Hormone Optimization Therapy (HOT), often referred to as Hormone Replacement Therapy (HRT) or Bioidentical Hormone Replacement Therapy (BHRT), is a personalized treatment approach designed to alleviate symptoms caused by hormonal imbalances often experienced during perimenopause, menopause, and other hormonal transitions.

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Post-Insertion Instructions for Women

● Your insertion site has been covered with two layers of bandages. The inner layer is a steri-strip, and the outer layer is a waterproof dressing.
● Do not take tub baths or get into a hot tub or swimming pool for 7 days. You may shower, but do not remove the bandage or steri-strips for 5-7 days.
● No major exercises for the incision area. No heavy lifting using the legs for 7 days. This includes running, elliptical, squats, lunges, etc. You can do moderate upper body work and normal walking on a flat surface.
● The sodium bicarbonate in the anesthetic may cause the site to swell for 1-3 days.  ● The insertion site may be uncomfortable for up to 2 to 3 weeks. If there is itching or redness you may take Benadryl for relief (25 to 50 mg orally every 6 hours). Caution: this can cause drowsiness!  ● You may experience bruising, swelling, and/or redness of the insertion site which may last from a few days up to 2 to 3 weeks. If the redness worsens after the first 2-3 days, please contact the office.  ● You may notice some pinkish or bloody discoloration of the outer bandage. This is normal.  ● If you experience bleeding from the incision, apply firm pressure for 5 minutes.  ● Please call if you have any bleeding not relieved with pressure (not oozing), as this is NOT normal.  ● Please call if you have any pus coming out of the insertion site, as this is NOT normal.  ● We recommend putting an ice pack on the area where the pellets are located a couple of times for about 20 minutes each time over the next 4 to 5 hours. You can continue this for swelling, if needed. Be sure to place something between the ice pack and your bandages/skin. Do not place ice packs directly on bare skin.


● Remember to have your post-insertion blood work done 6 weeks after your FIRST insertion. If you are not feeling any better by 4 weeks, however, please call the office to discuss having your labs drawn sooner. ● Most women will need re-insertion of their pellets 3.5 months after their initial insertion. If you experience symptoms prior to this, please call the office. ● Please call as soon as symptoms that were relieved from the pellets start to return to make an appointment for your next insertion.