ESP Medical LLC

About ESP Medical LLC

What is ESP Medical?

ESP Medical is an OBGYN and urogynecology practice in Brockton, Massachusetts, run by Vikas Merchia, MD, FACOG, who founded the practice in 2011. Its main work is women's health: annual exams, menopause care, incontinence, pelvic organ prolapse, pelvic pain and birth control, along with obstetrics. Alongside that, it offers bioidentical hormone replacement using BioTe pellets, which is the hormone therapy service relevant here. The pellets are inserted under the skin in an office visit and are meant to release hormones over several months, with blood work done beforehand to guide dosing. The practice also runs a med spa side, with Botox, fillers, CoolSculpting, liposuction, laser hair removal and PRP hair restoration, so it is more accurately described as an OBGYN practice that has added hormone pellets and aesthetics as extra services, not a hormone clinic that happens to do gynecology.

What does it cost?

No price for the hormone pellets, the consultation, or the bloodwork is published. There is also nothing posted about whether insurance is billed for the medical visit or the pellets, or whether financing or an HSA can be used. If cost matters to your decision, you will need to call and ask for a number before you book anything.

What should you ask before you book?

Ask what the consultation costs and whether that fee includes the initial blood panel Dr. Merchia uses to find your hormone levels. Ask what the pellet insertion itself costs, whether that price includes the pellet or is a separate charge, and how often you will need to come back for a new one, since the pellets are described as lasting a few months at a time. Ask whether insurance is accepted for any part of the visit, since women's health exams are often covered even when hormone pellets are not. If you are weighing this against other hormone options like patches, creams or pills, ask Dr. Merchia directly why pellets are being recommended for your situation. Confirm that Dr. Merchia is the one writing the prescription and overseeing your follow-up, not a coach or aesthetician on staff.

In its own words: "Dr. Merchia is one of only a few providers in the greater Boston area who is a certified provider of BioTe® bioidentical hormone pellets."

Who is it a good fit for?

This is a good fit if you already want an OBGYN for general women's health and like the idea of discussing hormone pellets with the same physician, rather than a clinic that only does hormones by phone. It is less of a fit if you are looking for a straightforward price list or a telehealth-only hormone program, since neither is offered here and you will need a call to get basic numbers.

Sources: urogynob.com, urogynob.com/hormone-replacement-pellets-brockton

Services Offered

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