After your procedure, you may experience some acne, bloating, or swelling, but these symptoms should go away within a few weeks.

BHRT in San Antonio
Optimize Your Wellness
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Category
Women's Sexual Wellness
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What Hormone Therapy Replacement Treats
Difficulties with focus & memory
Fatigue
Difficulty sleeping
Libido issues
Anxiety
Depression -
Downtime
None
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Treatments Needed
Ongoing
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Results of Hormone Replacement Therapy
Improvements in 2 to 3 weeks
Give Your Body a Natural Boost
One of the unfortunate parts of growing old is the effect it has on our hormones. Both men and women will experience a decline in our body’s natural hormone production—decreasing our vitality and affecting our overall well-being.
Hormonal decline is one of the most common and least-discussed factors behind age-related changes in comfort and confidence. According to the Endocrine Society, hormone levels can begin declining as early as your 30s, well before most people mentally associate the shift with anything hormonal. By the time symptoms like fatigue, brain fog or low libido begin to affect your day-to-day life more significantly, the underlying imbalance has often been building for years. BHRT addresses that root cause directly, rather than treating each symptom in isolation.
Even though you can’t get younger, Marcos Medical Aesthetics & Wellness offers proven treatments to help you feel younger—thanks to bio-identical hormone therapy (BHRT) in San Antonio!
Benefits of BHRT
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Increased focus
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Improved memory
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Improvements in mood
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More energy
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Improves sleep
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Improves physical performance

Schedule Your Appointment
Start your journey by filling out the contact form below, or use our treatment finder to discover which option best fits your needs!
How BHRT in San Antonio Works
- We offer bio-identical hormone replacement therapy (BHRT), a personalized approach to hormone therapy that utilizes processed hormones derived from natural sources, such as plants. Our experienced healthcare providers conduct a thorough hormone panel assessment to understand your unique hormonal requirements. Based on the results, a customized treatment plan is crafted to address your specific needs.
- Once your ideal hormone levels have been determined, our providers will administer bio-identical hormone pellets to optimize your hormone levels.
- These pellets gradually release hormones into your bloodstream, supporting your body’s natural hormone production for up to six months following treatment.

What Makes BHRT Different?
It starts with the molecular structure. Bio-identical hormones are chemically identical to the hormones your body produces naturally, which allows them to interact with your hormone receptors the same way your own hormones would. That precision is part of why so many patients report a more comfortable transition and fewer unwanted side effects compared to synthetic alternatives.
The pellet delivery method also bears great importance in how and when this treatment exerts its effects on the body. Unlike daily pills or topical creams, both of which can encourage inconsistent hormone levels throughout the day, subcutaneous pellets release hormones at a steady rate. That means your body receives a continuous, well-measured supply rather than spikes and troughs that can leave you feeling not like yourself at times.

How Can I Know if BHRT Is Right for Me?
It starts with recognizing patterns and differentiating them from off days. When fatigue, mood instability, poor sleep or low libido feel normal rather than an occasional issue, that’s an important indicator of potential hormonal imbalances.
Specifically, patients who come to us with hormone imbalance often report:
- Fatigue that doesn’t resolve with rest, even after a full night’s sleep
- Mood changes, including increased anxiety, irritability or a persistent low mood, that feel unrelated to your circumstances
- Brain fog, difficulty concentrating or memory lapses that have worsened over time
- A noticeable decline in libido that isn’t explained by stress alone
- Sleep disruptions, whether difficulty falling asleep, staying asleep or waking up unrefreshed
- Physical changes such as weight gain around the midsection, reduced muscle tone or decreased stamina

The most reliable way to confirm your suspicions about a possible hormone balance is a hormone panel, which is a lab test that measures the levels of key hormones in your bloodstream. At Marcos Medical Aesthetics & Wellness, your free consultation includes a conversation about your symptoms and medical history. If your provider believes a hormonal imbalance is contributing to what you’re experiencing, lab work will be ordered to give you a clear, objective picture before any treatment is recommended.
It’s worth noting that BHRT is not universally appropriate for everyone. Patients with certain hormone-sensitive conditions or specific health histories may not be candidates. That’s precisely why the evaluation process at Marcos Medical is designed to be thorough and personalized.

