Estrogen Replacement Therapy in Reno, NV


Estrogen Replacement Therapy is a treatment option for females only. To determine if you are a candidate for Bio-Identical Estrogen Replacement, the following standard laboratory results are needed. 

  • Estradiol
  • Testosterone
  • Thyroid Stimulating Hormone (TSH)
  • T3, Free
  • T4, Total
  • Thyroid Peroxidase (T.P.O)
  • Vitamin D, 25-Hydroxy
  • Complete Blood Count (CBC)
  • Complete Metabolic Panel (CMP)
  • Lipid Panel
  • Follicle Stimulation Hormone (FSH)- Female Only
  • Annual Mammogram for women over age 40


  • Hot flashes
  • Pain during sexual intercourse
  • Poor bone density (brittle, easily breakable bones)
  • Skin changes
  • Thinning of the uterine lining and other parts of the genitalia
  • Vaginal dryness


On the day of your consultation, please set aside approximately one hour to meet with with one our expert providers for a one on one personalized evaluation. You will be encouraged to discuss all of your concerns and goals. Next, if determined you are a candidate for Bio-Identical Hormone Replacement, you will have the option to receive treatment utilizing the Virden Method™.


Bio-Identical Estradiol is made from soy and has the highest hormone concentration of any other substance.  Pellets are placed in the upper buttock area, just below the belt line, and the left and right sides are alternated each time. Numbing medication is used, a small incision is made, and hormone pellets are placed in the fat tissue using a trocar. The insertion procedure is well tolerated.

Pellets absorb based on cardiac output (the amount of blood the heart pumps through the body in a minute). Each individual is different dependent on activity level, etc. Typically, younger individuals who are competitive athletes will absorb Bio-Identical Hormone pellets at a faster rate.

After your initial appointment, another set of labs will be repeated to ensure your hormone levels are therapeutic.  Lab work is then repeated annually, unless more in-depth monitoring is required.


“I just had my consultation with Dr. Virden yesterday. I was extremely pleased with every member of the staff that I can into conversation with. Dr.Virden is very friendly and knowledgeable. I left his office confident as to what he had recommended for me and can’t wait for my surgery. I would highly recommend this office and Dr. Virden!”

– M.B. / Google / Sep 17, 2020

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