Female provider consulting with a patient about hormone health for HRT at The Spa by Sheena in Lubbock, TX

wellness-and-hormone-therapy

Female HRT

Bioidentical estradiol and testosterone pellets for women, dosed to your own lab values and re-inserted about every three to four months. Consultation and bloodwork come first; pellet pricing is set after your labs.

(806) 701-5840 Book Now

15-to-20-minute insertion, about 3 to 4 months per dose

A female pellet insertion at The Spa by Sheena takes 15 to 20 minutes. It follows a separate Hormone Therapy Consultation ($150) and baseline lab work ($250). Each dose lasts roughly three to four months before re-insertion.

Bioidentical hormone replacement therapy, prescribed after lab work

A therapeutic procedure, prescribed by our nurse practitioner and overseen by our medical director, Dr. Arledge, a plastic surgeon. The pellets are compounded bioidentical hormones, which are not FDA-approved.

Upper outer hip, just beneath the skin

Pellets are placed subcutaneously in the upper outer hip, where they release estradiol and testosterone over roughly three to four months before being re-inserted.

Perimenopause, menopause, and lab-confirmed hormone imbalance

For perimenopause, menopause, and hormone-imbalance symptoms confirmed on lab work: hot flashes, night sweats, disrupted sleep, low libido, low energy, and mood changes. Symptoms are assessed by a provider, never self-diagnosed.

Bioidentical hormone pellet therapy for women, dosed to your labs

What is female HRT pellet therapy?

Bioidentical hormone pellet therapy is one of the wellness options at The Spa by Sheena, and it is handled by our medical team, not sold off a shelf. Becca (MSN, FNP-C) and Angie (RN) run the program under our medical director, Dr. Arledge, a plastic surgeon. We have offered medical wellness care since 2016. A pellet is a small compounded implant, about the size of a grain of rice, placed under the skin to release hormones gradually over roughly three to four months. It is part of our broader hormone pellet therapy program for women and men. Every plan begins with a Hormone Therapy Consultation, which is $150. We do not post a pellet price here on purpose. Your labs come first, a provider reviews them, and pellet pricing is set after that review. Nothing is prescribed before someone looks at your bloodwork.

What to expect from female HRT pellet therapy

Your first visit is a consultation ($150) and lab work. Hormone Therapy labs are $250. A provider goes over your history, your symptoms, your medications, and your goals, then reviews your bloodwork before deciding whether pellets are appropriate for you. If you move forward, the insertion itself takes 15 to 20 minutes.

Aftercare is simple, but it matters. Keep the site clean and dry, skip swimming, baths, and hard workouts for about a week, and avoid pressure on the area so the pellet stays put. The most common things people notice at the site are bruising, tenderness, or minor bleeding. Less often, a pellet can work its way back out through the skin, which is called extrusion, or the site can become infected. Tell us if that happens.

One point to understand before you decide: once a pellet is in, it cannot easily be removed, so if hormone levels run high the dose has to wear off over time rather than be dialed back that day. That is part of why monitoring matters. Follow-up labs are $125, and a Follow Up or Boost visit is $150. We recheck your levels and your symptoms instead of setting it and forgetting it.

A blue-gloved provider inserts a hormone pellet at a draped client's upper hip during an in-office procedure.

Benefits of female HRT pellet therapy

MENOPAUSE SYMPTOMS

Targets the hot flashes, night sweats, mood changes, and disrupted sleep that come with declining estrogen.

LIBIDO SUPPORT

Addresses low sex drive when your labs show a hormone deficit, rather than dismissing it.

SLEEP SUPPORT

Aimed at the deep sleep that perimenopause and menopause tend to disrupt.

BIOIDENTICAL

Molecularly identical to the hormones your body makes, derived from plant sources.

MOOD SUPPORT

Addresses the mood swings, anxiety, and irritability tied to hormonal fluctuation.

Inside the pellet insertion appointment

Inside a female HRT pellet appointment

The pellets we use are compounded bioidentical hormones, meaning they are molecularly identical to the estradiol and testosterone your body produces. At The Spa we use the EvexiPEL system, and our providers are EvexiPEL-certified in the insertion technique. During a short in-office visit, a provider numbs a small area of the upper hip or buttock, makes a tiny incision, and places the pellet in the fatty tissue just beneath the skin. The incision is closed with tape. There are no stitches. Over the next three to four months the pellet dissolves on its own and releases hormone into the bloodstream, after which it is re-inserted. That is why there is no daily pill or weekly injection to remember.

Women are generally re-inserted every three to four months, more often than men, and your provider sets the schedule from your labs and how you feel rather than a fixed calendar. The goal of hormone therapy is to ease the symptoms tied to shifting or low hormones: hot flashes and night sweats, disrupted sleep, low mood, low libido, and low energy. Estrogen therapy is the most effective treatment medicine has for hot flashes and night sweats. We want to be straight with you about one thing, though. High-quality studies on compounded pellets specifically are limited, so a provider will set expectations with you honestly rather than promise a result. Men follow a similar path on our hormone pellet therapy for men page.

