Women’s Health & Hormones
At TREVI Institute, led by the esteemed Dr. Josie Tenore, we are dedicated to empowering women with the knowledge and treatments they need to thrive.
Specializing in women’s health and hormone optimization, we focus on enhancing your overall well-being and quality of life through personalized care.
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BHRT — Bioidentical Hormone Replacement Therapy
Achieve hormonal balance and alleviate symptoms of hormonal imbalances with bioidentical hormone replacement therapy, customized to your unique needs.
BHRT uses bioidentical hormones—compounds that are structurally identical to those your body naturally produces—to address hormonal imbalances related to aging, perimenopause, and menopause. Treatments are customized based on comprehensive lab testing and your unique symptoms.
- Balances estrogen, progesterone, and testosterone levels
- Improves mood, mental clarity, and sleep
- Alleviates symptoms like hot flashes, fatigue, and low libido
- Supports long-term bone, heart, and brain health
- Begins with a full medical evaluation and lab panel
- Customized treatment plan using pellets, creams, or other methods
- Regular monitoring and adjustments for optimal results
- Treatments can be integrated seamlessly into your daily routine
Hormone Pellet Therapy
Experience consistent and long-lasting hormone delivery with hormone pellet therapy, a convenient option for maintaining optimal hormone levels.
Hormone pellets are tiny, plant-derived cylinders inserted just beneath the skin. They release a steady, physiologic dose of hormones over 3–6 months, mimicking the body’s natural rhythms and avoiding the hormonal spikes and crashes common with other methods.
- Consistent, steady hormone levels
- No daily pills or creams to remember
- Fewer side effects vs. oral or topical options
- Especially effective for energy, libido, and mood stabilization
- In-office procedure lasting about 15 minutes
- Pellets are placed in the hip or buttock via a tiny incision
- Minimal discomfort, no downtime
- Follow-up every 3–4 months for women
Menopause Support
Comprehensive care to navigate the physical and hormonal changes that come with menopause and perimenopause.
As estrogen and progesterone levels drop during menopause, women may experience physical, emotional, and cognitive changes. Our personalized support combines BHRT with lifestyle strategies, nutritional support, and medical guidance to ease the transition and restore well-being.
- Reduces hot flashes, night sweats, and brain fog
- Improves energy, mood, and memory
- Supports sexual and vaginal health
- Encourages weight stability and metabolic health
- Begins with a detailed consultation and symptom review
- BHRT may be combined with other therapies like B12 shots or Viveve
- Ongoing support and monitoring through each phase of menopause
- Lifestyle recommendations included to promote overall health
B12 Shots
Fast energy, better metabolism, and improved focus—naturally.
Vitamin B12 injections deliver methylcobalamin directly into the bloodstream, bypassing the digestive system for maximum absorption. B12 is essential for energy production, red blood cell formation, and neurological function. Injections are especially beneficial for patients with absorption issues, dietary restrictions, or increased demand during hormone therapy.
- Boosts energy and combats fatigue
- Enhances mental clarity and mood
- Supports metabolic and immune health
- Ideal as a complement to hormone therapy
- Simple in-office injection that takes just a few minutes
- Administered weekly or as needed based on your goals
- No downtime, no prep—just fast, effective results
Viveve
Non-surgical vaginal rejuvenation that restores confidence and comfort.
Viveve uses cryogen-cooled monopolar radiofrequency (CMRF) to stimulate collagen in the vaginal wall. This FDA-cleared, one-time treatment improves vaginal laxity, moisture, and sensation, while also reducing mild to moderate urinary incontinence.
- Enhances sexual satisfaction and orgasm quality
- Reduces bladder leakage and discomfort
- Restores youthful tissue tone and resilience
- Improves vaginal tightness and lubrication
- 30-minute in-office procedure
- Comfortable, non-invasive, and requires no downtime
- Many women see results after one session, lasting up to a year
- Safe, clinically proven, and life-enhancing
Ready to Get Started?
Schedule a consultation with Dr. Josie and our team to discuss the right treatment plan for your goals.
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