Menopause symptoms. Climacteric, hormone replcement concept. Mature women hold hands symbolizin female genital organs. Middle aged lady flat vector illustration

Bioidentical Hormone Replacement Therapy

BHRT, which is short for Bio-Identical Hormone Therapy, is a treatment that uses natural hormones to improve your health and wellbeing. It is a therapy used to restore your hormone levels to the normal healthy levels you had in your 20's, but have declined as a result of aging and other reasons. BHRT pellets are made up of the same estrogen and testosterone that's naturally occurring in your body, created from plant-based ingredients. Once the pellets are placed into the subcutaneous fat, then immediately begin releasing a continuous amount of hormones into your bloodstream to restore balance. The procedure typically takes 10-15 minutes and you are able to go back to normal activities within a week. 

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What causes low hormones in women?

The most common cause of low hormones in women is menopause. As a woman ages, there is decreased secretion of estrogen, progesterone, and testosterone from the pituitary gland, adrenal glands, and ovaries. Menopause typically occurs between the ages of 45 and 55 years old and results in the abrupt decline of these hormones, which are essential for the mental and physical well-being of women. There are other causes of low hormones, including premature ovarian failure, excessive exercise or extreme dieting, eating disorders, autoimmune conditions, and surgical removal of the ovaries. 

What are the symptoms of low hormones?

The symptoms of low hormones can vary depending on the person and be differentiated based on the hormone involved:

Low estrogen symptoms: 

  • Hot flashes
  • Night sweats
  • Changes in or cessation of menstruation
  • Vaginal dryness or pain during intercourse
  • Difficulty sleeping and insomnia
  • Changes in mood
  • Increased risk of depression and anxiety
  • Bladder problems such as difficulty urinating, increased need to urinate, and bladder incontinence

Low testosterone symptoms:

  • Decreased sexual desire and libido
  • Difficulty reaching orgasm
  • Fatigue
  • Lack of concentration
  • Muscle weakness
  • Weight gain
  • Thinning hair
  • Increased incidence of cardiovascular disease
  • Loss of bone mineral density
  • Cognitive decline and increased risk of cognitive disorders such as Alzheimer’s disease

What are the benefits of hormone supplementation in women?

There are numerous benefits of testosterone supplementation in women, which have been proven in high quality clinical trials over the last several decades:

  • Improved libido and desire: the same effect we see in men
  • Protective against depression and anxiety: women with low testosterone had a significantly higher rate of depression and anxiety compared to women who were on testosterone supplementation
  • Protective against breast cancer: women with low testosterone had a significantly higher incidence of breast cancer compared to women who were on testosterone supplementation
  • Patients on testosterone therapy for 12 months experience a 5-8% increase in bone mineral density
  • Decreased migraines caused by low testosterone
  • Increased lean muscle mass
  • Decreased body fat
  • Decreased triglycerides, low-density lipoproteins (LDLs), and cholesterol 
  • Decreased risk of cardiovascular events like heart attack: the same effect we see in men 
  • Both testosterone and estrogen have a neuroprotective role against cognitive decline and cognitive disorders

These are the benefits of estrogen supplementation in women:

  • Improvement in hot flashes and night sweats
  • Improvement in insomnia
  • Decreased vaginal dryness and pain during intercourse
  • Decreased migraines caused by low estrogen
  • Improved mood and decreased irritability
Play Video

Dr. Itri discusses the benefits of testosterone supplementation in women

What are Bio-Identical Hormone Pellets?

Bio-Identical Hormone pellets are the size of a grain of rice (or smaller) and are made of the same testosterone and estrogen that occur in your body, not the synthetic forms of estrogen and testosterone that are in other preparations. One of the benefits of the bio-identical form is that the synthetic forms can have side effects such as increased risk of deep vein thrombosis and pulmonary embolism with oral estrogens and allergic reaction to injectable testosterones. Another benefit of the pellets is that patients experience slow, controlled release over months rather than the daily and weekly variation that come with the other routes of administration. The resulting blood level of hormone is also much more predictable with the pellets, peaking at 4-6 weeks after pellet placing and slowly decreasing over 3-4 months. 

