Perimenopause (often late 30s to early 50s)
Hormones begin to fluctuate unpredictably. Periods may become irregular, and symptoms like poor sleep, anxiety, and heavier cycles often appear first.
Biote Hormone Pellet Therapy for Women in San Antonio & Boerne
Hot flashes, sleepless nights, brain fog, low libido, and mood swings aren’t something you just have to live with. Biote bioidentical hormone pellet therapy helps women restore hormone balance during perimenopause, menopause, and beyond. At Alamo Primary Care, every plan starts with a conversation and lab testing, at our Westover Hills clinic in San Antonio or on Main Street in Boerne.
- Labs before treatment
- 10–15 minute insertion
- Pellets last 3–4 months
- Care from your primary care team
Is It Your Hormones?
Estrogen, progesterone, and testosterone all decline as women age, and the changes can start in your late 30s or 40s, years before your last period. Common signs include:
- Hot flashes and night sweats
- Trouble falling or staying asleep
- Low libido or vaginal dryness
- Brain fog, forgetfulness, or trouble focusing
- Anxiety, irritability, or low mood
- Fatigue that sleep doesn’t fix
- Weight gain around the middle and loss of muscle tone
- Thinning hair or dry skin
- Irregular or heavier periods in perimenopause
If several sound familiar, a hormone lab panel is the best place to start.
Hormone Therapy at Every Stage
Menopause and Postmenopause
Once periods have stopped for 12 months, estrogen and testosterone levels stay low. Hot flashes, night sweats, vaginal dryness, and bone loss become more common.
After a Hysterectomy or Surgical Menopause
Removing the ovaries causes an abrupt drop in hormones, and symptoms can be sudden and intense. Hormone therapy is often considered to ease the transition.
Which Hormones Are Used for Women?
Your plan is built from your labs and symptoms, and may include:
- Estradiol:the main form of estrogen, which helps with hot flashes, sleep, vaginal health, and bone protection
- Testosterone:in small doses for women, which can support energy, libido, mood, and muscle tone
- Progesterone:for women who still have a uterus and are taking estrogen, progesterone (usually an oral capsule) is prescribed to protect the uterine lining
Pellets deliver estradiol and testosterone. Progesterone is prescribed separately when needed.
How Biote Works for Women
- 01
Consultation
Symptoms, cycle history, health history, and goals.
- 02
Lab testing
Estradiol, testosterone, FSH, thyroid levels, and a complete blood count, as needed.
- 03
Lab review
Your provider explains your results and recommends a dose.
- 04
Pellet insertion
A 10–15 minute in-office procedure in the upper hip, with local numbing.
- 05
Aftercare
Keep the site dry, avoid baths and swimming for a few days, and skip strenuous lower-body exercise for several days.
- 06
Follow-up
Repeat labs about 4–6 weeks after your first insertion, then a new pellet about every 3–4 months.
What Results Can You Expect?
Every woman responds differently, but many notice:
- 2–4 weeks: better sleep and fewer hot flashes
- 1–2 months: improvements in mood, energy, and focus
- 2–3 months: improved libido and overall sense of well-being
Your provider tracks your symptoms and labs and adjusts your dose at each insertion.
Hormone Therapy May Not Be Suitable If You Have a History Of:
- Breast or uterine cancer
- Blood clots or stroke
- Heart disease
- Liver disease
- Unexplained vaginal bleeding
- Pregnancy or breastfeeding
Before starting, we make sure your mammogram and Pap test are up to date and review your personal and family history. Possible side effects include insertion-site soreness, acne, hair changes, breast tenderness, and mood shifts, which we monitor at every follow-up.
Cost of Biote for Women
Call 210-571-1338 for current pricing.
