Better Sex

Have Better Sex In Central PA

Decreased libido? Low sex drive? It may be a hormonal imbalance that can easily be corrected under the professional supervision and care of Jamie Shirey, CRNP at Advanced PainCare & BioHealth Institute in Camp Hill, PA. We like to call it “Camp Hill’s Best Kept Secret” because our approach has helped many Central PA couples reignite less than lively bedrooms and the vast majority of people suffering are unaware that hormone imbalance is the source of the problem for both women and men.

Hormone Imbalances in Men

Testosterone is the most important androgen (male sex hormone) and is responsible for the physical changes that happen during puberty such as the development of the penis, testicles, facial and body hair, and muscle growth. It is also important for normal reproductive and sexual function.

You have probably heard about Low T and might be wondering, is it really a big deal? I mean, isn’t it just part of getting older? While it is expected that testosterone levels will start to decline as you age, a 2007 study estimated that approximately 40% of men over the age of 45 have low testosterone levels and even more men have testosterone levels that are considered insufficient for optimal health. Testosterone is important for more than just sexual health! Low levels of testosterone have been shown to be associated with an increased risk of:

  • Atherosclerosis and other Heart diseases
  • Diabetes
  • Increased visceral body fat
  • Loss of muscle mass
  • Cancer
  • Decreased sexual function
  • Anxiety and Depression

So how would you know if you had Low T? Some people think if they don’t have sexual symptoms that their levels must be fine, but Low T can cause a lot of different symptoms.

Some of the signs and symptoms include anxiety and nervousness, depressed mood, increased irritability, feeling burnt out, decrease in beard growth,  joint and muscular pain, trouble sleeping, feeling tired or that you’ve passed your prime, excessive sweating or hot flushes, decrease in sexual desire/libido and a decreased ability to perform sexually.

Everyone is different and because of this the level of testosterone that causes symptom development can vary. For some men, loss of libido can occur when testosterone levels drop below the 400 ng/dL range and erectile dysfunction does not occur until levels drop much lower (below 250 ng/dL) but for others the ranges can be different. Some practitioners are now recommending that men with levels below 500 ng/dL treat low testosterone to prevent illness even if you aren’t experiencing symptoms. What’s important is that you work with your provider to find a customized treatment plan for you.

Hormone Imbalances in Women

When we think about women and hormones, we usually think of estrogen and progesterone. In females, these are the primary sex hormones produced in the ovaries, adrenal glands, and, during pregnancy, the placenta. These levels fluctuate greatly throughout a woman’s lifespan depending on what her body needs to do.

When hormone imbalances occur, just like for men though, Low T is often to blame. Women have testosterone too, just not nearly as much of it. Just like the other hormones, it is produced by the ovaries and adrenal glands. A woman’s body is much more sensitive to testosterone, which means a slight decline can mean a big change in how a woman feels. This can affect body weight, bone and muscle growth, mood and you guessed it…libido.

Similar to what has happened with men over the last 30 years, it’s estimated that there has been a decline in the average testosterone level of aging women. In the US, it is estimated that the average 40-year-old woman has approximately half the testosterone she had at age 21. When testosterone levels decline this leads to many symptoms including symptoms of menopause.

How does Low T cause menopause? Estrogen is important to the function of many cells throughout the body in both men and women. Each of these cells in the heart, brain, skin, GI tract, bone, and breast tissue that rely on estrogen to function produce an enzyme called aromatase that converts testosterone to estrogen inside the cell. The estrogen levels in each cell are determined by the amount of aromatase produced within the cell, not the circulating levels of estrogen.

So, when testosterone levels start to decline, many symptoms associated with menopause can occur, even when a woman still has adequate circulating estrogen. Some of these symptoms include:

  • Increase in belly fat
  • Depression, anxiety, irritability
  • Fatigue
  • Bone loss
  • Decreased muscle strength
  • Insomnia
  • Hot flashes
  • Changes in memory
  • Decreased libido


Most women begin experiencing symptoms of testosterone decline in their 30s, 40s or 50s but individual sensitivity to testosterone varies as well as the level of decline in production. In addition to having the above symptoms, low testosterone levels can lead to health problems including heart disease, obesity, diabetes, cognitive problems, and osteoporosis.

Advanced PainCare & BioHealth Institute offers bioidentical hormone replacement therapy using pellets to restore your body’s natural hormone balance. A hormone pellet is a tiny packet about the size of a grain of rice. It contains natural, plant-based estrogen and testosterone that are nearly identical to hormones produced by your body. As the pellet dissolves, hormones are released into the bloodstream at a consistent rate. After a few weeks, the cells are receiving the correct type and amount of hormones, ensuring a return to proper function.
Advanced PainCare and BioHealth Institute performs hormone pellet insertions as an outpatient procedure administered by our nurse practitioner. After insertion, patients may resume daily activities almost immediately, and some quickly notice improvements.

Benefits of Bioidentical Hormone Replacement Therapy via Pellet

While there are many options for bioidentical hormone replacement therapy, pellets offer a safe and convenient method for replacing hormones for both men and women. The small pellet implanted under the skin dissolves slowly over several months, releasing a steady dose of hormone directly into the bloodstream. Other methods must first be processed by the gastrointestinal system or liver before they can be utilized by the tissues that need them. With pellets, however, the hormone is available to your body 24/7. During times of stress, you can absorb more hormones, and while at rest, you use less, which is how your body releases hormones naturally. In addition to better sex, this therapy also helps patients get better sleep, improve overall mood, increase energy throughout the day and makes it easier to maintain or lose weight.

Overall, hormone pellet insertions help maintain balanced hormone levels to improve heart, bone, and muscle strength and general mental health.

Hormone Replacement Therapy Pricing

  • Initial Consultation: $275.00
  • Female Pellet Insertion: $425.00
    • Usually lasts 3-4 months, most women require 3-4 insertions per year
  • Male Pellet Insertion: $725.00
    • Usually lasts 4-6 months, most men require 2-3 insertions per year

Lab work is billed to insurance and is subject to the deductibles, co-insurance and copayments per insurance.

Start The Process To Better Sex Today!

Call us today and ask for an appointment with Jamie Shirey, CRNP This will allow her to perform a wellness evaluation and create a personalized treatment plan. This starts with a comprehensive review of your current hormone levels, health history, and goals of treatment. After this, she will prescribe a customized treatment plan that may include pellets or topicals, or oral replacement therapy.