Why does my regular doctor tell me not to do hormone replacement with bio-identical pellets?

If you’ve gone to your primary care or gynecology doctor and asked about hormone replacement therapy (HRT), this is likely the response you received:

“I don’t believe in hormone supplementation for women”

“There’s no data to support hormone supplementation in women”

“Our organization doesn’t advocate for hormone supplementation in women”

If you’ve told your gynecology doctor that you have a low libido and desire, it’s likely they told you:

“You should see a sex therapist”

These are the most common responses we hear from female patients who come to us to ask about HRT and hormone supplementation. 

Part of the problem is that these physicians do not differentiate between the types of hormone preparations such as creams, pills, injections, and bio-identical pellets. For example, oral estrogen supplementation significantly increased the risk of thromboembolic events (deep vein thrombosis and pulmonary embolism) because it is a synthetic preparation that is ingested, whereas bio-identical estrogen is identical to the estrogen your body produces and has been shown to NOT increase the risk of thromboembolic events. Pellets are the preferred method at Studio R Aesthetics because they do not cause the same problems as the other preparations. 

Another part of the problem is research studies such as the Women’s Health Initiative (WHI) study, which showed a higher risk for breast cancer, stroke, cardiovascular disease, and thromboembolic events with combined treatment of ONLY synthetic estrogens and progestin (not testosterone or bio-identical hormone pellets).  Since this study, there have been numerous clinical studies evaluating bio-identical hormone pellets, which have been shown to reduce the risk of breast cancer, stroke, and cardiovascular disease in women undergoing hormone supplementation compared to women who were low hormone and not supplemented.  

What is the process for undergoing hormone supplementation?

  • Call us at (434) 260-1667 to schedule a consultation with one of our physicians or click the Book Now button below
  • Complete medical intake forms using our online portal
  • Meet with one of our physicians to review your medical history, symptoms and health concerns, as well as discuss the benefits of hormone supplementation and treatment options. 
  • We use the SottoPelle algorithm for dosing, which incorporates your symptoms and lab results to determine the optimal dose of hormones to bring you back to normal healthy levels
  • Pellets are placed in the office; the procedure takes 10-15 minutes.
  • You will start the feel the benefits of the hormones 3-4 weeks after pellet placement
  • Labs are obtained 5-6 weeks after pellet placement to ensure optimal levels. If you continue to have symptoms despite increased hormone levels, our physicians can place additional pellets. 
  • Pellets typically last 3-4 months and repeat labs are obtained 14-16 weeks after the initial pellet placement to guide subsequent doses.  
FINAL
Women's Hormone Replacement

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Jim Ames
March 3, 2024

Medical doctors own this business and are the primary care-givers. They're concerned first and foremost about long term healthy outcomes. Furthermore, they and their team take the time and energy to ensure a friendly and relaxed client experience - their appointments last about twice as long as other providers to ensure every client gets real attention and is comfortable. Actually, a lot of their clients have come from other providers.

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Chris Parsnow
February 27, 2024

I met with Dr Itri to discuss the BBL skin treatment. I love the fact that he and his wife have tried every service they offer and can clearly explain the benefits and set real expectations. You can tell they truly care about their customers!

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Anastasiya Kalyuk
February 26, 2024

I had anxiety about getting the prp service. Instead of trying to pressure me into it, the doctor took the time to explain the process to me and understood my need to take a little more time to consider going forward. I would recommend this place to anyone based on their professionalism, patience, and ability to explain complex concepts about specific concerns to clients. Will be coming back for more services! (including prp once I get over my anxiety about it). Thank you!

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Catherine Turner
February 26, 2024

I have very sensitive skin, so I reached out to Studio R with a few questions before booking an appointment. They responded quickly and thoroughly and advised on which services would be best for my skin type. During my sugaring appointment, Michelle was very kind, patient, and friendly. She also gave me tips for how to care for my skin after the service, offering recommendations at a variety of price points. I appreciated her skill and attitude, and I will be booking again in the future!

