Replacement is a decision, not a default.
Estrogen, progesterone, and testosterone all shift over time — with age, after surgery, through perimenopause and menopause. Replacement is the clinical question of whether restoring some of that makes sense for you, and toward what target. At Peri that question is answered from lab data, your symptom history, and enough time in the room to connect the two.
Pellets are a route, not a philosophy.
Pellets are small, long-acting implants placed under the skin in a brief office procedure. They are one delivery route among several: hormones can also be delivered through the skin, by injection, or by mouth, and each route trades differently on convenience, adjustability, and monitoring. The route is chosen after the clinical decision, never before it.
Labs and symptoms, read together.
A reference range describes a population, not a person. Two patients can carry the same value and feel completely different. So the process is a long first conversation, a targeted panel chosen because of that conversation, and a review where every relevant line is explained in plain language. If replacement makes sense, you will understand exactly why. If it doesn't, you will hear that directly. On therapy, retesting is scheduled from the start.
Who this is for.
- Women in perimenopause or menopause whose symptoms have been waved off as stress or aging.
- Men told their labs were "fine" after a single draw.
- Adults with a documented deficiency who want a physician managing the details.
- People already on hormone therapy elsewhere who want closer monitoring and an unhurried second look at the plan.
One physician, the whole way through.
Dr. Nelson oversees every protocol personally: a board-certified urologist with HRT and TRT as a long-standing subspecialty. The physician who reads your first panel is the one who adjusts your plan a year later. Protocol and pricing details are published closer to opening. Peri opens Late 2026 in Draper, Utah, and the waitlist hears everything first.