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- Pam Rathbone, WHCNP -

Women's Health Care Nurse Practitioner at

Bloom Functional Medicine, in Gladstone, Oregon

Bioidentical Hormone Replacement Therapy

Pam Rathbone, WHCNP at Aura Health Lake Oswego Oregon

Pam Rathbone, WHCNP


Pam Rathbone WHCNP, specializes in Bioidentical Hormone Replacement Therapy (BHRT).

Bioidentical hormones are derived from plant sources and are termed “bioidentical”

because they have been shown to be structurally identical to our body’s own hormones, and they are said to be metabolized the same way your body metabolizes your own hormones. This hormone therapy is not a "one size fits all". . . it is individualized to meet the specific needs for each person.  It can be compounded or it can be prescribed utilizing products purchased at any pharmacy. 


The compounds can be formulated as topical creams, vaginal suppositories, oral capsule/troches, or estradiol &/or testosterone pellets which are implanted under the skin. These are identified as doing the best at mimicking a woman's own hormone levels.  Most women report they feel "normal" when they use this route of administration. 


You are encouraged to do your due diligence and a thorough investigation. . . find a provider that you believe is experienced in prescribing bioidentical hormones.  You want to feel confident that your hormones are well balanced and managed appropriately.  If this is accomplished you can enjoy health and wellness.

  • What is a Vaginal PRP?
    Vaginal PRP is a non-surgical procedure, performed in the office, that uses growth factors derived from platelets extracted from "your blood" to stimulate vaginal and clitoral rejuvenation. Since it is a proprietary procedure, you know that every Vaginal PRP is performed exactly the same way. Patients come to the office, blood is drawn, using an FDA approved kit the blood is put in the centrifuge and platelets are separated and concentrated - yielding Platelet Rich Plasma which contains powerful rejuvenating growth factors. A small amount of these growth factors are injected into tissue near the clitoral hood, then the remainder of the growth factors are injected into the upper wall (anterior wall) of the vagina – the most important area for the sexual response (the “o-spot” or the “g-spot”). These procedures are done ONLY after application of a superior numbing creams has been applied. Patients report a pain level of 1-2 out of 10 during the procedure.
  • How Does a Vaginal PRP Work?
    Your provider has injected the Plasma Rich Protein into 2 areas – the tissue around the clitoral hood and the anterior vaginal wall. Both areas contain a collection of structures and cells that activate the orgasm mechanism in the body. The process of injecting triggers the platelets to release seven different growth factors that then activate the powerful stem cells located in these tissues to regenerate and therefore patients can experience improved sexual sensation. Some women enjoy effects of a Vaginal PRP the day of the injection. For others, the response may not be noticed for days or weeks, it has also been reports to take up to 3 months. Women receiving the Vaginal PRP procedure have reported an increase in the intensity of their sexual response to be a slight prolonged orgasm – and for many, the increase is dramatic.
  • What Are Women Reporting a Vaginal PRP Will Do?
    Each woman’s experience may differ, however, patients report: Stronger orgasm More frequent orgasm Increased sexual desire Increased ability to have a “vaginal” orgasm Greater arousal from clitoral stimulation Decreased pain for some that experience painful intercourse Increased vaginal lubrication during intercourse Decreased vulvar burning and itching associated with lichens sclerosis Decreased or resolved urinary incontinence (both urge and stress problems)
  • Is a Vaginal PRP Right For You?
    Pam Rathbone is one of a limited number of providers specifically trained, certified and licensed to administer this revolutionary new treatment that uses the patient’s own blood platelets to activate growth factors that rejuvenate the female orgasm system, generating increased blood flow to the tissue and cells, strengthening the sensitivity of the tissue and system, delivering striking improvement in sexual function. She specializes in developing a personalized treatment plan that delivers results and lasting benefits. Schedule your consultation with Pam discuss the right options for you.
  • Oxytocin
    It is a hormone produced by the hypothalamus in both men and women, and production is usually reduced as we grow older. Women release Oxytocin during lovemaking – but not only is Oxytocin released during orgasm, it appears to be responsible for causing orgasms in the first place. Oxytocin is released in response to a variety of environmental stimuli including skin-to-skin contact and cervical stimulation experienced during sex. At normal levels, Oxytocin encourages a mild desire to be kissed and cuddled by your lover. But being touched (anywhere on the body) leads to a rise in Oxytocin levels. This causes a cascade of reactions within the body, including the release of endorphins and testosterone, which results in both biological and psychological arousal. Research indicates that Oxytocin causes the nerves in the genitals to fire spontaneously, and this leads to orgasm. If this point is reached and the woman's brain is flooded with Oxytocin, she may indeed by capable of achieving multiple orgasms. Oxytocin is the nearest thing to a love drug because of its ability to generate deep and profound emotional connections, and its ability to fuel feelings of sexual intimacy and desire culminating in powerful orgasms.
  • Testosterone
    Testosterone has been found to be protective against breast cancer, osteoporosis and dementia. It is a necessary hormone to help women in maintaining optimal metabolism, restorative sleep, sustainable energy, physical and mental endurance, urinary continence and ideal sexual desire and function.
  • "Scream Cream""
    Medications that increase blood flow/vaso-dilation to tissue, thus facilitating the physiologic effects of arousal. Often, sensitivity and tissue temperature increase as a direct effect of the medication. The creams vary in the medications they include. They can have varying doses of some or all of the following medications: Niacin, Theophylline, L-Arginine, Testosterone and or Viagra. A vaginal applicator can be used to put the cream in the vagina or the creams can simply be applied to the clitoris &/or the outer labial folds. Application can be done 30-45 minutes before sex or it can be applied 1-2 hrs before. This is where women can determine what works best for them. . . trial and error. However, CAUTION needs to be used in women with atrophic tissue. They may find the cream "burns" their tissue especially if "niacin" is used. Just remember. . . . . start with a test dose, then go from there.
  • Hormone Replacement Therapy
    Testing of the endocrine system should be done, evaluating sex hormones (ovarian) , thyroid, adrenal and pituitary. The hormonal foundation can be stabilized by direct replacement of hormones. An evaluation of your symptoms and serum hormone levels are monitored for treatment efficacy, patient satisfaction and safety. Testosterone, Estradiol, Progesterone, Pregnenolone, Thyroid (TSH, Ft4, Ft3) , DHEA, and Adrenal hormones are all considered when a treatment protocol is discussed. It is important that comprehensive hormone replacement is practiced to restore optimal balance, decrease cellular inflammation, promoting optimal health and preventing disease!
Pam Rathbone, WHCNP
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