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Ashleigh Chambers
February 24, 2024

Went here for sugaring and would definitely recommend it. Professional, relaxing, and overall great service. She was friendly and made the whole experience pleasant!

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Gabrielle Miller
February 20, 2024

I just moved to the area and came to this place based off of the recommendation of a friend and boy was she right. I have been here a few times and will definitely be coming back. Toxin service was great and doctors are very friendly. I’ve also had a facial and I have to say it was the best facial I’ve ever had.

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Erin Diehl
February 6, 2024

Great service!! Great place!

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Terrie Wood
February 3, 2024

Recently saw Michelle to do a brow lamination. She is very attentive and seeks to give you what you want. Really enjoying my brows. Lamination makes me look like I have some brows!!!

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Joanna Lehtinen
January 29, 2024

I was new to Charlottesville and Dr. Morris was so friendly and welcoming. I'd highly recommend Studio R for sugaring and other treatments!

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Allison Kirkner
January 22, 2024

Great staff, very responsive and an excellent experience!

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Vickie Hammer
January 18, 2024

I had a wonderful experience with Dr.Brandy ! Her knowledge is amazing . Her office is beautiful and very relaxing . I’m definitely looking forward to my next visit . Thank you Dr. Brandy !!

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Leah Sampson
January 18, 2024

No one else is allowed to touch my face or brows besides Michelle !!! I trust her I love her and she’s the best 💕

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Taylor Barrett
January 10, 2024

This practice has it all! Clean office, convenient location with parking, kind and helpful ladies working the front desk, and a knowledgeable/professional/caring MD (I saw Dr. Itri). Thank you all!

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Lisa Barnes Rogers
January 9, 2024

Studio R Aesthetics in Charlottesville totally exceeded my expectations! I highly recommend giving them a call and exploring what services they have to offer!!

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Kristina Canning
January 2, 2024

The office is clean and everyone is very friendly! Michelle did my sugaring and was great!

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Shendy Smith
December 29, 2023

Friendly, professional, skilled staff. Beautiful facility.

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Anaïs Adams
December 18, 2023

Michelle was wonderful! She made me feel extremely comfortable throughout the entire waxing process.

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Kamden Pleasants
December 9, 2023

I’ve been seeing Michelle at Studio R for about 6 months now. I came to the medical spa extremely insecure about my adult cystic/hormonal acne and felt extremely defeated and misguided by other routes I had taken. With Michelles help, I started a skin care regimen that finally works, I’m getting the best facials I’ve ever had, and I was even given the opportunity to get a BBL treatment to fight residual scarring and underlying acne. Michelle’s work has truly helped boost my confidence, and my skin looks and feel the best it ever has! She is so dedicated in what she does, and her hard work never goes unnoticed. Michelle and her team at Studio R are so comforting and I truly couldn’t imagine this skincare journey without them. They’re all extremely caring and are willing to go above and beyond for each one of their patients. I am so lucky to be one of those patients.

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Jared Hardy
December 3, 2023

I asked questions and learned everything I was hoping to from the answers. Not only a highly professional and aesthetic experience, but also informative and supportive. Everyone went out of their way to ensure I received care, recommendations, and services curated to my needs. Thanks!

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Jessika McBeth
December 3, 2023

The staff is great, especially Michelle my aesthetician she gives the best sugaring around

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Christina Shifflett
November 24, 2023

I recently received my first platinum hydrafacial done by Michelle and it was absolutely phenomenal! She took her time and really focused on making it an incredible experience, one of the most relaxing things I have ever done! Not to mention my skin looks and feels amazing!! I will be recommending this to everyone I know and I will absolutely be back for more!

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Jordan Stang
November 11, 2023

Today was my first Hydrafacial done by Michelle! Studio R Aesthetics exceeded my expectations. The staff was extremely nice, the office was adorable and I was very comfortable. My facial was very relaxing. Michelle was terrific, Answered all of my questions and my skin felt amazing afterward. I already can’t wait for my next experience at Studio R Aesthetics. I can not recommend them enough.