- Biote pellet therapy is paid out of pocket
- Lab testing may be covered by insurance
Why Women Choose Alamo Primary Care
- Hormone care connected to your whole healthWell-woman exams, screenings, and hormone therapy under one roof
- Labs first, every timeDosing based on your numbers
- Time to listenUnhurried visits where your symptoms are taken seriously
- Other options availableIf pellets aren’t the right fit
- Two convenient clinicsWestover Hills, 12047 Potranco Rd, San Antonio (Mon–Thu 7–5, Fri 7–3) and 1411 S Main St, Boerne (Mon–Fri 8–5)
Book your women’s hormone consultation
Westover Hills, 12047 Potranco Rd, San Antonio (Mon–Thu 7–5, Fri 7–3) and 1411 S Main St, Boerne (Mon–Fri 8–5). Serving Alamo Ranch, Helotes, Fair Oaks Ranch, and Kendall County.
Google Reviews
Alamo Primary Care
We are thrilled with our first visit here. Everything moved very quickly and efficiently, as they seem to have a very effective team of employees. The appointment lasted approximately 1 hour, and that included new patient intake forms, vitals, seeing the doctor and getting labs done. I love how fast the process went, while also feeling seen, heard and feeling like our concerns were valid and taken seriously. The receptionists were all very friendly, inviting and helpful, including Delilah, who checked us out and set our next appointment. Finding a new primary care provider can be quite overwhelming and time consuming, but not here, and the services offered go above and beyond anything we expected. We look forward to future visits with this practice.
Alamo Primary Care has the BEST staff! From the moment I walked in, I had such a great experience as a new patient. I’m especially thankful they were able to get me in for a same day appointment. Im finally feeling like I’m getting the answers I’ve been looking for. Highly recommend!
We came in to establish care with my new PCP, Dr. Vishal, and his staff were absolutely wonderful! Everyone was so informative, patient, and thorough throughout the entire process. I’m so happy that I made the change and feel confident knowing I’m in such great hands. Thank you, Dr. Vishal and team, for making us feel so welcomed and cared for!
I’ve had a great experience with Alamo Primary Care. Everyone in the office has always been friendly, welcoming, and willing to help. The front desk ladies are always kind and make everything easy, whether it’s scheduling appointments or answering questions. The doctor takes the time to listen and explain things without making you feel rushed, and the PA has been just as helpful and knowledgeable. It’s nice to go to a doctor’s office where you feel like they actually care about their patients. Highly recommend!
My senior mother had an appointment there today and let me know how well every member of your staff treated her from beginning to end. I appreciate your professionalism, empathy and amazing bedside manner. I’m happy to know she felt comfortable and in good hands. Highly recommend! Respectfully, patients daughter.
I had an excellent experience with this doctor and their entire office staff. From the moment I walked in, I was greeted warmly and treated with kindness and professionalism. The front desk team was efficient and helpful, making the check-in process smooth and stress-free. The doctor took the time to listen carefully to my concerns, explained everything clearly, and made sure I felt comfortable with the treatment plan. I never felt rushed, and it was clear that they genuinely care about their patients’ well-being.
I had a very positive experience at this primary care office. The staff was friendly, professional, and made me feel comfortable from the moment I walked in. Dr. Vishal Nemargommula took time to listen carefully to my concerns, answered my questions thoroughly, and never made me feel rushed. He was very kind, professional and easy to talk to. I especially appreciated how respectful and understanding everyone was during my visit. The office was clean, organized, and the overall atmosphere was welcoming.
This was my first time at this location and I was pleasantly surprised at every turn of this appointment. The front staff were incredibly welcoming and equally as funny. I’m a nervous talker so they humored me and it helped me calm down a lot. The doctor was punctual and very thorough for a first time visit which was a pleasant surprise. He had several follow up questions about each of my concerns and gathered more information as well as educated me more than any physician I’ve seen on a first visit. Excellent first impression and visit.
I cannot say enough good things about my experience with Dr. Vishal. From the moment I walked in, I felt comfortable from the check in with the ladies up front to the medical assistants in the back! He talked to me, not at me. He listened to my concerns, asked thoughtful questions, and made me feel validated. He came highly recommended and I never felt one ounce of regret. It’s such a relief to finally have a primary care doctor who makes you feel seen and heard. 10/10 recommend!
