Menopause Replacement Therapy

Understanding Menopause Replacement Therapy

Our Menopause Replacement Therapy program is designed to address hormone deficiencies commonly experienced during menopause. Led by our expert hormone replacement team, we customize each program to suit your unique needs and lifestyle.

By utilizing a blend of bio-identical hormones and personalized consultations, we aim to restore your hormone levels to those of your early reproductive years. Simply put, our goal is to restore your hormone levels to where they were during your early reproductive years.

-

Identifying Menopause Hormone Deficiencies

  • 1. Estrogen Deficiency Symptoms

    Our Menopause Replacement Therapy program is designed to address hormone deficiencies commonly experienced during menopause. Led by our expert hormone replacement team, we customize each program to suit your unique needs and lifestyle.

    By utilizing a blend of bio-identical hormones and personalized consultations, we aim to restore your hormone levels to those of your early reproductive years. Simply put, our goal is to restore your hormone levels to where they were during your early reproductive years.

  • 2. Progesterone Deficiency Symptoms

    Symptoms like irritability,
anxiety, insomnia, and headaches may indicate low progesterone levels, which
start decreasing during menopause. Progesterone supplementation is crucial to
prevent the growth of endometrial cells due to unopposed estrogen supplementation.

  • 3. Testosterone Deficiency Symptoms for Females

    Low libido, decreased vitality, dry skin, and loss of muscle mass are signs of low testosterone levels in women, which also decline during menopause.

Hormone Therapy Q & A

Hormones are the messengers of your body. Your endocrine glands produce them, and they travel through your bloodstream to various parts of your body, telling your organs and tissues what to do. They’re responsible for controlling a lot of your body’s major processes, like reproduction and metabolism, and they can have a profound effect on your mood and mental clarity.

Menopause Lab Draw Considerations

Unlike some medical tests, hormone replacement therapy (HRT) labs do not require fasting.

  • Pellet Therapy

    For patients undergoing pellet therapy, the provider schedules lab draws one or two month post-insertion to assess the appropriate dosage. Once the dosage is established, subsequent labs are drawn as needed.

  • Creams

    Lab work for patients using creams should be done at least a week before their hormone visit. It's important to ensure no cream residue remains on the arms during the draw. Consider skipping cream application on the day of the lab draw to prevent interference.

  • Troches/RDT

    For individuals using troches or rapid dissolve tablets (RDT), labs should be drawn at least four hours after administration to capture peak hormone levels. This should be done at least one week before the scheduled hormone visit.

  • Application of Hormone Creams

    Versatile Usage

    Hormone creams offer versatile application options. They can be applied on the inner surface of the forearms, behind the knees, on top of the feet, or vaginally. However, it's advisable to avoid applying creams mixed with testosterone on hairy areas to prevent unintended hair growth.

    Optimal Vaginal Application

    For vaginal cream, direct insertion into the vaginal opening is not necessary unless desired. Instead, it can be applied to the outer surfaces of the vaginal and clitoral area for optimal absorption. Care should be taken to avoid accidental contact with family members.

  • Troche or RDT Administration

    Proper Dissolution

    Both troches and RDTs should be completely dissolved in the mouth when taken orally. Patients typically place them under the tongue or between the cheek and gum. It's essential to avoid swallowing the troche or RDT to prevent potential liver issues.

    Dosage and Frequency

    Troches or RDTs may be dosed once or twice daily to maintain consistent hormone levels. Some patients prefer using troches for vaginal insertion, typically done at night after bathing.

Considerations for Hormone Replacement Therapy

  • Consultation with Specialists

    Patients with a history of breast, uterine, or ovarian cancer, or those at high risk, should consult with an oncologist to assess the risk/benefit ratio of HRT. Similarly, individuals with a history of blood clots or a family history may need evaluation by a hematologist.

  • Maintaining Overall Health

    Maintaining normal weight, cholesterol, and blood pressure during therapy is crucial to reduce the risk of complications such as blood clots, stroke, and heart attacks.

  • Understanding Side Effects

    Patients should be aware of the potential side effects of estrogen, progesterone, and testosterone therapy, which may include bloating, headaches, breast tenderness, blood clots, and various gynecological cancers, among others.