Women's Health with CostCare

Frequently Asked Questions about Women's Health Treatments

Perimenopause and menopause can be a confusing time for many women with unexpected changes that can leave them insecure and wondering, “what happened to my body.” 

Changes like:

    • Mood swings
    • Irregular periods
    • Low to no sex drive
    • Painful intercourse
    • Weight gain – particularly in the abdomen

Hormone pellet therapy can help with many of these symptoms and get you back to feeling like you again.  Hormone therapy combined with the rejuvenation and skin tightening ability of Radiofrequency technology with TempSure Vitalia can reverse time and renew vaginal tissue function and sensitivity.

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Hormone pellet therapy addresses hormonal imbalance and therefore lessens the symptoms associated with perimenopause and menopause. A medical-grade pellet about the size of a grain of rice is inserted under your skin to release bio-identical hormones for three months. With balanced hormones, you can manage your weight more easily, maintain lean muscle mass, gain energy, have increased libido, and generally just feel better.

Make an appointment with one of our providers to discuss your symptoms and see if hormone pellet therapy would be a good fit for you.  If you decide you would like to move forward, then typically we obtain a comprehensive panel of hormone labs to help with pellet dosing. You then schedule an appt for pellet placement. 

Placing a pellet is an office procedure and takes about 15 minutes.  We place the pellet in the upper aspect of your buttock.  We numb the skin and the tissue underneath.  A small 1/4” incision is made and a trocar is used to deliver the pellet in the soft tissue under the skin.  The incision is closed with steri-strips and a bandaid is placed. No stitches are needed. The dressing is left in place for 5-7 days and then removed. 

You can shower the next day, but you can’t submerge for 5-7 days. This means that you can’t go in a pool, bath or hot tub.  We recommend you refrain from heavy exercise for 3-4 days after the pellet is placed, especially squats or any activity that places upward pressure on the pellet.  You will be a bit sore at the site of the incision for a couple of days. It doesn’t prevent you from any activities but it will feel a bit bruised if you run your hand across the area.  That will resolve in a couple of days.

With the first couple of pellets placed, you will feel a small 1/2” lump where the pellet has been deposited.  It will also become a little sore for about 2 weeks then resolve.  This occurs because your immune system is trying to figure out what this new thing is in your body. This occurs less with each subsequent pellet placed. Again it doesn’t inhibit any of your activity but it will feel like a small bruise if you run your hand over the area.

Yes, we recheck your hormones 4 weeks after the initial pellet placement and then yearly.  We typically don’t recheck levels during the course of the year unless you aren’t responding as well to the pellet as we would like.  Then we recheck levels to ensure you are absorbing them adequately.

People typically begin to feel the effects of the pellet within 3-5 days of having the pellet placed.  However, the full effects of the pellet are reached at 4 weeks. 

$225 paid at the time of service. The only insurance that covers pellet placement is City of Missoula.

$50 insertion fee + $16 per pellet for our Direct Primary Care patients.

TempSure Vitalia is an FDA-approved treatment for restoring and tightening loose internal vaginal tissue. As women age, these internal tissues become loose, which can lead to a loss of vaginal function and nerve sensitivity. This treatment works to restore both, and offer a more satisfying sex life.

Vitalia is designed to tighten internal vaginal tissue. Radiofrequency (RF) waves heat target tissues to produce new collagen, meaning tighter skin wherever you have the treatment done. Vitalia uses a specially designed radiofrequency instrument that fits into the vaginal canal; it stimulates new collagen and elastin cells to grow, leading to tighter tissues and increased nerve sensitivity.

The Vitalia system will tighten the vaginal canal and improve the appearance of the vaginal skin. As new tissue grows, you will experience increased lubrication and nerve sensitivity. The treatment can also help urinary incontinence. Many women claim that the Vitalia treatment brought about a revival in their sexuality, improving their sexual well-being and overall confidence.

TempSure is very safe because the system is designed to precisely, quickly and safely heat tissues. In fact, in less than one second, tissues are heated to 39 to 45 degrees Celsius. TempSure™ stimulates your own collagen. It is a very safe and fast treatment, taking less than 20 minutes per treatment.

$299 per treatment

Typically women have 3-4 treatments done 3-4 weeks apart to build up the tissue and then 1-2 treatments per year to maintain healthy vaginal tissue.