Very nice customer service it was a very pleasant visit of what I was dreading to be bad news. Every single nurse had a great attitude and made me feel very comfortable and welcomed. I’m glad I found this place and it’s only 5 minutes away from me. Plus they do IV therapy!!! Also the receptionist were awesome Andrea, Jen, Delilah were so nice to my kids they gave them Christmas light up necklaces because my kids asked for stickers. Great people
More Hormone Therapies
Frequently Asked Questions
Where can I get Biote for women in San Antonio, TX?
Alamo Primary Care offers Biote bioidentical hormone pellet therapy for women at its Westover Hills clinic, 12047 Potranco Rd, San Antonio, TX 78253. Treatment for perimenopause and menopause symptoms starts with a consultation and hormone lab testing.
Where can women get hormone pellet therapy in Boerne, TX?
Alamo Primary Care provides Biote hormone pellets for women at 1411 S Main Street, Boerne, TX 78006, open Monday to Friday, 8 am to 5 pm. Women from Boerne, Fair Oaks Ranch, and Kendall County receive lab-based dosing and regular follow-ups.
Can Biote help with menopause symptoms?
Yes. Biote is commonly used to relieve menopause symptoms such as hot flashes, night sweats, poor sleep, vaginal dryness, low libido, brain fog, and mood changes. Alamo Primary Care evaluates each woman’s symptoms and labs before recommending treatment.
Can Biote help during perimenopause?
Yes. Women in perimenopause often have fluctuating hormones that cause poor sleep, anxiety, irregular periods, and low libido. Alamo Primary Care in San Antonio and Boerne uses lab testing to determine whether Biote is appropriate during perimenopause.
What hormones are in Biote pellets for women?
Biote pellets for women may contain estradiol, testosterone, or both, depending on lab results and symptoms. Women who still have a uterus and receive estrogen are usually also prescribed progesterone, typically as an oral capsule, to protect the uterine lining.
Why would a woman need testosterone?
Women naturally produce testosterone, and levels decline with age. Low doses of testosterone may help women with low libido, fatigue, low mood, and reduced muscle tone. Alamo Primary Care checks testosterone levels before including it in a woman’s treatment plan.
How long do Biote pellets last for women?
Biote pellets typically last about three to four months for women. Activity level, stress, metabolism, and dose can affect how long they last. Alamo Primary Care schedules follow-up labs and new insertions based on each woman’s symptoms and levels.
How soon will I feel better on Biote?
Many women notice better sleep and fewer hot flashes within two to four weeks of their first pellet. Improvements in mood, energy, and libido often follow over the first two to three months. Alamo Primary Care rechecks labs about four to six weeks after the first insertion.
Is hormone therapy safe for women?
For many healthy women under 60 or within 10 years of menopause, the benefits of hormone therapy often outweigh the risks. It may not be safe for women with a history of breast cancer, blood clots, stroke, heart disease, or liver disease. Alamo Primary Care reviews each woman’s history carefully.
Do I need a mammogram before starting hormone therapy?
Yes. Alamo Primary Care requires an up-to-date mammogram and Pap test before women in San Antonio and Boerne start hormone pellet therapy, along with a review of personal and family history, to help ensure treatment is safe.
Can I get Biote after a hysterectomy?
Yes. Women who have had a hysterectomy, especially with removal of the ovaries, often experience sudden hormone loss and may benefit from hormone therapy. Women without a uterus usually do not need progesterone. Alamo Primary Care tailors the plan to each woman’s surgical history.
Does Biote help with weight gain during menopause?
Balancing hormones may help some women with energy, muscle tone, and motivation, which can support weight management, but Biote is not a weight loss treatment on its own. Alamo Primary Care can combine hormone therapy with its medical weight loss program for women in San Antonio and Boerne.