Your Personalized BHRT Treatment Experience
Your treatment at Marcos Medical begins with comprehensive lab work that establishes your hormonal baseline. From there, your provider uses those results alongside your symptom profile to determine the appropriate type and dosage of bio-identical hormones for your pellet. Dosing is carefully calibrated to bring your levels into a range that’s physiologically appropriate for your unique hormonal makeup.
After the first dose, most patients begin noticing meaningful changes within two to three weeks. Energy and sleep quality tend to show early improvement, followed by mood stabilization and, over time, improvements in libido and physical performance. Your provider will schedule a follow-up to assess how your body has responded and whether any adjustments are warranted.
Because your hormone needs can shift over time, thanks to factors like age, stress, weight changes and overall health, your treatment parameters are reassessed on a regular basis. If your symptoms have changed, your dosage can be adjusted at the time of your next pellet insertion. The goal is not simply to get you into a normal range on paper; it’s to find the level at which you feel consistently at your best.


Complementary Treatments to Support Your Results
- Low libido and sexual dysfunction are among the most frequently reported symptoms of hormonal imbalance in both men and women. While BHRT works to restore hormonal drivers of sexual health from within, Marcos Medical’s sexual wellness services can address complementary concerns, including physical changes and performance.
- Changes in estrogen levels associated with perimenopause and menopause accelerate skin aging, contributing to dullness, fine lines and loss of firmness. Marcos Medical offers a full suite of laser skin treatments, including Moxi, Halo and more to address surface and structural skin concerns alongside your hormone therapy.
- Hormonal imbalances are a leading cause behind hair thinning in both men and women. Marcos Medical’s PRP Hair Restoration and HydraFacial Keravive treatments work to stimulate follicle activity and improve scalp health, pairing effectively with BHRT for patients who have noticed hair changes alongside their other symptoms.
Discussing your full range of concerns during your consultation gives your provider the most complete picture of what you’re dealing with and allows them to recommend a cohesive treatment plan, rather than addressing each concern in isolation.

Place Your Trust in Us
Part of what separates us is our commitment to constant improvement through cutting-edge treatments and the most advanced medical & aesthetics technology available.
But what truly makes us unique is our dedicated and highly trained staff. Instead of treating people as another appointment on the schedule, we take the time to build relationships and earn their trust. We firmly believe that the best possible outcomes only happen through patient-focused care—which means emphasizing compassion and collaboration from start to finish.

Frequently Asked Questions About BHRT
Estrogen hormone pellets come from a natural plant source and are manufactured and tested for potency, sterility, and endotoxins to ensure proper hormone optimization. The pellets are custom-compounded hormones and binders, developed after extensive lab work, and are inserted subcutaneously in the upper buttocks—where they release into the bloodstream
The entire Bio-Identical Hormone Therapy process is strictly monitored under federal guidelines, and the testosterone used has earned FDA approval. This treatment has provided safe and effective results for patients across the San Antonio area.
You will start to experience results within 2 to 3 weeks after your treatment.
Yes. Hormone replacement therapy for men is one of the most requested services at Marcos Medical Aesthetics & Wellness. Declining testosterone can contribute to fatigue, reduced libido, low mood, difficulty building muscle and diminished overall drive. Bio-identical testosterone pellets are custom-compounded and administered using the same subcutaneous method as women’s BHRT, with most men returning for re-insertion every five to six months.
That depends on your goals, your age and how your body responds to treatment over time. Some patients use BHRT as a short-to-medium-term intervention during a specific hormonal transition (like perimenopause) while others choose to continue long-term because the quality-of-life benefits are significant and ongoing. Your Marcos Medical provider will discuss your options honestly and adjust the plan as your needs evolve.