Hormone care for women and men
Hormone replacement therapy in Orlando: BHRT and testosterone care, lab-informed and monitored
Hormone changes can affect sleep, body temperature, sexual health, muscle and fat, mood and daily energy. At PrimeCell, therapy starts with a careful history and targeted labs — not a preset dose — and continues with follow-up that can adjust, pause or stop treatment.
Scheduling opens securely in Prospyr · in-office or telemedicine evaluation
When “something feels off”
Good hormone care begins with listening, not a lab number
Short answer
Hormone therapy can help selected women with bothersome menopause symptoms and men with confirmed testosterone deficiency. It is decided after a history, an examination and targeted labs, because the same symptoms have many other causes — and it needs ongoing monitoring once started.
Symptoms tied to hormone changes overlap with thyroid conditions, anemia, sleep disorders, side effects of medicines, depression and chronic stress. That is why we look at how your symptoms fit together, review your medical and family history, talk through your goals, and then use testing chosen for your situation.
If therapy is a good fit, we explain the likely benefits, the limits, the other options and the follow-up plan before you decide. Our guiding principle: treat the person, not a single number. Lab results are read alongside your symptoms, exam findings, health history and goals.
Reasons people seek care
Symptoms worth discussing
None of these proves a hormone problem on its own. Together, and with the right tests, they help decide what to look for.
- 01
Energy & sleep
Ongoing fatigue, less stamina, broken sleep, insomnia, or night sweats that drag on your day.
- 02
Mood & focus
New irritability, mood changes, trouble focusing, or a sense that you no longer bounce back the way you used to.
- 03
Sexual health
Changes in desire, arousal, erectile function, vaginal dryness, or discomfort with intimacy.
- 04
Temperature & cycles
Hot flashes, night sweats, irregular periods, or other symptoms of the menopause transition.
- 05
Strength & body composition
Changes in muscle mass, strength, recovery, or where body fat sits, even with steady health habits.
- 06
Whole-person health
Bone-health concerns, hair or skin changes, or several symptoms that deserve one joined-up medical review.
Two distinct care pathways
Hormone care for women and for men
The questions, the tests and the safety considerations differ. So does the evidence.
Women: perimenopause, menopause & beyond
The menopause transition can begin years before the final period. Care may focus on hot flashes, night sweats, broken sleep, vaginal or urinary symptoms, sexual health and bone health.
- Hot flashes and night sweats
- Sleep disturbance
- Vaginal dryness or discomfort
- Cycle changes
- Bone-health risk review
For healthy women under 60 or within 10 years of menopause, The Menopause Society’s 2022 position statement finds the benefit–risk balance generally favorable for treating hot flashes and preventing bone loss; for women who start later, the balance is less favorable.2
Men: evaluation for testosterone deficiency
Testosterone therapy should be considered only after two things are on record: matching symptoms, and low testosterone on at least two separate early-morning blood tests. The workup also looks for causes that can be reversed.1
- Reduced sexual desire
- Erectile concerns
- Loss of muscle or strength
- Low bone density or anemia
- Persistent, unexplained fatigue
Erectile or other sexual-health concerns are not assumed to be low testosterone; they are evaluated on their own terms. Sexual wellness care at PrimeCell explains that evaluation.
Fertility: testosterone taken from outside the body can lower sperm production, sometimes by a lot. Men who want children now or later should raise this before starting.
What to expect
A measured, four-step process
Medical decision-making first, prescription second — and monitoring for as long as you are on therapy.
Listen & evaluate
Symptoms, timing, medical history, medications, family history, fertility goals, and what you hope to improve.
Test thoughtfully
Testing is chosen for your situation. Men checked for low testosterone usually need more than one early-morning blood test first.
Choose together
We compare hormone and non-hormone options, how each one is taken, likely benefits, unknowns, cost and risk.
Monitor & refine
Follow-up looks at symptoms, side effects, whether you can stay with the plan, and relevant labs. Therapy may be adjusted, paused or stopped.
Testing with a purpose
What may be included in your evaluation and monitoring
Labs are ordered to answer a specific question — not as a standard panel for everyone.
- Hormone assessment
- Testosterone, estradiol, gonadotropins, or other targeted studies when clinically indicated
- Related conditions
- Thyroid testing, blood count, metabolic markers, glucose or A1c, lipid profile, and other studies selected from your history
- Baseline safety
- Blood pressure, medication review, cancer-screening status, cardiovascular and clotting-risk review, sleep apnea and fertility considerations
- Follow-up
- Symptom response, side effects, labs tied to the specific product, and routine care at intervals chosen for your plan
Important for men: a diagnosis of hypogonadism, or low testosterone, usually requires symptoms plus at least two separate low early-morning results. A qualified clinician should read those results.
