Hormone Pellet Therapy — Restore What Time Has Taken. Feel Like Yourself Again.
Bioidentical hormone replacement therapy for menopause, low testosterone, and hormonal imbalance — physician-supervised at our Lansdowne and Reston locations.
Hormones regulate virtually everything — your energy, your mood, your sleep, your weight, your libido, your ability to concentrate, and your long-term protection against bone loss, heart disease, and cognitive decline. When hormone levels are balanced, most people don’t notice them at all. When they’re not, everything feels harder than it should. And yet the symptoms of hormonal imbalance are among the most commonly dismissed in medicine — written off as stress, aging, or simply something to be endured.
At VPMC, we take hormonal health seriously. We test thoroughly, diagnose accurately, and treat with precision — because a patient who feels exhausted, foggy, emotionally flat, and physically diminished deserves more than a shrug and a suggestion to get more sleep.
Symptoms We Take Seriously
In women navigating perimenopause, menopause, or post-menopause — hot flashes and night sweats that disrupt sleep and daily life, mood swings, irritability, and anxiety that feel out of proportion, vaginal dryness and painful intercourse, decreased libido, persistent fatigue that rest doesn’t fix, weight gain concentrated around the midsection despite no change in diet, brain fog and difficulty concentrating, thinning hair and dry skin, and bone density loss that quietly increases fracture risk.
In men experiencing andropause or low testosterone — chronic fatigue and loss of drive, decreased muscle mass and increasing body fat despite effort in the gym, low libido and erectile dysfunction, mood changes, irritability, and depression, difficulty concentrating, and sleep disturbances that compound every other symptom on this list.
If any of these sound familiar, the answer is not to accept them as inevitable. The answer is a comprehensive hormone evaluation.
Why Pellets — and Why They’re Different
VPMC offers bioidentical hormone replacement therapy delivered via subcutaneous pellets — the most consistent, convenient, and physiologically natural method of hormone delivery available. Bioidentical hormones are molecularly identical to the hormones your body naturally produces. Unlike pills, patches, or creams that cause hormone levels to spike and drop throughout the day — creating a rollercoaster of symptoms — pellets release a steady, consistent dose over three to six months, closely mimicking the way your body was designed to produce hormones.
The pellets themselves are tiny — roughly the size of a grain of rice — and are inserted just beneath the skin in a simple, ten-minute in-office procedure performed under local anesthesia. Once in place, they work quietly and consistently in the background, requiring no daily pills, no patches falling off in the shower, and no messy creams. Most patients notice meaningful improvement within two to four weeks, with full benefits typically felt by the six-week mark.
Our Process
Hormone therapy at VPMC begins with a comprehensive evaluation — a detailed review of your symptoms, medical history, and a complete hormone panel that goes well beyond a basic blood draw. We test estrogen, progesterone, testosterone, DHEA, thyroid, and cortisol, because hormones do not operate independently — an imbalance in one affects the others, and treating in isolation produces incomplete results.
Based on your lab results and symptom picture, your care team creates a personalized treatment plan with pellet dosing calibrated to your individual needs — not a standard prescription applied to every patient. Follow-up lab testing at four to six weeks confirms your levels are optimized, and ongoing monitoring ensures your dose is adjusted as your body’s needs evolve.
Because your hormone therapy at VPMC is supervised by the same care team managing your primary care, weight management, and overall health, every treatment decision is informed by your complete medical picture. Your hormone optimization doesn’t conflict with your other medications. It complements everything else we’re doing to help you feel and function at your best.
Before & After Gallery
Experience the difference at VPMC, where your health is our passion.
