Hormone Replacement Therapy
Feeling Like Yourself Again
Hormone decline rarely announces itself. It shows up as fatigue that sleep does not fix, a shorter fuse than you used to have, weight that will not move, poor sleep, brain fog, or a libido that quietly disappeared. Many people spend years being told this is just what getting older feels like. Often, it is a hormone imbalance that can be measured and corrected.
At June Medical, hormone replacement therapy begins with lab work, not assumptions. Dr. Vanessa Vélez Martínez reviews your levels alongside your symptoms and your health history to build an accurate picture before recommending anything. Treatment uses bioidentical hormones, meaning they are structurally identical to the ones your body produces on its own.


Why Pellet Therapy Works So Well
Pellet therapy uses small implants, roughly the size of a grain of rice, placed just under the skin during a quick in-office visit. From there they release estrogen or testosterone steadily over several months. Because your body draws on the pellet as needed, you avoid the peaks and crashes that come with pills, patches, and injections. Levels stay even, and so do you.
The insertion takes just a few minutes under local anesthetic. Most patients begin noticing improvements in energy, sleep, and mood within two to four weeks, with the full effect settling in over a couple of months. Pellets typically last three to six months depending on your metabolism, and we recheck labs along the way to keep your dosing where it should be.
Why our San Juan patients choose pellet-based hormone therapy.

How do I know if my hormones are actually the problem?
Lab work tells us. Dr. Vélez will order a full panel and review those results against the symptoms you are experiencing. Sometimes the numbers confirm what you suspected, and sometimes they point somewhere else entirely, which is equally useful to know.
How long until I feel a difference?
Most patients notice improvements in energy and sleep within two to four weeks, with mood, libido, and mental clarity following over the next month or two. Give it a full eight to twelve weeks before judging how well the dose is working.
How often do pellets need to be replaced?
Typically every three to six months. Men often need them slightly less frequently than women. We track your symptoms and recheck labs to time each insertion so you do not dip before the next one.
Is the insertion procedure uncomfortable?
It takes about five minutes and is done under local anesthetic, so you feel pressure but not pain. The site is covered with a small bandage, and we ask you to avoid heavy exercise and swimming for a few days while it heals.
