of their relationship fall back into place.

Pellet BHRT is superior to the other forms of BHRT such as creams, gels, lozenges, pills or injections. Pellet BHRT provides a continuous source of hormone lasting anywhere from 3-6 months, depending on the physiology of each individual. Most other methods require daily or weekly dosing with frequent peaks and valleys leading to a hormonal roller coaster.

Contact Tutera Medical to set up your appointment:


Curious about Pellet Therapy?

Questions about hormone therapy come up frequently in the Menopause Chicks Private Online Community.

It’s common for women who might be experiencing things like brain fog, low libido, vaginal dryness, headaches, anxiety, depression, hot flashes/night sweats and even dry skin or hair loss—to investigate hormone therapy and the different modes of delivery available.



Recently, we have heard about pellet therapy from a number of women in our community—some who have regained quality of life as a result of pellet therapy, some who heard about pellet therapy from their physicians, and others who are curious and beginning to be proactive with their midlife health. So, we sat down with the owner of SottoPelle Therapy so we can all learn more.

Tune into my conversation with CarolAnn Tutera—and be sure to stay on to the 18 minute mark, as CarolAnn talks about hormone changes in men too!

What is pellet therapy?

Pellet therapy is an innovative way of delivering hormone therapy. By inserting pellets (about the size of a grain of rice) under the skin, this precision delivery method transports a customized dose of hormones through the blood stream, around the clock.

Why might a woman choose pellet therapy?

  • Pellet therapy has been around for more than 70 years
  • It’s a viable way for women to avoid the hormone roller coaster
  • Delivering hormone therapy via pellets ensures that the prescribed dose is absorbed into a woman’s blood stream; the most reliable delivery method available as pills, patches and creams can be deemed inconvenient and inconsistent. With pellet therapy, there’s nothing to remember. Each treatment is tailored to suit the individual needs of the woman rather than a one-size-fits all or guesswork approach. It contains low-does estradiol and testosterone that release slowly for three to six months and includes regular monitoring and adjustments when your body needs it.
  • Because the treatment is customized to each individual, doctors who administer pellet therapy are not merely treating symptoms but they treat the whole person. In addition, women will often choose pellet therapy because they are interested in quality of life NOW, and keen to invest in their longevity and vitality down the road—by protecting their cognitive health, preventing osteoporosis—as well as simply replenishing what their bodies need.

What options are available for men?

Men are frequently pleased when their partners/wives choose pellet therapy as they recognize how effectively it restores her quality of life. But men are also advocates of pellet therapy for their own health too—for similar reasons as women. You see, as a rule, men don’t experience the drastic roller coaster of hormone fluctuation that women do (although some do!), they do have experiences in midlife such as fatigue, brain fog, low libido and anxiety and depression that can be addressed with personalized hormone therapy.

Where can I learn more?

CarolAnn Tutera is the owner of SottoPelle Therapy
The first step is a consultation. SottoPelle Therapy is available throughout the USA.

Find a doctor in your area by visiting


And the Oscar Goes to to…..

Tutera Medical is on  Winning Streak!!

Help us celebrate this amazing accolade again for the fourth consecutive year as your number one Hormone Therapy in Arizona.

We are dedicated to our patients and keeping them healthy and well at all ages!!