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Bioidentical Hormone Replacement Therapy
in Lombard, Illinois
Physician-Led Hormone Therapy for Women
Treating women with hormonal imbalances due to perimenopause, menopause, hysterectomy, and other metabolic and hormonal disorders.
If you are experiencing fatigue, mood changes, sleep disruption, hot flashes, weight changes, or low libido, hormone imbalance may be part of the picture.
At Castello Wellness & Primary Care, Dr. Gregory Castello provides careful, individualized hormone replacement therapy based on symptoms, laboratory evaluation, and ongoing follow-up.

Are Hormone Changes Affecting How You Feel?

Sleep & Mood
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Hot flashes
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Night sweats
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Poor sleep
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Irritability
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Mood swings

Energy & Focus
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Fatigue
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Brain fog
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Low motivation
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Decreased stamina

Metabolism & Libido
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Weight gain
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Difficulty losing weight
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Low libido
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Reduced muscle tone
A Careful, Physician-Led Approach to Hormone Therapy
Hormone replacement therapy should never be one-size-fits-all.
At Castello Wellness & Primary Care, treatment begins with a structured medical evaluation — not a preset protocol.
Dr. Castello considers:
• Your symptoms
• Medical and family history
• Cardiovascular risk
• Metabolic health
• Laboratory findings
• Your personal goals
Treatment plans are individualized and adjusted gradually.
The goal is physiologic hormone replacement — restoring balance thoughtfully and safely.
Hormone Therapy Process
01
Comprehensive Consultation
We review symptoms, medical history, and goals.
02
Laboratory Evaluation
Labs are reviewed or ordered to clarify hormone levels and overall health.
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Personalized Treatment Plan
Therapy is started thoughtfully and adjusted gradually.
04
Ongoing Monitoring
Follow-up visits ensure steady progress and long-term safety.
Why Patients Choose Us for Hormone Replacement Therapy
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Hormone therapy requires thoughtful management and ongoing care.
Castello Wellness & Primary Care offers:
Physician-Led Care
Treatment is managed directly by a board-certified family physician.
Individualized Plans
Therapy is tailored to your symptoms, labs, and long-term health.
Time for Discussion
Appointments allow space for questions and careful decision-making.
Steady Follow-Up
Hormone therapy is monitored and adjusted gradually over time.
Schedule a Hormone Replacement Therapy Consultation
Hormone therapy isn’t about trends or quick fixes.
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It’s about understanding what’s changed and deciding whether treatment makes sense for you.
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If you want a steady, physician-guided approach, schedule a consultation and we’ll take it from there.
Bioidentical Hormone Replacement for Women
Symptoms
There are three main hormones that cause perimenopausal and menopausal symptoms: estrogen, progesterone, and testosterone. As women age, their hormone levels decrease, which can cause a plethora of issues. Symptoms can begin ten years before actual menopause is reached (this stage is referred to as perimenopause). It is also important to mention that women lose testosterone as they age. Although women's levels of testosterone are must lower than men's levels, a decrease with aging can contribute to symptoms.
Some of the most common treatable symptoms related to hormonal imbalance are:
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Hot flashes
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Night sweats
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Insomnia
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Vaginal dryness
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Irregular periods
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Hair loss
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Decreased bone density
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Mood swings
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Irritability
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Depression
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Anixety
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Poor concentration
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Poor sleep
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Low sex drive
Why Bioidenticals?
Bioidentical hormones are molecularly identical to the actual hormones in our bodies. As a result, they are more effective and not recoginzed as foregin. They also are less likely to cause side effects. Also, since our therapy is not administered in an oral prepartation, it is not heavily processed by the liver and does not significantly increase the risk of forming blood clots, having a heart attack, or stroke, which are risks of traditional oral hormone replacement medications.
Pellet Therapy - Estrogen and Testosterone
Based on your symptoms, you may need estrogen and/or testosterone replacement. Our pellet therapy time releases estrogen and testosterone over a 3 month time span. It involves a quick and simple in office procedure where we implant pellets into the fatty tissue of your buttock. There is no down time associated with the procedure and it is painless. Best of all, you don't have to hassle with remebering to take a medication everyday.
Progesterone Therapy
Based on your symptoms you may also benefit from progesterone replacement. Bioidenitcal progesterone helps with sleep and mood. Since it causes drowsiness, it is counterproductive to use it in pellet form, because it would cause daytime fatigue. Instead, we use rapid dissolve sublingual (under the tongue) tablets for progesterone replacement. The progesterone taken sublingually is safer than taking orally because it reduces the stress on the liver that oral medication can cause.
