Contact

(919) 233-1680

Fax: (919) 233-1685

Patient Portal Patient MRR

Female Hormone Therapy

Schedule a Consultation

Menopause Treatments

Menopause is a natural stage of life, but the physical and emotional changes it brings can feel overwhelming for many women. Symptoms such as hot flashes, night sweats, mood swings, fatigue, vaginal dryness, weight gain, and changes in sexual health can significantly affect daily life and overall well-being.

At NCCRM, our specialists understand that every woman’s experience with menopause is unique. That’s why we offer personalized treatment plans designed to relieve symptoms, restore balance, and improve quality of life.

Treatment options may include:

  • Hormone Replacement Therapy (HRT): Restores declining hormone levels to help reduce hot flashes, night sweats, and vaginal dryness, while supporting bone and heart health.

  • Testosterone Pellets: Provide steady hormone levels for several months, helping with fatigue, low libido, and mood changes.

  • Non-Hormonal Options: For women who cannot or choose not to take hormones, alternatives are available to help manage symptoms safely and effectively.

  • Lifestyle and Wellness Guidance: Nutritional support, stress management, and exercise recommendations to complement medical therapies.

Our goal is to help women navigate menopause with confidence, comfort, and a renewed sense of well-being.

Hormone Management for Menopause

Hormone Replacement Therapy

A common misconception is that testosterone is just a male hormone. But women have and need testosterone too. If you are suffering from hot flashes, vaginal dryness, lack of sex drive, and severe mood swings, you may have a low testosterone level. Many women who have low testosterone say they have lost all sexual desire and are so “emotional” that they cry at the drop of a hat. If you can relate to these symptoms, you might be a candidate for hormone replacement therapy Raleigh, NC, treatment.

Here at NCCRM, our physician-led staff specializes in treating low testosterone, which may help you regain your sex drive and feel like yourself again.

Testosterone Levels: Male Vs. Female

Men produce 10 times more testosterone than women, but in their early reproductive years, women have 10 times more testosterone than estrogen coursing through their bodies. Many experts now believe that the loss of testosterone, and not estrogen, causes women in midlife to gain weight, feel fatigued, and lose mental focus, bone density, and muscle tone — as well as their libido.

Signs of Low Testosterone in Women

There are several wide-ranging signs and symptoms of low testosterone in women. You may experience some more than others.

  • Hot flashes, night sweats, insomnia

  • Vaginal dryness

  • Lack of sex drive

  • Fatigue

  • Aches and pains

  • Poor memory and concentration

  • Moodiness or depression

Testosterone Pellets for Women

At NCCRM, our specialists offer advanced hormone replacement therapy for women with low testosterone through the use of testosterone pellets. These tiny implants may help restore and maintain hormone levels for three to five months, providing steady, reliable results.

Testosterone pellets are fused into small, solid cylinders—smaller than the width of a dime. Once implanted just beneath the skin, they gradually release testosterone into the bloodstream, helping reduce fluctuations and supporting more consistent hormone balance.

For many women, this therapy can improve overall well-being and address symptoms related to low testosterone.

How are testosterone pellets implanted?

As a fertility specialist in reproductive endocrinology, Dr. Sameh Toma has advanced expertise in managing hormonal function as it relates to both reproduction and infertility. He takes a personalized approach, designing hormone therapy plans tailored to each patient’s unique needs.

The process begins with a comprehensive evaluation, which includes lab work and blood tests, to determine your hormone levels. Based on these results, Dr. Toma will recommend the most effective course of therapy for you.

If testosterone pellet therapy is selected, the procedure is quick, safe, and performed right in our office at NCCRM. The implant process takes less than 15 minutes. While you lie comfortably on your side, a local anesthetic is applied to the buttock area. A tiny incision—only about 3 mm—is made, and a small instrument is used to place the pellet just under the skin.

This simple outpatient procedure enables steady hormone release over several months, helping you restore balance and enhance overall well-being.

The Benefits of Testosterone Pellets for Women

Testosterone pellet therapy has become a popular option for women because it provides consistent hormone levels throughout the day, with each implant lasting up to five months. Unlike oral medications or patches, which can cause fluctuations in hormone levels leading to mood changes and energy swings, pellets release a steady dose of testosterone for more balanced results.

Research and patient experience suggest that testosterone pellets may help with:

  • Relief of menopausal symptoms

  • Maintenance of bone density

  • Improved sleep patterns

  • Increased sex drive, sexual response, and performance

  • Relief from depression, anxiety, irritability, and mood swings

  • Reduction in migraine and menstrual headaches

For many women, pellet therapy offers a smoother, more reliable option compared to other forms of testosterone replacement. Individual results vary, and your provider will determine if pellet therapy is the right choice for you.

Schedule a Consultation