Men's and Women's
Specialty Health Centers
Hormone and Infertility Clinic in Noblesville, Indiana
"Our patients care how much we know and are delighted to know how much we care."
-- Dr. David McLaughlin, specializing in hormone and fertility treatments
Dr. McLaughlin Menopause Indianapolis
Fertility Clinic Indianapolis
Infertility Solutions Indianapolis

Menopause Treatment in Indianapolis

Restoring your youth and helping you feel more like you

The symptoms of menopause can disrupt your daily routine and prevent you from enjoying you life. Hormone imbalance as a result of aging is as natural as aging itself. However, treatment is available to help get your hormones back in balance so that you feel more alert and energetic.

Through early intervention, with bioidentical hormones, Dr. McLaughlin, and Kristi Marsella, N.P., strive to help women cope with the challenges of aging and offer encouragement in maintaining a healthier life. Once your hormone levels are checked, we can see if hormone therapy is right for you. Click here to learn more about Menopause Treatment in Indianapolis.

I started using pellet hormones in 1990 with Dr. McLaughlin and the pellets have been a big help to me, as my nerves were a wreck.

Infertility Solutions in Indianapolis

In Vitro Fertilization

IVF stimulates the ovaries to prepare mature eggs. The eggs are then extracted, fertilized by an embryologist and then placed back inside the uterus.

Artificial Insemination

This procedure is best for low sperm count and couples with unexplained infertility. This involves creating a high concentration of sperm which is then inserted into the cervix.

Intracytoplasmic Sperm Injection

ICSI involves injecting a single sperm into the cytoplasm of a mature egg. This process is helpful when there are abnormalities with the sperm.

Frozen Embryo Transfer

Embryos created through IVF are either used immediately or frozen to be used at a later date. Once it becomes time to use the embryo, it is thawed and inserted to the uterus.

Dr. McLaughlin believes it is important to determine the causes of infertility for both partners. Taking a history, performing a physical exam-and often a vaginal ultrasound-helps focus the areas of concern. Additional testing often helps to establish a working diagnosis, which may lead to less expensive/invasive treatments prior to IVF. Each individual couple has specific concerns and treatment desires which will be addressed.

Many infertile patients select IVF as a reasonable option to conceive. The process involves using fertility medication to recruit eggs, vaginal ultrasound to retrieve the eggs (under sedation), then adding the partner's sperm to fertilize the eggs and produce embryos.

Dr. McLaughlin's has incorporated Preimplantation Genetic Screening (PGS), which has led to early success in his ART program. This new technology improves the chances of delivering a healthy baby. With PGS, a few cells are removed from Day 5 embryos, and sent to Genesis Genetics for chromosome analysis. Later, Frozen Embryo Transfer (FET) is used to replace normal genetically screened embryos-usually, one at a time. This also reduces your chance of delivering twins and triplets.

By providing fertility services at our Indianapolis Infertility Clinic, Dr. McLaughlin and Kristi Marsella help turn people's dreams of a child into the formation of a loving family. We accomplish this by evaluating the causes of the infertility and offer comprehensive infertility treatments and options based on the person's needs. Learn more about our infertility treatments here.

Common Questions About Bioidentical Hormones

Hormone levels affect everybody differently during the stages of their life. A decline in hormone levels may cause fatigue, hot flashes, weight gain and problem sleeping. Hormone therapy helps women take charge of their lives so they can feel more normal and continue to live a joyful life. Dr. McLaughlin and Kristi Marsella, WHNP use their experience to help diagnose and treat women that may be suffering from menopause.

What is a bioidentical hormone pellet?

Bioidentical Hormones are derived from plants, particularly the Mexican wild yam, as opposed to being extracted from horse urine (Premarin).

How are the hormone pellets used?

The pellets themselves are about the size has a grain of rice and is placed under the skin. Bioidentical Hormone Pellet therapy is ideal because it provides consistent levels of hormones over several months as the body slowly absorbs the pellet. Many women have trouble absorbing pills, creams and injections.

How long do the hormone pellets last?

The effects of bioidentical hormone pellets can initially be felt in 24 hours by some patients while others may take up to 2 weeks. Typically effects last 3 to 6 months. Because everybody's metabolism is different, there is not a way to determine a specific time frame.

Are there advantages of using bioidentical hormone pellets?

Yes. With bioidentical hormone pellets it is easier to monitor each patient's specific hormone levels (estradiol & testosterone). It would be impractical to measure all the estrogen hormonal components from Premarin.

Why do you prefer to administer Hormone Replacement Therapy through the skin (creams) or under the skin (pellets)?

By administering bioidentical hormone replacement through the skin or under the skin, less medication can be given and higher levels can be achieved. If Hormone Replacement Therapy is given orally, there are increased risks of blood clots in the leg veins, which could possibly travel to the lungs. Oral Hormone Replacement Therapy often increases your cholesterol, and many patients complain of weight gain.

When is the best time to start Hormone Replacement Therapy?

During the peri-menopause or shortly after menopause begins are the best times to begin taking Hormone Replacement Therapy. There appears to be an early window of opportunity for maximum patient benefit when treatment is started early.

What if I've never been on Hormone Replacement Therapy and am 60 years or older and want to begin?

Some patients may have an increased risk of heart attack or stroke if Hormone Replacement Therapy is begun much later after menopause. If this is the case, you may be advised to check your coronary calcium score with a Heart Scan (Cardiac CT).

What is the main potential risk of Hormone Replacement Therapy?

In 2002, the Women's Health Initiative noted an increased risk of breast cancer in patients who took PremPro (Premarin and a synthetic progestin, Provera). For those patients who took Premarin alone, their breast cancer risk was less.

How do you monitor these risks?

We recommend monthly breast self-exam, and annual exam by Kristi or Dr. Mac, and annual mammograms. Tomosynthesis, or 3-D digital mammography, is particularly helpful for those women with dense breasts. By obtaining better quality breast imaging, the need for a breast biopsy is reduced by 15%.

Prior to starting Hormone Replacement Therapy, what other tests may be helpful?

If there is a strong family history of female cancers, we advise genetic testing to see if you are a BrCa carrier, which would increase your risk. Once identified, appropriate monitoring/treatment may reduce your risk up to 90%. If there is a personal or strong family history of abnormal blood clots in the leg or lung, blood tests may indicate that you have a higher risk of developing thrombophlebitis or pulmonary embolus is estrogen is started.

How do I get started with Hormone Replacement Therapy in Indianapolis?

Free hormone testing is available to potential new patients through Mid America Clinical Labs (MACL) in the Indianapolis area. Please call our office if you would like to find out if Hormone Replacement Therapy can improve your quality of life!