Treatment is never one-size-fits-all
Routes of treatment, and their honest trade-offs
No single route is best for everyone. The choice depends on your symptoms, your risk profile, your preferences and cost.
- FDA-approved options exist
At least some products for this route are FDA-approved for the use described.
- Often not FDA-approved
Compounded products are not FDA-approved and have not been reviewed for safety, effectiveness or consistent dosing.
- Not a hormone
Non-hormonal medicines and lifestyle measures, used alone or alongside therapy.
| Route & status | Trade-offs to weigh |
|---|---|
| Transdermal Patches, gels or creams that deliver the medicine through the skin FDA-approved options exist | Dosing is often easy to adjust. Gels can transfer to partners or children through skin contact. Compounded creams vary in strength. |
| Oral Tablets or capsules FDA-approved options exist | Convenient. Pills and non-pill routes can carry different effects and risks — oral estrogen, for example, is processed by the liver first, which may matter for clotting risk. |
| Injection Testosterone shots, typically for men with confirmed hypogonadism FDA-approved options exist | Levels rise and fall between doses. Red-blood-cell counts need monitoring. Ongoing follow-up is required. |
| Local vaginal Low-dose local estrogen or other local therapies FDA-approved options exist | Targets vaginal or urinary symptoms of menopause with little effect elsewhere in the body; it does not treat hot flashes. |
| Testosterone pellets, men Small pellets placed under the skin in a brief office procedure; they release testosterone over months FDA-approved product exists | An FDA-approved testosterone pellet is labeled for men whose low testosterone is confirmed and caused by a diagnosed condition of the testicles, pituitary or hypothalamus.6 Compounded testosterone pellets are not FDA-approved. No daily dosing, but the dose cannot be changed quickly once a pellet is in; the label also lists infection and pellet extrusion at the insertion site. |
| Hormone pellets, women Estradiol or testosterone pellets placed under the skin Not FDA-approved | No estradiol pellet is FDA-approved in the U.S., and no testosterone product is FDA-approved for women, so pellets used for women are compounded.7,8 The National Academies recommended that compounded hormone pellets be considered for the FDA’s list of drugs that are difficult to compound.4 Levels can run high, and the dose cannot be changed quickly once placed. Worth a careful talk first. |
| Non-hormonal support Prescription non-hormone options, sleep care, resistance training and nutrition Not a hormone | An alternative when hormones are not appropriate or not wanted, and part of most plans either way. |
Hormone pellet therapy at PrimeCell
Short answer
PrimeCell offers hormone pellet therapy for men and women, after an evaluation with Dr. Kenny Chantasi and only when pellets suit the diagnosis and the patient. For men with diagnosed hypogonadism, an FDA-approved testosterone pellet exists; estradiol pellets, and testosterone pellets for women, are not FDA-approved.
Before any pellet, ask whether it is an FDA-approved product or a compounded one, which pharmacy makes it, what dose it contains, and how your levels will be checked afterward.
A plain definition
What “bioidentical” means — and what it does not
Short answer
“Bioidentical” means the hormone has the same molecular structure as one made by the human body. The term by itself does not mean a product is safer, works better, or is FDA-approved. Some bioidentical options are FDA-approved. Many compounded products and pellets are not.
A 2020 review by the National Academies of Sciences, Engineering, and Medicine, commissioned by the FDA, found insufficient evidence to support the safety and effectiveness of compounded bioidentical hormone therapy for widespread use, and recommended restricting its use.4 When an FDA-approved bioidentical product fits your needs, that is usually where the conversation starts.
In February 2026 the FDA approved labeling changes to menopausal hormone therapy products that removed several boxed warnings.5 That change applies to approved products, and it does not mean hormone therapy is right for everyone: risks still vary with age, health history and time since menopause.
For men, the TRAVERSE trial of 5,246 men with low testosterone and existing or high risk of cardiovascular disease found testosterone gel was not worse than placebo for major cardiovascular events, although atrial fibrillation, acute kidney injury and pulmonary embolism were more common in the testosterone group.3
Who evaluates you
Kenny Chantasi, DO
Certified in bioidentical hormone replacement therapy (BHRT), and board-certified in Physical Medicine & Rehabilitation and in Pain Medicine. His hormone work grew out of caring for patients’ weight, skin and function together — thoughtful hormone care, in his view, starts with helping patients understand their symptoms, lab findings, benefits and risks.
