Featured Doc: Heather Chauhan, MD, FACOG

SottoPelle is proud to showcase one of our providers in our “Featured Doc Series.”  Heather Chauhan, MD, FACOG practices in Germantown, Tennessee and has been a SottoPelle Trained Provider since January 2014.

Practice Name:
Exceed Hormone Specialists



Heather Chauhan, M.D. has the following qualifications:

  • Fellow of the American Congress of Obstetricians & Gynecologists
  • Diplomate of the American Board of Obstetrics & Gynecology
  • Active Member of:
    • North American Menopause Society
    • Sexual Medicine Society of North America
    • International Society for the Study of Women’s Sexual Health

Please see Heather Chauhan, MD, FACOG’s profile on our directory at: https://www.sottopelletherapy.com/doctors/heather-chauhan-md-facog/ 

Follow her on Facebook: https://www.facebook.com/exceedhs

Visit her website: https://exceedhs.com/


Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
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Menopause Midwifery or Doulas

I read and research constantly for my blogs on areas of interest.  Occasionally, I come across novel and innovative concepts that inspire me.

Menopause Midwife

When we are going through childbirth we often will choose to have a midwife or Doula.

“Midwives and doulas seem similar, since they’re both people (who aren’t OBs) who help women through labor.  And they are both most commonly chosen by moms-to-be who go drug-free during their delivery. But their roles in the childbirth process are actually quite different.

A midwife is a health care provider, while a doula is more of a childbirth coach. You might choose to have a midwife instead of an OB for prenatal care and to deliver your baby—midwives can deliver babies in hospitals, birthing centers or even in your home. A doula, on the other hand, doesn’t replace your healthcare practitioner but rather can add extra services, such as helping you with techniques to manage pain during labor and even providing support and help during baby’s early days. Isn’t it great there are so many people who can help you though?”(1)

I started thinking why don’t we have these people to support women through the physical, psychological and emotional aspects of menopause?

Imagine, if we had someone who could provide medical informative support combined with personal supportive services as you go through one of the most demanding changes as a woman in your life? There are a many and very good support groups online to help with peer support for menopausal women. But, sometimes you need more. You need that personal attention and support to address your unique concerns and needs during menopause.

Would it help to have someone give you techniques or services to alleviate the symptoms, pain or issues your experiencing  emotionally, mentally and physically?


Featured Doc – John Molland, MD

SottoPelle® is proud to showcase one of our providers in our “Featured Doc Series.”  John Molland, MD practices in Odessa, Texas and has been a SottoPelle® Trained Provider since October 2018.

Practice Name:
The Women’s Center of the Permian Basin, PA



“SottoPelle® is a unique method which offers my patients an individualized approach to hormone imbalance and well-being.,” states John Molland, MD, SottoPelle® Trained Physician.

John R. Molland, MD is now offering expanded treatments for:

  • Anti-aging
  • Aesthetics
  • Wellness

Please see Dr. Molland’s profile on our directory at: https://www.sottopelletherapy.com/doctors/john-r-molland-md-facog/ 

Follow him on Facebook: https://www.facebook.com/DrMolland/

Visit his website: https://www.drmolland.com/


Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
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Crunching the mid-life crisis

Crunching the mid-life crisis

If you are in your forties and feel like you are experiencing a mid-life crisis, trust me, you are not alone. If you are even younger than this and still feel this way, don’t worry, there still other crises other than the mid-life crisis. These days, our whole life seems to be one crisis after another, starting with the quarter-life crisis, the thirties crises and ending with a later life crisis. Well, as much as this is common to hear, your life does not have to be like this. You just must realize that these are periods of growth and change in your life and you can balance at any age.

What exactly is a midlife crisis?

Generally, it is defined as a change of identity and self-confidence that typically occurs in middle-aged individuals (45-64 years). The crisis is fueled by events that bring to the surface the person’s age, their lack of accomplishments in life thus far, their fleeting youth and their inevitable mortality. Unsurprisingly, this easily leads to feelings of anxiety, depression and the feeling to make drastic life changes.

