Porcaro Cosmetic Surgery

1943 SE Port St. Lucie Boulevard
Port St. Lucie, FL 34952
Phone: (772) 337-1717
Fax: (772) 337-1737

For Women

What Women need to know about Pellet Hormone Therapy,

Dr. John Porcaro, Port St Lucie, FL

Hormone Replacement Therapy, Dr. John Porcaro, Port St Lucie- Why Pellets?

Estrogen delivered by subcutaneous pellets maintains the normal ratio of estradiol to estrone (2:1), important for optimal health and disease prevention.
Pellets do NOT increase the risk of blood clots or breast cancer like conventional synthetic HRT.
Pellets are far superior to oral hormone replacement therapy, especially with respect to bone density, insomnia, sex drive, libido, and sexual performance.
Pellets result in an extremely high level of symptomatic relief.
Pellets are the most convenient method of hormone delivery.

Problems with Oral (conjugated; synthetic) Estrogens:

Premarin, Prephase, Prempro (pills)

Horse (urine)=Equilin
Human female=Estradiol
Changes normal estrogen ratio in the body
Increases estrone;
a very strong breast stimulator (breast tenderness)
•water retention
•weight gain- waist & hips
•increase in breast cancer.
Produce “roller coaster” effect
Reverses the normal physiologic ratio of estradiol/estrone from 2:1 to 1:2
Breast stimulators
Fluid retention and weight gain
“First pass” metabolism through the liver necessitates a much higher dose
Take “something” every day; poor compliance
Increase the chance of breast cancer after 10 yrs.

Potential and Unnecessary Effects of Oral Estrogen Therapy: Breast Tenderness, Increased risk of endometrial cancer and breast cancer, Vaginal bleeding, Headaches, Nausea and Vomiting, Fluid retention, Blood clots, Leg cramps, Gallstones

Osteoporosis- Bone Density- Hormone Replacement Therapy, Dr. John Porcaro, Port St Lucie:

Pellets demonstrated 8x increase in bone density over oral estrogen and 2.5x increase over patches
1-2 % per year for oral estrogen
3.5% per year for patches
8.3% per year for Pellet therapy

Studd, J WW, et al (1990)
Am Journal OB/GYN 163, 1474-1479

Problems with Patches: Adhesive problems –don’t stick; allergy, change them once or twice weekly, some weight gain, but less fluid retention, estradiol levels better than pills, but not as good as pellets.

Breast Cancer Incidence with Pellets since 1992-2002

Time on Pellet HRT	Number of Patients Total	Cases of Breast Cancer
0-2 years	352	1
3-5 years	471	0
5-25 years	153	0
	976	1

Positive Effects of Bio-Identical Testosterone- Bio-Equivalent Hormone Replacement Therapy Port St LucieBio-Equivalent Hormone Replacement Therapy Port St Lucie

Enhanced libido
Cardiovascular protection
Lower cholesterol
Increased energy and vitality
Feeling of overall well-being
Reducing body fat
Stronger bones and muscles
Depression relief
Cognitive clarity

The Goal for Hormone Replacement Therapy, Dr. John Porcaro: To produce a normal, premenopausal FSH level thereby alleviating symptoms and reinstating normal female physiology.

Estradiol Pellets: The only form of HRT that produces continuous suppression of FSH over a four to six month period.

Testosterone Pellets: The only form of testosterone therapy that recreates the physiologic levels of testosterone in both men and women

Hormone Replacement Therapy, Dr. John Porcaro, Port St Lucie

For Men


American Board of Hair Restoration Surgery	American Acedemy of Cosmetic Surgery	American Board of Surgery	BeWiseAboutBeauty.org

Home Meet Us Before and After Gallery Body Procedures Breast Procedures Facial Procedures
Medi-Spa Services Bio-Equivalent Pellet Hormone Therapy Hair Restoration Financing & Fees Contact Us Events
Site Map