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Latasha Breckenridge
October 24, 2023

I had a brow wax and tint. Not only did my brows look AMAZING but I never had someone rub the area around my brows! It was the most calming and relaxing experience! 10/10 recommend!

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Leysa Sallie-Hall
October 21, 2023

I had a awesome experience last week with Studio R Aesthetics, first thing was just how amazing the inside of the building was, it was gorgeous and full of light, so comfortable. I was shocked when I found out about all of the services that they provide, so many! Very impressive! I was also impressed by my doctor- Dr.Segura was a delight and very professional but down-to-earth , I felt very comfortable telling her my issue's she made me feel like I was being heard when I was speaking of my problem with my hair thinning, and falling out drastically, I got a bit emotional talking about my hair and she just made me feel like she really understood what I was going through, it was an amazing experience and I definitely will be going back for a long,long time. Thank you Dr. Segura for your kindness and your compassion for me, you are very special.

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Christina Kim
October 19, 2023

Brandy was great and knowledgeable!!

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Trevor and Taylor H
October 16, 2023

Had a great experience with Dr. Segura! She is very knowledgeable and reassuring. All of the staff were friendly and professional.

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Skylar Coates
October 14, 2023

Amazing practice! Both doctors and staff are very knowledgeable and skilled at what they do! I look forward to every appointment!

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Katie Dockter
October 13, 2023

Michelle did a wonderful job! Thank you Studio R!

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Sylvia Trueman
October 10, 2023

I’ve been a patient of Dr. Segura for a year now, and I’ve had several procedures done by Brandi. Her calm and caring demeanor always brings me great comfort when she can sense my insecurities and difficulty in talking about the things I would like to improve or change. To her, I am the most important person in the world while I’m in her care, she goes into great detail of all procedures, and what they entail. She is very patient, kind and has my best interest in mind at every consultation. She is truly an artist and has given my beauty, and confidence back both inside and out. ❤️ Can’t wait for my next treatment!

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Lawrence Conell
October 7, 2023

Good experience! As a traditional medical person I was a little leery of the spa like setting for what I felt was more of a medical procedure (bioidentical hormone treatment). However, I was treated very professionally by Dr. Itri, who I found to be knowledgeable, competent, and very forthcoming and accommodating in responding to my questions & concerns.

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SIDNEY BLAIR
October 6, 2023

I love coming here! I’ve been seeing Brandy & Michelle for about 3 years. They are so sweet and personable! The studio is GORGEOUS and the whole staff is talented! Highly recommend coming to see them for all of your aesthetic needs!!

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Mary Ashley Cook
October 4, 2023

They were able to get me in same day! Excellent customer service and beautiful office❤️

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Jenna Joseph
October 2, 2023

I started semaglutide in April and finished in August. I went from 171lbs to 133lbs and couldn’t be happier. Everything was so easy, everyone on staff was incredibly kind, and I am so glad I invested in myself. Well worth the money! Thank you, Studio R!

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strykr strykr
September 28, 2023

My name is Matt Street. I have been a client and patient with Studio R for well over a year. Over this time, I have used many of the services provided by Dr. Segura, and Dr. Itri. All of the services have been top-notch. Recently, I received a hydro-facial from Michelle. To say it was an amazing and invigorating experience would be an understatement. Michelle uses cutting edge technology to meticulously treat the face and neck area. I typically get about 3-4 facials a year and Michelle is, by far, the best to ever do it. Her expertise includes deep knowledge on how to maintain healthy skin. She provided me with many cost-effective options to continue to maintain a healthy skin routine. I highly recommend Michelle for all your facial needs. I will be exclusively using her services going forward. Thanks, Matt

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Kim and Jim Mason
September 22, 2023

Jason and Brandi are the experts in promoting optimal health. They understand bioidentical hormone replacement inside and out!! If you're showing the signs of aging: tired, achy, lack of libido, etc. call them right now! They can help you get your vitality back!