Pellet HRT vs traditional HRT options

How HRT pellets compare to creams and oral hormones

Here is the honest comparison. Pellets are a compounded, custom-made form of hormone therapy. EvexiPEL, the system we use, states it plainly on its own website: "Compounded drug products are not FDA-approved. FDA does not evaluate compounded products for safety, effectiveness, or quality." We would rather you hear that from us than not at all. High-quality studies on compounded pellets specifically are limited, so we are not going to tell you pellets are safer, more natural, or better than FDA-approved therapy. What pellets offer some people is convenience, with no daily dosing to keep up. Whether that trade-off is right for you is a medical decision, not a marketing one, which is why we start with labs and a provider.

Hormone therapy of any kind is not for everyone. It is generally avoided if you have a history of breast cancer or another estrogen-sensitive cancer, unexplained vaginal bleeding, active liver disease, or a history of blood clots, stroke, or heart attack, and it is not used during pregnancy. There is one more thing to weigh: once a pellet is placed it cannot easily be removed, so if a level runs high the dose has to wear off rather than be dialed back. Tell your provider your full medical history, and expect to be monitored rather than set and forgotten.

Hormones are one piece of feeling well. Some clients pair their care with NAD+ therapy for energy and recovery or a B12 skinny shot, and others come to us through weight support like our GLP-1 weight management program. To talk it through with a provider, book a Hormone Therapy Consultation online or call us at (806) 701-5840.

PRICE RANGE

Consultation required ($150 consult)

PER SESSION

VIP members save 10% on every session

Book Now (806) 701-5840

POST CARE

View our post-care guide for important aftercare instructions to help support healing and maximize your results.

View Aftercare Guide

FAQ

Your questions, answered

We’ve answered some of the most common questions below to help make your experience simple, transparent, and stress-free.

Female bioidentical hormone replacement therapy addresses symptoms of hormone decline: fatigue, weight gain despite consistent effort, hot flashes, night sweats, mood changes, low libido, brain fog, sleep disruption, loss of muscle and strength. Replenishes estradiol, progesterone, and/or testosterone to optimize levels based on your individual labs.

What does Female HRT treat?

Anytime you have hormone-related symptoms confirmed by lab work. Common windows: perimenopause (typically 40s), menopause and post-menopause (typically late 40s onward), post-hysterectomy/oophorectomy (any age), and for some women in their 30s with documented hormone imbalance affecting quality of life.

When should I consider Female HRT?

Primarily estradiol and testosterone, sometimes with progesterone depending on whether you have a uterus. All bioidentical—structurally identical to your body's natural hormones, derived from plant sources. We dose based on individual lab values and symptom response.

What hormones are used in Female HRT?

Pellet insertion every 4 months on average. Bioidentical hormone pellets are rice-sized hormone implants placed under the skin (usually hip area) during a quick in-office procedure. Pellets release consistent doses around the clock—no daily creams or pills to remember.

How is Female HRT administered?

We numb the insertion site with local anesthetic before placement. Slight pressure during placement. Soreness at the site for about 7 days. Avoid swimming, hot tubs, and strenuous exercise for 5–7 days.

Does pellet insertion hurt?

Energy and mood improvements often noticed within 2–4 weeks of pellet insertion. Sleep and libido improvements at 4–8 weeks. Body composition changes (with consistent training) over 3–6 months. Average re-insertion occurs every 4 months. Schedule blood work 4 weeks after your initial insertion and a lab review at 5 weeks.

When will I feel results from Female HRT?

When properly screened and monitored, yes. We screen for contraindications before starting (history of certain hormone-sensitive cancers, blood clot disorders, active cardiovascular disease). Lab work monitored regularly. Bioidentical hormones at physiologic doses have a strong safety profile in patients without contraindications.

Is Female HRT safe?

Female HRT starts with a $150 consultation. Pellet insertion and dosing are quoted after labs come back, since cost depends on hormones and dosing your individual labs call for. Members receive discounted pricing.

How much does Female HRT cost in Lubbock?

Properly dosed HRT usually helps with weight management by restoring metabolic function and energy for exercise. Overdosing or wrong hormone selection can cause weight changes. We monitor closely and adjust to avoid this.

Will HRT make me gain weight?

Yes—perimenopause is actually one of the best windows for HRT. Hormone fluctuations during perimenopause cause many of the most disruptive symptoms (mood swings, sleep issues, hot flashes). Bioidentical HRT can stabilize hormones and dramatically improve quality of life through this transition.

Can I do HRT if I'm in perimenopause?

Comprehensive hormone panel: total and free testosterone, estradiol, progesterone, SHBG, DHEA-S, cortisol, thyroid panel (TSH, free T3, free T4), and complete metabolic panel including lipids. We may add markers based on your symptoms.

What labs do I need before starting?

Book a wellness consultation. We'll review symptoms, order baseline labs, and design a treatment plan based on results. If you have recent labs from another provider, bring them. Call (806) 701-5840 or book online.