June Medical

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.

Benefits of Hormone Replacement Therapy

Why our San Juan patients choose pellet-based hormone therapy.

Steady, Consistent Levels
Pellets release hormones continuously, avoiding the ups and downs that make pills and injections feel unpredictable.
Bioidentical Formulation
The hormones used are structurally identical to what your body makes, so your system recognizes and uses them naturally.
For Men and Women
Hormone decline affects everyone. We treat menopause symptoms, perimenopause, and low testosterone with the same careful attention.
Nothing to Remember
No daily pill, no weekly patch, no scheduled injections. Once the pellet is placed, it works on its own for months.
Let Us Help You!
Frequently Asked Questions

How do I know if my hormones are actually the problem?

How long until I feel a difference?

How often do pellets need to be replaced?

Is the insertion procedure uncomfortable?