Go deeper
Hormone questions patients research first
Physician-reviewed, with sources. Related care: GLP-1 weight management and regenerative & pain care.
- Who is a good candidate for hormone replacement therapy?
- When should you start hormone replacement therapy?
- Low testosterone treatment options explained
- How hormone therapy works: pellets vs. injections
- How long does hormone replacement therapy take to work?
- How much does testosterone replacement therapy cost?
- Does insurance cover hormone replacement therapy?
- What a telemedicine hormone consultation covers
Clear answers before you decide
Hormone replacement therapy FAQ
Do symptoms alone prove that I have a hormone deficiency?
No. Fatigue, weight change, sleep problems, mood changes and low libido can have many causes. A careful history, a proper exam and targeted testing help sort hormone problems from other conditions.
How is low testosterone diagnosed in men?
A diagnosis usually requires two things: matching signs or symptoms, and low testosterone on at least two separate early-morning blood tests. The workup also looks for causes that can be reversed.
Does PrimeCell offer hormone pellet therapy?
Yes, for men and women, after an evaluation and only when pellets fit the diagnosis. An FDA-approved testosterone pellet exists for men with diagnosed hypogonadism. Estradiol pellets, and testosterone pellets for women, are not FDA-approved; they are compounded.
Are hormone pellets better than patches, creams, pills or injections?
No single route is best for everyone. Pellets suit some patients, but the dose cannot be changed easily once a pellet is in. Your clinician should go over the options, the risks, the cost and what you prefer.
Can testosterone affect fertility?
Yes. Testosterone taken from outside the body can lower sperm production, sometimes by a lot. Men who want children later should raise this before starting.
Will hormone therapy cause weight loss?
Hormone therapy is not a weight-loss plan. Addressing a confirmed deficiency, or difficult menopause symptoms, may help sleep and wellbeing. Nutrition, resistance training and metabolic health remain central.
Can I begin with telemedicine?
A telemedicine visit may work for the first discussion when that is clinically appropriate. Lab testing, a physical exam or an in-office procedure may still need you here in person.
Does insurance cover hormone therapy at PrimeCell?
PrimeCell is a self-pay practice and does not bill insurance. Costs are discussed before you start, and qualifying patients can use Cherry payment plans.
Start with a conversation, not a preset protocol.
Go over your symptoms, health history and goals with Dr. Chantasi — and leave with a clear next step, including when that step is more testing rather than a prescription.
$97Initial physician consultation · offer valid through October 31, 2026
THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT.
References
- Bhasin S, Brito JP, Cunningham GR, et al. Testosterone therapy in men with hypogonadism: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2018;103(5):1715-1744. doi:10.1210/jc.2018-00229
- The 2022 hormone therapy position statement of The North American Menopause Society. Menopause. 2022;29(7):767-794. doi:10.1097/GME.0000000000002028
- Lincoff AM, Bhasin S, Flevaris P, et al. Cardiovascular safety of testosterone-replacement therapy (TRAVERSE). N Engl J Med. 2023;389(2):107-117. doi:10.1056/NEJMoa2215025
- National Academies of Sciences, Engineering, and Medicine. The Clinical Utility of Compounded Bioidentical Hormone Therapy: A Review of Safety, Effectiveness, and Use. Washington, DC: The National Academies Press; 2020. doi:10.17226/25791
- U.S. Food and Drug Administration. FDA approves labeling changes to menopausal hormone therapy products [press announcement]. February 12, 2026. fda.gov
- U.S. National Library of Medicine. DailyMed: Testopel (testosterone pellets) — prescribing information. dailymed.nlm.nih.gov
- U.S. Food and Drug Administration. FDA issues class-wide labeling changes for testosterone products. February 28, 2025 (testosterone is approved solely for men with low testosterone and an associated medical condition). fda.gov
- U.S. Food and Drug Administration. Drugs@FDA: FDA-approved drugs (searched September 23, 2026; no approved estradiol pellet listed). accessdata.fda.gov
Medically reviewed by Kenny Chantasi, DO, on September 23, 2026. This page is for general education and does not establish a physician–patient relationship or replace individualized medical advice. Results vary. No outcome is guaranteed. Compounded hormone preparations, including estradiol pellets and pellets used for women, are not FDA-approved.