Office: 535 Ocean Avenue, Portland, Maine 04103     Phone: (207) 518-6000     Fax: (207) 518-6001

New Services

The Mona Lisa Touch®

Call the office at (207) 518-6000 to learn about new pricing.

Restoring Gynecologic Health

A novel laser therapy that helps restore gynecologic health by generating new collagen, elastin and vascularization.

MonaLisa Touch laser treatment is a simple procedure that takes less than 5 minutes.  It delivers both immediate and lasting relief. And it’s clinically proven to work.

  • In-office
  • Requires no anesthesia
  • Minimal side effects
  • No downtime
  • Symptom relief after just one treatment
  • Thousands of women successfully treated since 2012

Mona Lisa Brochure (PDF)

Bio Identical HRT

Dr. Rainville is now offering the option of estradiol pellet therapy.

Hormonal Pellets FAQ
Hormone pellets are an alternative way to deliver hormones in both men and women. Implants, placed under the skin, consistently release small, physiologic doses of bio-identical hormones providing optimal therapy.

What are Pellets?
Pellets are made up of either estradiol or testosterone. The hormones, estradiol or testosterone, are pressed or fused into very small solid cylinders. These pellets are larger than a grain of rice and smaller than a ‘Tic Tac’. In the United States, pellets are made by a licensed compounding pharmacist and delivered in sterile glass vials.

How and where do you insert pellets?
The insertion of pellets is a simple, relatively painless procedure done under local anesthesia. The pellets are usually inserted in the lower abdominal wall or hip through a small incision which is taped closed. Experience of the health care professional counts; not only in placing the pellets, but in determining the correct dosage of hormones to be used.

What are potential complications from inserting hormone pellets?
Complications from the insertion of pellets include minor bleeding, bruising, discoloration of the skin, infection, and possible extrusion of the pellet. Other than slight bruising, or discoloration of the skin these complications are very rare. Extended exposure to moisture (swimming, hot tubs, bath tubs) is avoided for 4 to 5 days, and vigorous physical activity is avoided for 48 hours in women and up to 5 to 7 days in men. Antibiotics may be given if a patient is diabetic or has recently had a joint replaced.

Do pellets have the same danger of breast cancer as other forms of hormone replacement?
Any form of estrogen therapy can increase the risk of breast cancer. It is not known what that increase risk might be from bio identical hormones as it has not been specifically studied.

What are the most common side effects when the pellets are first inserted?
When a patient first starts hormone therapy there may be mild, temporary breast tenderness; which gets better on its own. Hormone receptors may be very sensitive and take time to adjust. There may be a temporary water weight gain which will also resolve on its own. Some patients report that they experience the body “toning up”, as bone density and muscle mass may increase and fatty tissue decreases. 

How soon will I feel the effects of the pellets?
Some patients begin to “feel better” within 24-48 hours while others may take a week or two to notice a difference.

How long do the pellets last?
The pellets usually last between 3 and 5 months in women. High levels of stress, physical activity, some medications and lack of sleep may increase the rate at which the pellet absorb and may require that pellets are inserted sooner in some patients.

Do the pellets need to be removed every 3-6 months?
The pellets do not need to be removed. They completely dissolve on their own.