Couple Strolling on Beach ca. 2000 Maldives
Hormone Replacement Therapy

A hormone is a chemical released by a cell or a gland in one part of the body that affect cells in other parts. Hormone replacement has been used in modern medicine since 1891 (thyroid) and 1922 (insulin). In current use hormone replacement usually refers to treatment of menopause in women and low testosterone symptoms in men. By replacing and balancing the body’s hormones, physicians have been able to prolong and improve a patient’s quality of life while helping to delay the aging process and preventing age-related illnesses.

Women
  1. Menopause

    All women eventually reach menopause; there is nothing you can do to prevent or delay it. The average age of menopause is 51 but symptoms of estrogen and progesterone deficiencies usually occur long before and they include:

    • Hot flashes, flushes, night sweats
    • Loss of libido
    • Irritability
    • Loss of vaginal lubrication
    • Mood swings
    • Depression
    • Trouble sleeping
    • Weight gain
    • Irregular menstrual periods
    • Fatigue
    • Difficulty concentrating
    • Memory lapses
    • Incontinence
    • Hair loss
  2. Women’s health Initiative Study 2002

    Until recently most women in the United States were offered estrogen and/or progesterone for perimenopausal symptoms. All that changed dramatically in 2002 following a report from the Women’s Health Initiative when researchers found that patients given estrogen plus progesterone had a greater incidence of coronary heart disease, breast cancer, stroke and pulmonary embolism than patients on placebo. At that time most women had their hormone replacement abruptly terminated with little or no recourse to alternative therapy

    Subsequent evaluators pointed out that one of the primary hormone replacements used, Premarin, derived from Pregnant Mare’s Urine, was similar but not identical with the natural hormones produced by women. Could there be a difference if bioidential compounds were used?

  3. Bioidentical Hormones

    Bioidentical hormones, are compounded from plants like soybeans and yams. Their molecular structures is identical to that of the hormones produced by our bodies. Most of these preparations are prescribed as transdermal, applied to the skin. According to the British Medical Journal (BMJ 2010;340:c2519) the use of transdermal hormone replacement therapy containing low doses of estrogen was not associated with an increased risk of stroke, in contrast to the oral route of estrogen alone or combined with a progesterone. Transdermal administration of hormone replacement therapy is a safer alternative to the oral route of administration

  4. Treatment

    Acknowledging your symptoms is the first step in healing. You must also explore personal or family medical history for breast cancer, endometrial cancer, ovarian cancer, or liver disease….is the risk of hormone therapy outweighed by the benefits? Finally, is your quality of life being seriously compromised by your symptoms? Treatment options include:

    • Taking no action
    • Herbal remedies, anti-depressants
    • Take synthetic hormones
    • Take bioidentical hormones
Men

Low T is a condition in which the body doesn’t produce enough testosterone, the hormone that plays a key role in masculine growth and development during puberty. It has become an issue of increased concern among the middle aged and elderly male population and can be easily diagnosed and treated. Hormone Replacement Therapy has been proven to be effective in treating Low T with remarkable improvement in the quality of a patient’s life.

  1. Signs and symptoms

    Low T may alter certain masculine physical characteristics and impair normal reproductive function including:

    • Erectile dysfunction
    • Infertility
    • Decrease in beard and body hair growth
    • Decrease in muscle mass
    • Development of breast tissue (gynecomastia)
    • Loss of bone mass (osteoporosis)
    • Fatigue
    • Decreased sex drive
    • Difficulty concentrating
    • Hot flashes
  2. Treatment Options

    There are many options for Testosterone replacement. They are all effective and all have advantages and disadvantages. The most popular include:

    • Injectable Testosterone
    • Transdermal Patch
    • Transdermal Gel
    • Testosterone Pellets
  3. Adverse reactions to testosterone replacement therapy
    • Increased blood count
    • Breast enlargement/tenderness
    • Testicular atrophy/shrinkage
    • Increased risk of prostate cancer
    • Aggressiveness or bossiness
    • Hair loss
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