Learn about hormone therapy treatment at Advanced Urology Institute.


Health and hormones go hand-in-hand. If your hormones are out of balance, you won’t feel well.

Hormonal and metabolic changes are a natural part of aging but, unfortunately, not a positive change. Scientists have clearly documented the adverse effects of hormonal and metabolic decline as the primary contributors to the chronic diseases that impact our heart, brain, and bone health as we age.

Hormones are chemical substances secreted by various body organs that control the function of cells and tissues – everything from metabolism to behavior. Estrogen in women and testosterone in both men and women are important sex hormones that impact everything from energy and sexual desire to bone mass and blood pressure.

Because health and hormones go hand-in-hand, if your hormones are out of balance, you won’t feel well. Here are common signs of hormonal imbalance:

  • Lack of energy and fatigue
  • Reduced sexual desire
  • Trouble sleeping
  • Reduced mental focus and memory
  • Weight gain
  • Hot flashes

How do you know if a hormone imbalance is impacting your energy, sleep, weight, or libido? A simple blood test is all it takes.

At AUI, we use bioidentical hormone replacement therapy pellets to treat hormone imbalances. These hormone pellets contain compounded testosterone or estrogen identical in structure to your body’s natural hormones.

The pellets are placed under the skin in a simple, in-office procedure that takes no more than 15 minutes. No pills. No shots. And the pellets are ultimately absorbed by your body, leaving nothing behind.

This type of therapy delivers a steady stream of hormones to patients for several months. Most patients report feeling symptom relief after the first round of pellets. However, it may take up to two pellet insertions.

For men, we also offer other testosterone options, including gels, injections, and oral testosterone options.

Like all therapies, hormone replacement must be tailored to the individual. Your family history and personal health history of cancer, heart disease, stroke, blood clots, and liver disease will determine if hormone therapy is right for you.

Your provider will determine everything from your dosage and treatment length to establishing regular reevaluation intervals.

Hormone therapy is not suitable for everyone and can lead to increased risks for some individuals.

For women who have already gone through menopause, there is a limited timeframe for when hormone replacement therapy can be started, and there can be increased risks for women who want to begin treatment after age 60.

For men, age is not as much of a factor, but risks such as worsening sleep apnea, skin reactions, blood clots, and stimulating noncancerous prostate growth have been noted.

At AUI, we are passionate about offering hormone therapy through a disciplined approach in a clinical setting under the careful watch of our extensively trained providers and staff.


Jamey Sarvis, MD
  • Men's Health
  • Women's Health
  • Bladder Problems
  • Kidney Problems
  • Stephanie DeRouin, APRN
  • Urinary Tract Infection
  • Kidney Stones
  • Hormone Replacement
  • Overactive Bladder
  • Urinary Frequency
  • Urinary Urgency/ Incontinence
  • Urge Incontinence
  • Stress Incontinence
  • Greg LaMendola, PA-C
  • Men's Health
  • Women's Health
  • Bladder Problems
  • Kidney Problems




    Is Hormone Therapy Right for Me?

    Do You Need Testosterone Therapy? Learn How Urologists Like Dr. Edward King Treat Low Testosterone

    Is Testosterone Therapy Right for You? Dr. Karavadia Explains How to Diagnose Low Levels

    What Causes Erectile Dysfunction and How Can It Be Treated? Dr. Dinesh S. Rao Explains