A midlife crisis can be characterized by signs such as:

  • Mood swings
  • Anxiety and depression
  • Oversleeping or sleeplessness
  • Obsession with appearances
  • Increased consumption of drugs or alcohol
  • Feeling Stuck
  • Thoughts of dying or death
  • Unprecedented behavior

How to deal with a midlife crisis:

  • Steer your own ship – Once you realize that things are going south, make the conscious decision to find balance in your life.
  • Quit the pursuit of happiness – Identify happiness in what you already have. A family, a business, a career, friendships, whatever it is.
    Learn to appreciate what you have and not dwell on what you do not.
  • Embrace aging – Aging is a natural process in everyone’s life cycle. Use all your experiences to make informed decisions and appreciate the life you have lived. If you find that your life has not been what you wanted, today is the day to make it new again.
  • Pursue your passions – Do what you couldn’t do when you were younger because you did not have as much time or resources. Go for a baking class or pursue a sport. Do what makes you happy. If you are not sure which passion to chose. Pick any and start. Discovery is part of the process. There might be some false starts, but the journey will be enlightening.
  • Exercise – Being healthy is one of the ways you can deal with all the changes happening in your life. Strive to be in the best shape you and if you cannot do it alone – ask for help. Starve negative feelings and let the endorphins thrive instead in your body.
  • Set new goals for yourself – Take a hard look at your life and decide what areas you want to change. Set goals to change your current status. Be objective and realistic when setting these goals.
  • Laugh more often – Aging with humor is one of the ways to maintain youth. Participate in activities that make you laugh.

If you feel like your doing all the right things and still feel sad or in crisis, then seek help with your doctor. Make sure your feelings are not based on health issues. Hormonal imbalance can cause feelings of depression, anxiety and more.

Need more ideas on how to get through a mid-life crisis or any life crisis – visit SottoPelle Lifestyle for more info on happier aging and healthy lifestyles.

¿Qué me está pasando?

¿Qué me está pasando?

Testosterona, salud y calidad de vida

Ha oído hablar de las mujeres que tienen bochornos y otros síntomas a medida que atraviesan el “cambio”, pero ¿y los hombres?

La verdad es que los niveles hormonales de los hombres disminuyen a medida que envejecen, igual que los de las mujeres. Los niveles de testosterona en el hombre alcanzan generalmente su punto máximo alrededor de los 20 años. En algún momento entre los 30 y 40 comienzan a disminuir a razón de un 1% anual en promedio. Si la disminución en los niveles de testosterona es lo suficientemente severa, un hombre puede experimentar síntomas parecidos a la menopausia. Es lo que se conoce como andropausia.

La testosterona baja puede causar cambios físicos, mentales y cognitivos no solo desagradables, sino también peligrosos para la salud. Los siguientes síntomas indican bajos niveles de testosterona asociados con la menopausia masculina:

  • Disfunción eréctil
  • Reducción del deseo sexual
  • Pérdida de masa muscular
  • Aumento de la acumulación de grasa (especialmente alrededor de la sección media)
  • Baja masa ósea
  • Fatiga
  • Depresión
  • Ansiedad
  • Irritabilidad
  • Insomnio
  • Problemas de concentración

En general, la depresión acostumbra a ser de los primeros síntomas en aparecer en estos casos. La testosterona es una hormona clave que afecta el estado de ánimo tanto en hombres como en mujeres. Niveles bajos pueden provocar sentimientos de tristeza, soledad, ira y/o ansiedad. Puede perder interés en las actividades de las que normalmente disfrutaba. También juega un papel importante en nuestro funcionamiento cognitivo, lo que significa que, si no tiene suficiente testosterona, puede tener problemas para concentrarse o recordar cosas. Además su pensamiento puede ser confuso o borroso.

Físicamente experimenta una reducción en su libido. También puede tener dificultades para lograr o mantener una erección. Los niveles saludables de testosterona nos ayudan a construir y mantener la masa muscular. Si la testosterona es baja, puede desarrollar más grasa alrededor de su área abdominal. Además, como consecuencia de ello, las enzimas en esas células grasas pueden convertir buena parte de la testosterona circulante en estrógeno, lo que se conoce como aromatización, lo cual hace que sus niveles de testosterona libre bajen aún más. Algunos hombres con niveles bajos de testosterona incluso experimentarán también agrandamiento de los senos o reducción del vello corporal.

