Low testosterone, also known as low T or andropause, is classically observed in men of middle age. Research suggests that around age 45, nearly 40 percent of men will begin to experience symptoms of low testosterone. Testosterone levels begin to decline in a man around his late 20s and recede over time. By age 40, most men begin to notice at least one or two symptoms of andropause or low testosterone. Â
Many men will brush off these symptoms as side effects of aging and delay or never seek treatment. Low levels of testosterone are risky to a man’s health. A number of studies have confirmed that low testosterone is correlated with an increased risk of disease and seeking treatment to achieve hormonal balance can support a reduced risk of disease.Â
Bioidentical hormone replacement therapy (BHRT) for men with EvexiPel testosterone pellets provides natural restoration of testosterone, mimicking the natural structure and function of testosterone made by the human body. Â Unlike other delivery methods, pellet therapy maximizes convenience and efficacy to achieve optimal results.
During a routine appointment at Renew Wellness & Aesthetics, a pellet is inserted under the top dermal layer of the skin near the upper buttock area. Over the course of 5 to 7 months, depending on your body’s needs and lifestyle, the pellet releases a steady dose of testosterone to support your body’s needs. For men who are more active or under high stress, more hormone is released—the same reaction as the body would have with natural testosterone.Â
Renew Wellness & Aesthetics offers EvexiPEL testosterone pellets. EvexiPEL has a reputation as the superior form of pellet therapy because it is custom-compounded with the highest quality ingredients in one of the leading compounding pharmacies in the nation. For men seeking to achieve optimal outcomes and experience life to the fullest at any age, schedule your BHRT consultation with Dr. Julie Shelley at Renew Wellness & Aesthetics.
Hormone Replacement Therapy for Men
Treatment Details
What it Treats
Erectile Dysfunction
Impaired Sexual Performance
Lower Sex Drive
Hair Loss
Difficulty Urinating
Lack of Focus
Muscle Loss
Weight Gain
Low Energy
Poor Sleep
Depression
Night Sweats in Men
Gynecomastia
Treatment Time
30 minutes or less
Eligibility
Males
21 years or older
Why Try BHRT for Men in Oklahoma City?
01
Trusted Health Experts
Renew Wellness & Aesthetics’ board-certified providers have performed thousands of hormone replacement therapies. Our board-certified providers are leaders in male wellness, using clinical expertise and personalized care to improve energy, vitality, and quality of life.
02
Data-Driven Treatment
Our providers track patient outcomes and adjust therapy based on existing hormone levels, physical performance, and personal well-being to ensure men see tangible results. Properly monitored BHRT can increase energy, libido, and muscle mass.
03
Personalized Care Plans
Every male patient has unique needs. Our providers design custom programs that consider current concerns, medical history, and lifestyle goals. Plans are tailored to restore energy, sexual health, and athletic performance, helping men regain confidence and vitality.


Get Started
Tell us more about what you need using our Treatment Planning Tool. Simply input your concerns and we'll provide custom treatment recommendations for your unique needs.
Dr. Julie Shelley Talks BHRT
Dr. Julie Shelley, Family Medicine Physician and Medical Director at Renew Wellness & Aesthetics, talks about how BHRT can naturally restore hormone imbalances in patients and provide multiple benefits.
The Bioidentical Hormone Replacement Therapy for Men Process
What to Expect
Consultation
Before your bioidentical hormone replacement therapy in Oklahoma City, you'll meet with Dr. Shelley for a detailed consultation and lab work to get to the root of the problem. We will discuss your concerns, symptoms, goals, and sensitivities.
Personalized Plan
At your second appointment, Dr. Shelley will do a thorough review and explanation of your lab results. Based on your initial consultation and lab results, Dr. Shelley will create a personalized treatment plan for your needs, which may include testosterone pellet therapy, thyroid optimization, and/or nutritional supplements.
Results
Men can expect to experience the benefits of their pellet implants within 1 to 2 weeks. On average, pellet implants last 5 to 6 months in men.
Best Paired With
Pre-Care Instructions:
- Stop taking any blood-thinning medications, including ibuprofen, aspirin, and acetaminophen, one week before the procedure. If your doctor has instructed you to take any such medications daily, you must consult with them before stopping.
- Avoid sun exposure to the treatment area.Â

