Hormone Replacement Therapy

Dr. Kelly Parcell has been practicing since 2000 mainly in the field of Women’s Health. She did an internship with the father of bioidentical hormone replacement, Jonathan Wright, MD, after graduating from Bastyr University. She does annual exams including annual PAPs, breast exam and blood work.

She excels at treating difficult issues such as menopause, fatigue, weight gain, insomnia and low libido. She has been very successful in treating abnormal PAPs, HPV and cervical dysplasia without drugs and surgery. She understands the way in which hormones interact in the female body including the ways hormones affect cancer. She works with numerous local specialists and will refer to them when this is in the best interest of the patient.

She uses plant medicine, natural hormones, clinical nutrition, supplements and lifestyle changes to get results. She believes correct diagnosis and follow up is critical.

Dr. Parcell’s Philosophy on Natural Hormone Replacement

Research has shown that our body physiology has changed LESS than 2% since the stone age times. We are outliving our internal physiological abilities. Why? Because of sanitation, a plethora of food supplies and roofs over our heads. Our bodies are programmed to live only for about 5 decades. In other words,we are aging because our hormones are declining. So, why not optimize our body physiology with small doses of bio-identical hormones? This will off-set the aging process and help our bodies out a little bit. Our philosophy is to utilize the lowest effective dose of bio-identical hormones to optimize health.

Bio-Identical Hormone Therapy (BHRT) is commonly referred to as natural hormone replacement therapy. It is a therapy that compensates for a deficiency arising from the natural decline of gonad function. Bio-Identical hormone therapy  is very different from conventional hormone replacement therapy in that BHRT products are derived from wild yam (Dioscorea) or soy bean and the end product has a molecular structure identical to those hormones made in our body.

BHRT includes the replacement of Estrogens, progesterone and testosterone. Cortisol and glandular thyroid replacement therapy could also fall under this category of BHRT, but typically, when we talk about BHRT it is these primary sex hormones we are referring to. There are actually 3 main estrogens in the body, estrone (E1), estradiol (E2) and Estriol (E3). We typically utilize 2-3 of these estrogens in our BHRT in an attempt to mimic as closely as possible the natural hormone status in the body. This is a very different approach than the conventional HRT practice of using just Estradiol for symptomatic women.

We do provide BHRT in many forms for our patients. We may recommend Pellet Implants, creams, vaginal suppositories, etc, which are all made at a compounding pharmacy. We do not dispense these items from our office. We provide BHRT pellet therapy for those who prefer this delivery. Pellets are placed under the skin using a very small incision.

We believe that BHRT is safe and effective for optimizing women’s and men’s health through the aging process. We do not put timelines on our patients use of BHRT and we monitor their progress closely in order to optimize safety and efficacy. We assess the risk and benefit for each patient who desires BHRT and move forward with individualized treatments.

Dr Parcell works closely with Dr McCowen to ensure comprehensive integrative care for patients who would like BHRT.