La buena noticia es que estas deficiencias se tratan perfectamente con la terapia de reemplazo de hormonas bioidénticas. Los niveles insuficientes de testosterona no deben ser parte del proceso en un envejecimiento normal y saludable. Si cree que puede estar experimentando síntomas de baja testosterona, llámenos hoy para una consulta.

¿Por qué SottoPelle® es la mejor opción para la THS bioidéntica?

Nuestros médicos expertos empiezan con pruebas y análisis adecuados de su estado hormonal, además de revisar su historial médico. Nuestros implantes, precisamente por ir directos al torrente sanguíneo utilizan dosis extremadamente bajas en comparación con los otros métodos y consiguen el equilibrio hormonal tan importante para la salud y el bienestar general. Este método seguro y eficaz, logra en horas hormonales niveles fisiológicos que permanecen estables durante meses.

Nuestros pacientes con frecuencia elogian la mejor calidad de vida que están experimentando con la Terapia SottoPelle®. Pérdida de peso, mejor libido y deseo sexual, mejor sueño y mayor agudeza mental son sólo algunos de los beneficios que los pacientes nos reportan.

¡Consulte con su médico!

Consultar con un experto en la Terapia SottoPelle® puede ayudarle a crear un futuro más saludable para usted. Descubra lo que nuestro método extraordinariamente simple y sin complicaciones puede hacer por Vd.

Obtenga más información sobre SottoPelle® en www.sottopelletherapy.com o contacte con nuestros médicos acreditados:


Featured Doc – Clark Brittain, DO

SottoPelle® is proud to showcase one of our providers in our “Featured Doc Series.”  Clark Brittain, DO practices in Bloomington, Indiana and has been a SottoPelle® Trained Provider since May 2007

Practice Name:
Vibrant Life

642 South Walker St ,
Bloomington, Indiana, United States

Phone Number


Clark Brittain, DO has the following qualifications:

  • Board-certified Gynecologist specializing in intimate wellness for both men and women
  • Brittain’s staff offers personalized treatment for conditions such as hormone deficiencies and sexual intimacy concerns/disorders. These procedures treat symptoms that include painful intercourse, vaginal dryness, erectile dysfunction, and Peyronie’s disease.
  • Brittain is certified to administer SottoPelle® hormone pellets, GAINSwave, CO2RE Intima laser services and Cellular Medicine treatments including the O-Shot and P-Shot. We deal in intimate health matters because Intimate Health Matters.

Please see Clark Brittain, DO’s profile on our directory at: https://www.sottopelletherapy.com/doctors/clark-brittain-do/

Follow him on Facebook: https://www.facebook.com/VibrantLifeBloomington/

Visit his website: http://drbrittain.com/


Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
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It’s Not the Holidays – it’s My Hormones!

Many people are negatively affected by hormonal imbalances. When you add stress to that imbalance, it can often cause chaos on our bodies, mind, and life. Holidays are known to present stress to people for many reasons.  Stress tolerance and how we react to it varies with each person.  Men and women often deal with stress very differently.  It could be concerns on money and holiday spending, or missing lost loved ones, and just overwhelming demands on your energy and time.  Some people who are already hormonally imbalanced will worsen during the holidays and make this time incredibly difficult for themselves and family.

” ‘Stress’ may be defined as any situation which tends to disturb the equilibrium between a living organism and its environment. In day-to-day life there are many stressful situations such as stress of work pressure, examinations, psychosocial stress and physical stresses due to trauma, surgery and various medical disorders.” (1)

Even if you’re not already hormonally imbalanced, undue stress can trigger an issue or imbalance.

“In response to stress, the level of various hormones changes. Reactions to stress are associated with enhanced secretion of a number of hormones including glucocorticoids, catecholamines, growth hormone and prolactin, the effect of which is to increase mobilization of energy sources and adapt the individual to its new circumstance.”(2)

Our body goes into a flight or fight mode with stress. This is not conducive for festive holiday gatherings.

