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Bioidentical Hormone Replacement Therapy

David M. Barrere, MD, F.A.C.O.G.

Obstetrics & Gynecology & Bioidentical Hormone Specialist located in Clifton & Eastgate, Cincinnati, OH

The hormonal changes that occur during the months or years leading up to menopause can cause various symptoms that affect your day-to-day life. At his practice in Cincinnati, Ohio, David M. Barrere, MD, uses bioidentical hormone replacement therapy to alleviate symptoms. Dr. Barrere is a certified SottoPelle® provider, a natural method of hormone replacement therapy utilizing pellets to meet each patient's unique hormonal needs. Call the office located in the medical building at the Christ Hospital or Eastgate office near the Eastgate Mall, or click the online booking tool to schedule your bioidentical hormone replacement therapy appointment today.

Bioidentical Hormone Replacement Therapy Q & A

What is bioidentical hormone replacement therapy?

Bioidentical hormone replacement therapy (BHRT) is a more natural form of hormone replacement therapy. Bioidentical hormones are plant-based chemicals modified to have the same structure and function as the hormones naturally produced by the body. 

Dr. Barrere is a certified SottoPelle provider. SottoPelle is a bioidentical hormone replacement system that individualizes each patient's hormonal needs.

Dr. Barrere places the hormone pellets under your skin. They release a steady and consistent stream of hormones to optimize hormone levels and restore balance. 

Am I a candidate for bioidentical hormone replacement therapy?

Dr. Barrere takes a patient-centered approach to care and conducts an in-depth history and physical to determine if you’re a candidate for bioidentical hormone replacement therapy.

Menopause is a normal life stage in a woman’s life that marks the end of her reproductive years. When you reach menopause, you no longer ovulate and your ovasries no longer produce the sex horomones Estrogen, Progesterone, and Testosteron.

Before you reach menopause, you go through a transitional phase known as perimenopause. During this phase, your hormone levels fluctuate — including estrogen, progesterone, and testosterone — and you start to have many of the symptoms associated with menopause, such as:

  • Hot flashes
  • Night sweats
  • Foggy thinking
  • Lapses in memory
  • Low libido
  • Weight gain 
  • Mood changes
  • Insomnia
  • Fatigue
  • Irritability


During your BHRT consultation, Dr. Barrere reviews your symptoms and how they affect your quality of life. He also checks your blood hormone levels to see if they might be the cause of your symptoms.

Based on the severity of your symptoms and the results of your lab work, Dr. Barrere determines if you’re a candidate for BHRT. He uses the information from your symptom review and hormone testing to create your personalized SottoPelle hormone pellet. 

Depending upon your individual hormonal needs, you may receive Estrogen pellets, Testosterone pellets, or both. 

Dr. Barrere also offers bioidentical hormone replacement therapy for men with low testosterone. 

What happens during bioidentical hormone replacement therapy?

Dr. Barrere places your hormonal pellet under your skin, which provides a continuous inflow of hormones, eliminating your symptoms. Many women also report improvements in their sleep, libido, and energy after placement of their pellet. 

Depending upon the person, hormonal pellets continue to optimize hormone levels for 4 to 6 months. Dr. Barrere schedules regular follow-up appointments to monitor symptoms and hormone levels. He replaces your hormone pellets when needed. 

To schedule your bioidentical hormone replacement therapy consultation at the office of David M. Barrere, MD, call or book an appointment online today.