Post-Care Instructions:
- Use all medications as directed for the recommended amount of time.
- Speak to your provider if you experience any abnormal or prolonged symptoms.
- Remove your tape or steri-strip over the incision area after 3 days. If the tape of steri-strip becomes wet, remove it immediately. You can replace it with a dry band-aid.
- Do not take tub baths or get into a hot tub or swimming pool for 3 days. You may shower, but do not scrub the injection site until the incision is well healed (about 7 days).
- Do not engage in major exercise for the incision area for 4 days following treatment.
- Return for your follow-up appointment 5 to 6 weeks after pellet therapy for labs to measure your hormone levels.

Frequently Asked Questions
How does BHRT via EvexiPEL hormone pellets work?
Pellets are inserted under the skin near the hip or buttocks area during a routine appointment with your provider. After insertion, the pellet releases a steady dose of hormone(s) over 5 to 6 months depending on your activity and stress level–much like your natural hormones. This feature avoids the peaks and valleys commonly associated with other hormone replacement therapy delivery methods. Plus, you do not have to remember to take a pill each day or risk transference as you do with creams or gels.
Does low testosterone cause long term health risks in men?
There are many long-term health risks that may occur when low testosterone levels are not treated. For one, men with low testosterone levels are more likely to gain weight and develop weak muscles. Chronic weight gain and obesity can lead to a number of cardiovascular issues and increase the risk of diabetes.
Can BHRT help patients lose weight?
BHRT is not a magic bullet for losing weight; however, when hormones are optimized, weight-loss efforts typically begin to pay off. What BHRT may do is increase energy, improve quality of sleep, increase muscle mass and fat burning, and decrease cortisol levels (which cause belly fat and type 2 diabetes). So, those stubborn 5 or 10 pounds the has been battling? That's where increased energy and the weight loss benefits of BHRT may shine through.
Can hormone replacement therapy improve energy levels?
Yes, hormone replacement therapy for men can improve energy levels and overall vitality. When testosterone and other critical hormones are optimized, patients often experience significant improvements in energy, stamina, and daily motivation. This effect can make routine activities, workouts, and work responsibilities feel more manageable.
Are there age limits for hormone replacement therapy for men?
While BHRT is most commonly pursued by men experiencing age-related declines in testosterone, adults of any age may benefit if lab results indicate hormone imbalances. Providers evaluate each patient individually to determine suitability.
Will BHRT impact sexual health?
Hormone replacement therapy for men can positively affect libido, erectile function, and overall sexual performance. Optimized hormone levels support healthy sexual function, which may diminish naturally with age or due to low hormone levels.
Is hormone replacement therapy safe for long-term use?
When supervised by a board-certified provider, BHRT is safe and effective for long-term care. Regular monitoring and individualized dosing help mitigate risks and ensure hormonal balance over months and years.
How is BHRT monitored over time?
Hormone replacement therapy is monitored regularly through blood tests and follow-up appointments. This ensures hormone levels remain within optimal ranges and allows your provider to adjust the dosage for maximum effectiveness and safety.
How soon can I expect results from hormone replacement therapy?
Patients often notice subtle improvements in energy, focus, and mood within weeks. Muscle tone, body composition, and sexual health typically improve within 2 to 3 months of consistent therapy.
Does BHRT impact muscle mass and strength?
Hormone replacement therapy for men can enhance lean muscle mass, strength, and endurance. By optimizing testosterone levels, BHRT supports better exercise and a healthier body.
Will BHRT interfere with other medications?
Providers carefully review your medical history and current medication list to prevent interactions before starting hormone replacement therapy. For men, adjustments can be made to ensure safe, effective treatment alongside existing prescriptions.
Can BHRT improve sleep quality?
Optimizing hormone levels through BHRT can help regulate sleep patterns, enhance deep sleep, and improve overall sleep quality, supporting both physical recovery and mental clarity.
Can BHRT be paired with other sexual wellness treatments?
Yes, absolutely. Hormone replacement therapy for men can be paired with other sexual wellness procedures to enhance results. Many patients combine it with Penile HA filler or the PRP Penis Shot. These treatments improve girth, sensitivity, and overall performance, creating a comprehensive approach to sexual health and wellness.




