Services and Procedures

Bio-identical Hormone Pellet Therapy (BHRT)

Bio-identical hormones, sometimes referred to as natural or compounded hormones, are chemically identical to the natural hormones produced in the human body. These hormone pellets are compounded into tiny pellets, barely larger than a grain of rice, by an FDA approved compounding pharmacy under sterile conditions. The pellets are placed under the skin during an office visit. The hormones that are compressed into the pellet are steadily released into the blood over the next several months. This method of release maintains a more constant physiologic level of hormones in your body.

BHRT is not new or experimental. Hormone replacement using pellet implants have been used with great success in the U.S., Europe and Australia since 1938. Over 70 years of research has illustrated the benefits of pellet implants in administering hormones in men and women. This method of hormone administration has grown in popularity in the U.S. over the last 10 years due to a better understanding of the advantages of fused pellet implants.

Call our office now to see if you can benefit from BHRT.


This minimally invasive procedure is used to treat heavy bleeding. After the procedure, 90% of women are reported to be satisfied with the results. Approximately 60%of women will have little to no bleeding after an ablation procedure with another 20-30% experiencing lighter periods that are markedly improved from pretreatment. Approximately 25% of patients will fail an ablation procedure and choose to manage bleeding as they have been doing, using hormones to control bleeding, or opting for other surgical treatments such as hysterectomy. If you fail any ablation procedure, it is generally recommended that the procedure not be repeated.

Prior to any ablation, often a hysteroscopy is performed to visually evaluate the lining of the uterus. Dr. Praderio will use a device such as Novasure or Thermachoice to permanently remove the cells that grow a lining in the uterus. Each month during a period, the uterine lining is shed and a new lining starts to grow. By preventing the regrowth of this uterine lining, we can stop periods permanently. An ablation procedure can take anywhere from 90 seconds to 15 minutes depending on the device we choose and the shape of your uterus.

Following the procedure, you might have some moderate uterine cramps that can last 4-6 hours following the procedure. We ask that you take your prescription pain pills upon arriving home after your procedure so that you may go to sleep and reduce any discomfort you may experience. Most people find they sleep through a majority of the cramping and awake feeling little discomfort. For some fortunate women, they do not experience any cramping at all.

You may return to work the day following your procedure, but we ask that you avoid sexual intercourse for 4 weeks to avoid infection of the uterus. You may have a watery or bloody discharge for up to 6 weeks following your procedure until the uterine lining heals. If you are not happy with your bleeding pattern after 6 months, you may opt to try hormonal therapy or consider a hysterectomy to control your abnormal bleeding. Repeating an ablation procedure is not generally recommended.

It is also important to understand that while ablations may stop your periods, ablations do not prevent pregnancy. Dr. Praderio encourages her patients to consider permanent birth control such as Essure, tubal ligation, or vasectomy prior to having an ablation procedure. If a women opts not to have permanent birth control, she is at higher risk for an ectopic or tubal pregnancy or a high risk uterine pregnancy.

For more information about Novasure, please visit the Novasure website.

Other Procedures

  • Tubal Occlusion
  • LEEP/Conization
  • Colposcopy
  • Mirena Intrauterine Device
  • Paragard IUD
  • Nexplanon