Hormone Therapy in Bristol, TN & VA - Testosterone, BHRT & Pellet Therapy
Performance Medicine's Bristol office treats hormone imbalance for men and women on both sides of the state line. Men dealing with low energy, poor sleep, low libido, or loss of strength can be evaluated for low testosterone and treated with testosterone replacement therapy (TRT) matched to their lab work and symptoms. For women, our physicians offer bioidentical hormone replacement therapy (BHRT) — plant-derived estrogen, progesterone, and testosterone dosed to each patient's levels — to address hot flashes, night sweats, mood changes, weight gain, and the symptoms of perimenopause and menopause. We also provide menopause treatment as a dedicated service, so patients don't have to settle for a general OB/GYN visit when hormones are the real issue. Patients who prefer a long-acting option can choose hormone pellet therapy: bioidentical hormone pellets placed under the skin that deliver steady levels for several months, for both women and testosterone pellets for men. Whether you live in Bristol VA, Bristol TN, or nearby in the Tri-Cities, every treatment plan starts with a physician consultation and proper lab testing. Performance Medicine is physician-owned and led, and our Bristol office accepts patients from Virginia and Tennessee.
Frequently Asked Questions
How much does hormone pellet therapy cost?
Pellet therapy cost depends on the dose and how often you need re-insertion, which varies by patient and by whether the pellets are for men or women. Most patients are re-pelleted every 3 to 6 months. Call our Bristol office for current pricing and to talk through whether pellets, injections, or another form of hormone therapy fits your needs and budget.
How long do hormone pellets last?
Hormone pellets typically last 3 to 6 months before levels taper and a new insertion is needed. Women's pellets usually run closer to 3 to 4 months, while men's testosterone pellets often last 4 to 6 months. At your follow-up visit we recheck your labs and symptoms to time your next insertion so you stay consistent.
What's the difference between pellets and injections for testosterone?
Pellets are inserted under the skin and release testosterone steadily for several months, so there are no weekly shots and fewer peaks and valleys. Injections are given on a regular schedule and allow dose adjustments at each visit. Both are effective forms of testosterone replacement therapy — our Bristol physicians help you choose based on your labs, lifestyle, and preference.
How do I know if I need testosterone therapy?
Common signs of low testosterone in men include low energy, low libido, poor sleep, difficulty building or keeping muscle, and brain fog — but those symptoms have many causes. The only way to know is a proper evaluation with lab testing. Our Bristol physicians review your symptoms and hormone levels together before recommending treatment, so nothing is prescribed on guesswork.
How does bioidentical hormone therapy work for women?
Bioidentical hormone therapy (BHRT) uses hormones chemically identical to the ones your body makes — typically estrogen, progesterone, and sometimes testosterone — to replace what declines during perimenopause and menopause. After lab testing and a physician consultation, your dose is tailored to your levels and symptoms like hot flashes, night sweats, and mood changes. We offer BHRT as pellets, creams, or other forms depending on what fits you best.