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Jennifer
September 11, 2023

Dr. Segura exceeded all of my expectations from start to finish. I simply cannot recommend her enough for the most thorough, professional and impressive results.

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Jillian Loughran
September 11, 2023

Dr. Segura and the team are so thorough. She took her time explaining every option and providing a breakdown of cost, time, healing, etc. Will definitely come again.

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Tiarra Young
September 11, 2023

I had a facial done by Michelle she done fantastic. And I had botex by Dr segura very informative and gentle. Definitely will be a repeat customer!!!

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Robert Hicks
September 5, 2023

Outstanding service. It was my first time doing this and Michelle was great! She answered all my questions and I learned a lot during the sugaring!

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Zeljka Peric Zorc
September 4, 2023

My eyebrows have never looked as good as when Michelle does it! She listens and does exactly what you want!

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Terrie Wood
August 29, 2023

I have been a client here for over a year now. I recall my first visit with Dr. Segura and how nervous and intimidated I was. Not for long though! Her quiet, calm and confident manner set me at ease and assured me that I was at the right place and in the right hands. The professional team at Studio R are so friendly and customer focused. I’m not even sure how I came to find them but I am certainly glad I did!!

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Mackenzie Fredricks
August 26, 2023

Dr. Segura was so kind and informative. She took her time to explain everything to me and even made some recommendations based on my goals.

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Shannon Beasley
August 26, 2023

Michele is a very talented aesthetician who has taken a great deal of time educating me about all of the options that align with my skin care goals for aging and sensitive skin. She is incredibly skilled and adjusts the methods she uses based on what works. She’s top notch; can’t recommend enough.

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Dana Warby
August 26, 2023

Beautiful studio, lots of great services!

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Erika Chicas
August 25, 2023

Love this place and there snacks! Michelle is absolutely the best waxer ever! She has been waxing me for years and always leaves me with amazing results. (:

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Charlot Claudon
August 22, 2023

I recently had the RHA filler procedure done by Dr Brandy Segura. I had my lips, corners of my mouth and chin area worked on. I was numbed up before the procedure, which made it very comfortable. The procedure went very well,and I was very pleased with the filler used. It’s been three weeks now and I am very pleased with the end results.

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Leah Michelle
August 11, 2023

I love the space and the staff! Michelle does my facials lashes and brows. I absolutely enjoy my time with Studio R!

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Meredith Farmer
August 9, 2023

I decided to make a Brazilian waxing appointment at Studio R Aesthetics after a friend highly suggested them to me. I was not disappointed. The area is posh, welcoming, and luxurious. Michelle was patient with me as I asked questions and made sure I felt at ease during the wax. She was conversational enough to where I felt less tense, but not so much that I felt like I couldn’t enjoy the experience. I could tell she was very knowledgeable and she gave me a detailed 101 in sugaring vs. waxing. I’ve only dipped my toe into one small area of services here… they have so many more to offer! I’ll definitely be back!

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Lindsey Tennyson
August 7, 2023

What a tranquil environment! Walking into a very calm and clean reception area I was greeted almost immediately and taken back for my appointment fairly quickly. Michelle provided my services of a hydrofacial and waxing. Michelle was very professional and continued to educate me throughout the entire process. I learned so much about my skin and not only was rejuvenated but relaxed and at times, dozed off. I would highly recommend Studio R for any needs. All staff I came in contact with were friendly and beyond helpful.

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Sarah Snyder
August 3, 2023

I just recently moved (to Lynchburg) and was looking for an injector in a reasonable distance. I found Dr. Segura and loved the fact that she prefers to do the injecting work herself! I had Botox and fillers and when I asked about fillers she was very honest with me about what would help and make me happy. She didn’t try to sell me on more filler even when I thought it’s what I wanted! She was thorough, kind, and extremely gentle. And I’m obsessed with the results! Easily the best experience I’ve had! 10/10

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