“In a healthy body, once the stress has passed and Cortisol levels decrease, the hypothalamus signals to the pituitary and adrenals to stop hormone production. But this doesn’t happen when chronic stress is involved.  It becomes a loop of continual release of all the stress hormones. The result is dysfunction in the HPA axis (hypothalamus, pituitary, adrenal).  When levels of these hormones, particularly Cortisol, remain elevated in the body, specific symptoms will begin to occur.” (3)

The response in someone who is not healthy or already has hormonal imbalance due to menopause or andropause may result in my many uncomfortable symptoms.

Symptoms of Hormonal Imbalance

If you have been told that your hormone levels are within a normal range, the following signs may be indicative of a potential hormonal war:

  1.     fatigue
  2.     mood instability
  3.     weight gain
  4.     “foggy brain” or memory loss
  5.     adult acne
  6.     hair loss or excessive facial hair growth
  7.     lower sex drive
  8.     extreme PMS

These symptoms can reduce quality of life and increase chances of secondary healthy concerns if you don’t regain hormonal balance. There are solutions, however, and you don’t have to acquiesce to a lower quality of life. If you suspect that you might suffer from a hormonal imbalance, the first step is to consult with a medical professional.” (4)

Sometimes you find yourself second guessing or making excuses for not feeling as you should. The holidays bring on a lot of pleasure but also stress. If you feel as if you’re not yourself, or you have any of these symptoms, contact us today so we can help get your holiday and life back on track for the new year.



(2) ibid\
(3) https://www.functionaldiagnosticnutrition.com/8-signs-stress-causing-hormonal-imbalance/\

Featured Doc – Warren Scott Lafferty, MD

SottoPelle is proud to showcase one of our providers in our “Featured Doc Series.”  Warren Scott Lafferty, MD practices in Bentonville, Arkansas and has been a SottoPelle Trained Provider since August 2013.

Practice Name:
Lafferty Family Care


Warren Scott Lafferty, MD has the following qualifications:

  • Clinic focuses on true prevention to disease
  • Also offer SculpSure, Botox and fillers.

Please see Warren Scott Lafferty, MD’s profile on our directory at: https://www.sottopelletherapy.com/doctors/warren-scott-lafferty-md/

Follow him on Facebook: https://www.facebook.com/LaffertyFamilyCare/


Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
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Featured Doc – Harry Condoleon, D.O.

SottoPelle is proud to showcase one of our providers in our “Featured Doc Series.”  Harry Condoleon, D.O. practices in Algona, Iowa and has been a SottoPelle Trained Provider since August 2019

Practice Name:
Soma Med Spa

Phone Number:


Harry Condoleon, D.O. has the following qualifications:

  • Member of the American College of Surgeons and American Academy of Cosmetic Surgeons
  • Reputation as a highly skilled surgeon who delivers the safest state of the art treatment to his patients
  • Brings non-invasive, non-surgical services with little to no downtime to the Algona, Iowa area.

Please see Harry Condoleon, D.O’s profile on our directory at: https://www.sottopelletherapy.com/doctors/harry-condoleon-d-o/

Please visit Dr. Condoleon on Facebook at: https://www.facebook.com/somaalgona

Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
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Featured Doc – Donna Breeland, MD

Today we proudly showcase one of our amazing providers in our “Featured Doc Series.”  Donna Breeland, MD  practices in Flowood, Mississippi and has been a SottoPelle Trained Provider since May 2013.

Donna Breeland, MD has the following qualifications:

  • Board Certified by the American Board of Obstetrics and Gynecology.
  • Has particular interest in infertility, minimally invasive surgery, and menopause medicine.
  • Has expertise in the use of bio-identical hormones in all forms: creams, pellets, and troches.

Practice Name
East Lakeland OBGYN Associates

1020 River Oaks Dr 320, Flowood, Mississippi United States

Phone Number
Fax Number


Please see Donna Breeland, MD’s profile on our directory at: https://www.sottopelletherapy.com/doctors/donna-breeland-md/

Follow Donna Breeland, MD on Facebook: https://www.facebook.com/EastLakelandOBGYN

Visit Donna Breeland, MD’s website: https://eastlakelandobgyn.com/

Do you know an amazing SottoPelle doctor? Nominate them here to be a Doctor of the Day!
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